Evidence map›Paper›PMID 33510196›Full record

ArticleScientific reports2021

Death is associated to the type of drug-eluting stent in patients with left ventricular dysfunction and elevated natriuretic peptide levels.

Christian Roth, Clemens Gangl, Walter S Speidl, Georg Goliasch, Matthias Schneider, Daniel Dalos, Rudolf Berger

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 99% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

7 authors at 2 institutions in 1 country.

Christian RothDepartment of Internal Medicine II, Cardiology, Medical University of Vienna, Vienna, Austria.
Clemens GanglDepartment of Internal Medicine II, Cardiology, Medical University of Vienna, Vienna, Austria.
Walter S SpeidlDepartment of Internal Medicine II, Cardiology, Medical University of Vienna, Vienna, Austria.
Georg GoliaschDepartment of Internal Medicine II, Cardiology, Medical University of Vienna, Vienna, Austria.
Matthias SchneiderDepartment of Internal Medicine II, Cardiology, Medical University of Vienna, Vienna, Austria.
Daniel DalosDepartment of Internal Medicine II, Cardiology, Medical University of Vienna, Vienna, Austria.
Rudolf BergerDepartment of Internal Medicine II, Cardiology, Medical University of Vienna, Vienna, Austria. rudolf.berger@meduniwien.ac.at.
Medical University of Vienna · ATHospital of the Brothers of St. John of God · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As advanced heart failure (HF) with elevated NT-proBNP is characterized by an activated coagulation system, coronary events clinically noticed as sudden or HF death may be more common after treatment with first- compared to newer-generation DES. Our study evaluates (1) if patients with left ventricular dysfunction (LVSD) who underwent percutaneous coronary intervention have a better survival with first- or newer-generation DES, and (2) if the survival benefit is predicted by NT-proBNP. Our observational study evaluated patients with LVSD who were registered in the coronary catheter laboratory database of the Medical University of Vienna. Multivariate Cox regression analyses tested an interaction in the risk of death between those with lower or elevated NT-proBNP levels and the stent-generation. The relative risk of newer- compared to first-generation DES as reference was calculated for patients with low and elevated NT-proBNP levels. In 340 patients (178 newer- and 162 first-generation DES) stent-generation and NT-proBNP were independent predictors of death. When the stent-generation*NTproBNP interaction was forced into a Cox regression model, this term independently predicted death. The relative risk of first- compared to newer-generation DES was similar in patients with lower NT-proBNP (HR 1.02, 95% CI 0.95-1.10, p = 0.560), but was higher in patients with elevated NT-proBNP (HR 1.06, 95% CI 1.01-1.10, p = 0.020). Death is associated to stent-generation. NT-proBNP is a predictor for the stent generation used: elevated levels demonstrated a higher mortality risk when using first- compared to newer-generation DES, while lower levels showed a similar risk when using either DES-generation.

Indexed as

AgedCause of DeathDrug-Eluting StentsElectrocardiographyFemaleFollow-Up StudiesHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsProportional Hazards ModelsRisk FactorsVentricular Dysfunction, LeftNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)

Identifiers

PMID33510196
PMCPMC7844266
OpenAlexW3121924217

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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.