Evidence map›Paper›PMID 32912159›Full record

Observational studyBMC cardiovascular disorders2020

Correlation of serum N-Acetylneuraminic acid with the risk and prognosis of acute coronary syndrome: a prospective cohort study.

Miao-Nan Li, Shao-Huan Qian, Zhuo-Ya Yao, Sheng-Ping Ming, Xiao-Jun Shi, Ping-Fang Kang, Ning-Ru Zhang, Xiao-Jing Wang, Da-Sheng Gao, Qing Gao and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.4field-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

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Simultaneous ManNAc and Neu5Ac Quantification in Human Sera by LC-MS/MS.International journal of molecular sciences · 2026
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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

12 authors at 2 institutions in 1 country.

Miao-Nan LiAnhui Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250021, China.
Shao-Huan QianDepartment of Cardiovascular Disease, The First Affiliated Hospital of Bengbu Medical College, 287 Zhihuai Road, Bengbu, 233000, Anhui, China.
Zhuo-Ya YaoDepartment of Cardiovascular Disease, The First Affiliated Hospital of Bengbu Medical College, 287 Zhihuai Road, Bengbu, 233000, Anhui, China.
Sheng-Ping MingAnhui Clinical and Preclinical Key Laboratory of Respiratory Disease, Bengbu, Anhui, China.
Xiao-Jun ShiDepartment of Cardiovascular Disease, The First Affiliated Hospital of Bengbu Medical College, 287 Zhihuai Road, Bengbu, 233000, Anhui, China.
Ping-Fang KangDepartment of Cardiovascular Disease, The First Affiliated Hospital of Bengbu Medical College, 287 Zhihuai Road, Bengbu, 233000, Anhui, China.
Ning-Ru ZhangDepartment of Cardiovascular Disease, The First Affiliated Hospital of Bengbu Medical College, 287 Zhihuai Road, Bengbu, 233000, Anhui, China. yiaocaoyaya@163.com.
Xiao-Jing WangAnhui Clinical and Preclinical Key Laboratory of Respiratory Disease, Bengbu, Anhui, China.
Da-Sheng GaoDepartment of Cardiovascular Disease, The First Affiliated Hospital of Bengbu Medical College, 287 Zhihuai Road, Bengbu, 233000, Anhui, China.
Qing GaoAnhui Provincial Key Laboratory of Computational Medicine and Intelligent Health, Bengbu, Anhui, China.
Heng ZhangDepartment of Cardiovascular Disease, The First Affiliated Hospital of Bengbu Medical College, 287 Zhihuai Road, Bengbu, 233000, Anhui, China.
Hong-Ju WangDepartment of Cardiovascular Disease, The First Affiliated Hospital of Bengbu Medical College, 287 Zhihuai Road, Bengbu, 233000, Anhui, China. hongjuwang1@sina.com.ORCID 0000-0002-1662-485X
First Affiliated Hospital of Bengbu Medical College · CNShandong University · CN

Funding

Innovation Team of Cardiovascular Injury and Protection Foundation and Clinical Application BYKC201906Key Project of Natural Science Research of the Anhui Provincial Department of Education KJ2018A0219National Natural Science Foundation of China 81970313
6 · The paper itself

Abstract

backgroundN-acetylneuraminic acid (Neu5Ac) is a functional metabolite involved in coronary artery disease (CAD). We aimed to evaluate the relationship between serum Neu5Ac and the risk and prognosis of acute coronary syndrome (ACS) in a real-world prospective study.

methodsPatients with suspected ACS who underwent coronary angiography were included. Serum Neu5Ac was measured at admission. Coronary lesion severity was evaluated by Gensini Score. GRACE risk stratification was performed at admission. Major adverse cardiac events (MACEs) were recorded during follow-up.

resultsA total of 766 patients, including 537 with unstable angina (UAP), 100 with myocardial infarction (MI), and 129 without CAD were included. The circulating Neu5Ac level was significantly higher in patients with MI (median [1QR]: 297[220, 374] ng/ml) than in those with UAP (227 [114, 312] ng/ml) or without CAD (207 [114, 276] ng/ml; both p < 0.001). Serum level of Neu5Ac was positively correlated with age, hypertension, serum uric acid, creatinine, MB isoform of creatine kinase (CK-MB), and Gensini score (all p < 0.05). Receiver operating characteristic curve analysis showed that a higher serum Neu5Ac was potentially associated with MI and high-risk GRACE stratification in ACS patients. Logistic analysis identified only elevated serum Neu5Ac as an independent predictor of MACEs in these patients (odds ratio [OR]: 1.003, 95% confidence interval [CI]: 1.002-1.005, p < 0.001).

conclusionsSerum Neu5Ac is associated with myocardial injury, GRACE risk category, and prognosis in ACS patients.

Indexed as

Acute Coronary SyndromeAgedBiomarkersCoronary AngiographyFemaleHumansMaleMiddle AgedN-Acetylneuraminic AcidPatient AdmissionPrognosisProspective StudiesRisk AssessmentRisk FactorsTime FactorsUp-RegulationBiomarkersN-Acetylneuraminic AcidAcute coronary syndromeGRACE scoreMajor adverse cardiovascular eventsMyocardial infarctionN-Acetylneuraminic acid

Identifiers

PMID32912159
PMCPMC7488474
OpenAlexW3084439555

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.