Evidence map›Paper›PMID 32648508›Full record

ArticleJournal of the American Heart Association2020

Postimplant Phosphodiesterase Type 5 Inhibitors Use Is Associated With Lower Rates of Thrombotic Events After Left Ventricular Assist Device Implantation.

Andrew Xanthopoulos, Konstantinos Tryposkiadis, Filippos Triposkiadis, Kiyotaka Fukamachi, Edward G Soltesz, James B Young, Kathy Wolski, Eugene H Blackstone, Randall C Starling

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Andrew XanthopoulosKaufman Center for Heart Failure, Heart and Vascular Institute Cleveland Clinic Cleveland OH.
Konstantinos TryposkiadisIndependent Biostatistician Athens Greece.
Filippos TriposkiadisDepartment of Cardiology University General Hospital of Larissa Greece.
Kiyotaka FukamachiKaufman Center for Heart Failure, Heart and Vascular Institute Cleveland Clinic Cleveland OH.
Edward G SolteszKaufman Center for Heart Failure, Heart and Vascular Institute Cleveland Clinic Cleveland OH.
James B YoungKaufman Center for Heart Failure, Heart and Vascular Institute Cleveland Clinic Cleveland OH.
Kathy WolskiKaufman Center for Heart Failure, Heart and Vascular Institute Cleveland Clinic Cleveland OH.
Eugene H BlackstoneKaufman Center for Heart Failure, Heart and Vascular Institute Cleveland Clinic Cleveland OH.
Randall C StarlingKaufman Center for Heart Failure, Heart and Vascular Institute Cleveland Clinic Cleveland OH.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Left ventricular assist device (LVAD) thrombosis is clinically devastating and impacts the cost effectiveness of LVAD therapy for advanced heart failure. Anticoagulation and antiplatelet therapies represent the standard of care to mitigate LVAD thrombosis. Phosphodiesterase type 5 inhibitors (PDE-5is) exhibit hemodynamic, antiplatelet, and antithrombotic effects. Using a national registry, we examined the relationship of PDE-5i use on thrombotic events in patients with continuous-flow LVADs. Methods and Results We obtained data from 13 772 patients with continuous flow LVADs participating in a national registry. Patients implanted with primary LVADs from 2012 to 2017 were included in the analysis. The primary end point was a composite of LVAD thrombosis and ischemic stroke. Patients were analyzed according to any use of PDE-5i after LVAD implantation (PDE-5i group) versus no use after LVAD implantation (no PDE-5i group). The primary end point was significantly lower in the PDE-5i group compared with the no PDE-5i group (hazard ratio [HR], 0.84; 95% CI, 0.77-0.91;

Indexed as

RegistriesAdultAgedAspirinCohort StudiesFemaleHeart-Assist DevicesHumansMaleMiddle AgedPhosphodiesterase 5 InhibitorsPlatelet Aggregation InhibitorsPostoperative ComplicationsProsthesis ImplantationStrokeThrombosisAspirinPhosphodiesterase 5 InhibitorsPlatelet Aggregation Inhibitorscomplicationsheart failurepharmacologysildenafil

Identifiers

PMID32648508
PMCPMC7660717

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.