Evidence map›Paper›PMID 34090349›Full record

ArticleBMC cardiovascular disorders2021

Intimal thickening and disruption of the media occur in the arterial walls of coronary arteries not associated with coronary arterial aneurysms in patients with Kawasaki disease.

Tomoya Tsuchihashi, Nobuyuki Kakimoto, Takashi Takeuchi, Tomohiro Suenaga, Takayuki Suzuki, Shoichi Shibuta, Yasushi Ino, Takashi Kubo, Takashi Akasaka, Hiroyuki Suzuki

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2021. 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
2.3field-weighted citation impact, top 12% 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, 18 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Tomoya TsuchihashiDepartment of Pediatrics, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-0012, Japan.
Nobuyuki KakimotoDepartment of Pediatrics, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-0012, Japan.
Takashi TakeuchiDepartment of Pediatrics, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-0012, Japan.
Tomohiro SuenagaDepartment of Pediatrics, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-0012, Japan.
Takayuki SuzukiDepartment of Pediatrics, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-0012, Japan.
Shoichi ShibutaDepartment of Pediatrics, Kinan Hospital, 46-70 Shinjo-cho, Tanabe, Wakayama, 646-8588, Japan.
Yasushi InoDepartment of Cardiovascular Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-0012, Japan.
Takashi KuboDepartment of Cardiovascular Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-0012, Japan.
Takashi AkasakaDepartment of Cardiovascular Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-0012, Japan.
Hiroyuki SuzukiDepartment of Pediatrics, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-0012, Japan. hsuzuki@wakayama-med.ac.jp.
Wakayama Medical University · JPKinan Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary artery aneurysm (CAA) is an important complication of Kawasaki disease (KD) that is associated with arterial structure damage. However, few studies have examined structural changes in coronary arteries that are not associated with CAA.

methodsWe examined coronary arteries in KD patients with CAAs who underwent follow-up coronary angiography (CAG) and optical coherence tomography (OCT). Coronary arterial branches with no abnormal findings during the most recent CAG were classified into two groups. Arteries with an acute-phase CAA that later regressed were classified as group R; arteries with no abnormal findings on either acute or convalescent phase CAG were classified as group N. Coronary arterial wall structural changes were compared between groups using OCT.

resultsFifty-seven coronary arterial branches in 23 patients were evaluated by OCT. Thirty-six branches showed no abnormality during the most recent CAG. Both groups R and N comprised 18 branches. Maximum intimal thicknesses in groups R and N were 475 and 355 µm, respectively (p = 0.007). The incidences of media disruption were 100% and 67%, respectively (p = 0.02). Calcification, macrophage accumulation, and thrombus were not found in either group.

conclusionsIntimal thickening and disruption of the media occur in coronary arteries with acute phase CAAs that later regress in the convalescent phase, as well as in arteries with normal CAG findings in the acute and convalescent phases.

Indexed as

Coronary AngiographyNeointimaTomography, Optical CoherenceChildChild, PreschoolCoronary AneurysmCoronary VesselsFemaleHumansInfantMaleMucocutaneous Lymph Node SyndromePredictive Value of TestsRetrospective StudiesTunica IntimaTunica Media

Identifiers

PMID34090349
PMCPMC8180057
OpenAlexW3123236429

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.