Evidence map›Paper›PMID 33707344›Full record

ArticleAging2021

Impact of genetic variants on clinical outcome after percutaneous coronary intervention in elderly patients.

Jung-Joon Cha, Jae Hyoung Park, Hyung Joon Joo, Soon Jun Hong, Tae Hoon Ahn, Byeong-Keuk Kim, WonYong Shin, Sung Gyun Ahn, JungHan Yoon, Yong Hoon Kim and 7 more

Open access · greenAbstract read
In one paragraph

Article in Aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Influence of Genetic and Epigenetic Factors of P2YCardiovascular drugs and therapy · 2024
    Review
  2. Prognostic Impact ofJournal of the American Heart Association · 2024
    Article
  3. 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

17 authors at 9 institutions in 1 country.

Jung-Joon ChaDepartment of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Jae Hyoung ParkDepartment of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Hyung Joon JooDepartment of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Soon Jun HongDepartment of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Tae Hoon AhnDepartment of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Byeong-Keuk KimDivision of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, South Korea.
WonYong ShinDivision of Cardiology, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, South Korea.
Sung Gyun AhnDepartment of Cardiology, Yonsei University Wonju Severance Christian Hospital, Wonju, South Korea.
JungHan YoonDepartment of Cardiology, Yonsei University Wonju Severance Christian Hospital, Wonju, South Korea.
Yong Hoon KimDivision of Cardiology, Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, South Korea.
Yun-Hyeong ChoDepartment of Internal Medicine, Hanyang University Myongji Hospital, Goyang, South Korea.
Woong Chol KangDepartment of Cardiology, Gachon University Gil Medical Center, Incheon, South Korea.
Weon KimDepartment of Internal Medicine, Division of Cardiology, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, South Korea.
Young-Hyo LimDivision of Cardiology, Department of Internal Medicine, Hanyang University College of Medicine, Seoul, South Korea.
Hyeon Cheol GwonDivision of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Woong Gil ChoiDepartment of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Do-Sun LimDepartment of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Korea University Medical Center · KRWonju Severance Christian Hospital · KRGachon University Gil Medical Center · KRHanyang University · KRKangwon National University · KRKyung Hee University · KRMyongji Hospital · KRSamsung Medical Center · KRSoonchunhyang University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elderly patients treated with percutaneous coronary intervention (PCI) have a higher risk of both ischemic and bleeding complications than younger patients. However, few studies have reported how genetic information of elderly patients treated with PCI affects clinical outcomes. We investigated the impact of genetic variants on clinical outcomes in elderly patients. Correlations between single-nucleotide polymorphisms (CYP2C19 and P2Y12 receptor gene G52T polymorphism) and clinical outcomes were analyzed in 811 elderly patients (≥75 years of age) from a prospective multicenter registry. The primary endpoint was a composite of myocardial infarction and death. Secondary endpoints were an individual event of death, cardiac death, myocardial infarction, stent thrombosis, target lesion revascularization, stroke, and major bleeding (Bleeding Academic Research Consortium ≥3). Regarding CYP2C19, patients with poor metabolizers had a significantly higher risk for the primary endpoint (hazard ratio [HR] 2.43; 95% confidence interval [95% CI] 1.12-5.24; p=0.024) and secondary endpoints (death and cardiac death). Regarding P2Y12 G52T, the TT group had a significantly higher occurrence of major bleeding than the other groups (HR 3.87; 95% CI 1.41-10.68; p=0.009). In conclusion, poor metabolizers of CYP2C19 and TT groups of P2Y12 G52T may be significant predictors of poor clinical outcomes in elderly patients.

Indexed as

Percutaneous Coronary InterventionPolymorphism, Single NucleotideAgedCytochrome P-450 CYP2C19Death, Sudden, CardiacFemaleHemorrhageHumansMaleMyocardial InfarctionReceptors, Purinergic P2Y12RegistriesStrokeThrombosisCYP2C19 protein, humanCytochrome P-450 CYP2C19Receptors, Purinergic P2Y12clinical outcomecoronary artery diseasecytochrome P-450 CYP2C19elderlyP2Y12 receptor gene polymorphism

Identifiers

PMID33707344
PMCPMC7993709
OpenAlexW3133692099

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.