Evidence map›Paper›PMID 33320381›Full record

Trial reportClinical cardiology2021

Safety and feasibility of low-dose ticagrelor in patients with ST-segment elevation myocardial infarction.

Yanbo Wang, Yunfa Jiang, Wei Zhi, Yang Fu, Qing Wang, Jianli Zhou, Shaochen Zheng, Guozhen Hao

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.1field-weighted citation impact, top 43% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
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

8 authors at 1 institution in 1 country.

Yanbo Wang *Department of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China.ORCID https://orcid.org/0000-0001-7733-4672
Yunfa Jiang *Department of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Wei ZhiDepartment of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yang FuDepartment of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Qing WangDepartment of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Jianli ZhouDepartment of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Shaochen ZhengDepartment of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Guozhen HaoDepartment of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Hebei Medical University · CN

Funding

2019 Medical Research Projects of Hebei Province in China 20190523
6 · The paper itself

Abstract

backgroundPrevious studies have confirmed the safety and feasibility of half-dose ticagrelor in Chinese patients with acute coronary syndrome, but currently there is no plan for the use of ticagrelor for Chinese ST-segment elevation myocardial infarction (STEMI) patients. HYPOTHESIS: It is safe and feasible of low-dose ticagrelor in patients with STEMI.

methodsThe STEMI patients who were undergoing emergency intervention and taking ticagrelor were enrolled. Patients whose level of platelet aggregation rate (PAR) less than 30% after 7-day treatment with standard-dose ticagrelor were randomly divided into low-dose group (LD group, 45 mg twice daily) and standard-dose group (SD group, 90 mg twice daily). The changes of levels of platelet parameters were compared between the two groups. The incidence of major adverse cardiac events (MACE), bleeding events were compared between the two groups within 6 months of follow-up.

resultsThe levels of PAR in the SD group decreased compared with baseline, and was lower than those of LD group at the same time point. The levels of platelet distribution width in both groups decreased from the baseline values (all p < .05) at 1, 3, and 6 months after grouping treatment, but there was no significant difference between the two groups. The incidence of MACE was similar between the two groups of patients. There were decreasing trends in the incidences of minimal bleeding event, minor bleeding event, dyspnea, and gout in the LD group.

conclusionIt is safe and feasible of low-dose ticagrelor for patients with STEMI based on the monitoring of PAR.

Indexed as

AdultAgedDose-Response Relationship, DrugFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPlatelet Aggregation InhibitorsProspective StudiesST Elevation Myocardial InfarctionTicagrelorYoung AdultPlatelet Aggregation InhibitorsTicagrelorlow-dose maintenancemajor cardiac adverse eventsplatelet aggregation rateST-segment elevation myocardial infarctionticagrelor

Identifiers

PMID33320381
PMCPMC7803363
OpenAlexW3113230733

What OpenQuestion holds

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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.