Evidence map›Paper›PMID 32757795›Full record

Observational studyJournal of the American Heart Association2020

Derivation and External Validation of a High-Sensitivity Cardiac Troponin-Based Proteomic Model to Predict the Presence of Obstructive Coronary Artery Disease.

Cian P McCarthy, Johannes T Neumann, Sam A Michelhaugh, Nasrien E Ibrahim, Hanna K Gaggin, Nils A Sörensen, Sarina Schäefer, Tanja Zeller, Craig A Magaret, Grady Barnes and 3 more

Open access · goldAbstract readObservational StudyValidation Study
In one paragraph

Observational study 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 15% of its field
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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Review
  5. Markers of imminent myocardial infarction.Nature cardiovascular research · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 2 countries.

Cian P McCarthyDivision of Cardiology Massachusetts General Hospital Boston MA.
Johannes T NeumannDepartment of Cardiology University Heart & Vascular Center Hamburg Germany.
Sam A MichelhaughDivision of Cardiology Massachusetts General Hospital Boston MA.
Nasrien E IbrahimDivision of Cardiology Massachusetts General Hospital Boston MA.
Hanna K GagginDivision of Cardiology Massachusetts General Hospital Boston MA.
Nils A SörensenDepartment of Cardiology University Heart & Vascular Center Hamburg Germany.
Sarina SchäeferDepartment of Cardiology University Heart & Vascular Center Hamburg Germany.
Tanja ZellerDepartment of Cardiology University Heart & Vascular Center Hamburg Germany.
Craig A MagaretPrevencio, Inc Kirkland WA.
Grady BarnesPrevencio, Inc Kirkland WA.
Rhonda F RhynePrevencio, Inc Kirkland WA.
Dirk WestermannDepartment of Cardiology University Heart & Vascular Center Hamburg Germany.
James L JanuzziDivision of Cardiology Massachusetts General Hospital Boston MA.
Massachusetts General Hospital · USGerman Centre for Cardiovascular Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Current noninvasive modalities to diagnose coronary artery disease (CAD) have several limitations. We sought to derive and externally validate a hs-cTn (high-sensitivity cardiac troponin)-based proteomic model to diagnose obstructive coronary artery disease. Methods and Results In a derivation cohort of 636 patients referred for coronary angiography, predictors of ≥70% coronary stenosis were identified from 6 clinical variables and 109 biomarkers. The final model was first internally validated on a separate cohort (n=275) and then externally validated on a cohort of 241 patients presenting to the ED with suspected acute myocardial infarction where ≥50% coronary stenosis was considered significant. The resulting model consisted of 3 clinical variables (male sex, age, and previous percutaneous coronary intervention) and 3 biomarkers (hs-cTnI [high-sensitivity cardiac troponin I], adiponectin, and kidney injury molecule-1). In the internal validation cohort, the model yielded an area under the receiver operating characteristic curve of 0.85 for coronary stenosis ≥70% (

Indexed as

Acute Kidney InjuryAdiponectinAgedBiomarkersCoronary Artery DiseaseCoronary StenosisC-Reactive ProteinFemaleHepatitis A Virus Cellular Receptor 1HumansMachine LearningMaleMiddle AgedModels, BiologicalMyocardial InfarctionNatriuretic Peptide, BrainAdiponectinBiomarkersC-Reactive ProteinHAVCR1 protein, humanHepatitis A Virus Cellular Receptor 1Natriuretic Peptide, BrainTroponin Ihigh‐sensitivity cardiac troponinobstructive coronary artery diseaseproteomic model

Identifiers

PMID32757795
PMCPMC7660799
OpenAlexW3047029580

What OpenQuestion holds

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Registered trials

None linked

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.