Evidence map›Paper›PMID 34148960›Full record

ArticleInternal medicine (Tokyo, Japan)2021

The Influence of Eicosapentaenoic Acid to Arachidonic Acid Ratio on Long-term Cardiovascular Events Following Percutaneous Coronary Intervention.

Kiyoshi Niwa, Akihito Tanaka, Hiroshi Funakubo, Satoshi Otsuka, Naoki Yoshioka, Nobutaka Kudo, Akihiro Tobe, Keisuke Sakakibara, Yusuke Miki, Takashi Kataoka and 3 more

Abstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 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
–field-weighted citation impact
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.

  1. Trial
  2. 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

13 authors.

Kiyoshi NiwaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Akihito TanakaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Hiroshi FunakuboDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Satoshi OtsukaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Naoki YoshiokaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Nobutaka KudoDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Akihiro TobeDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Keisuke SakakibaraDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Yusuke MikiDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Takashi KataokaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Kenji FurusawaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Hideki IshiiDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.
Toyoaki MuroharaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective The relationship between cardiovascular disease and the serum polyunsaturated fatty acid parameters has been reported. The aim of the present study was to investigate the association between the eicosapentaenoic acid and arachidonic acid (EPA/AA) ratio and long-term cardiovascular events in patients with coronary artery disease. Methods We identified a total of 831 patients who underwent percutaneous coronary intervention and whose EPA/AA ratio was available. The patients were divided into two groups according to their serum EPA/AA ratio (median, 0.29; interquartile range 0.19-0.47): those in the lower quartile of EPA/AA ratios (Low EPA/AA group; n=231) and all other subjects (High EPA/AA group; n=600). The primary endpoints included a composite of cardiovascular death, myocardial infarction, and ischemic stroke. Results Patients in the Low EPA/AA group were significantly younger (66.0±12.6 years vs. 69.9±9.3 years, p<0.001), current smokers (33.3% vs. 22.7%, p=0.002), and had a history of myocardial infarction (20.3% vs. 12.3%, p=0.003). During the follow-up (median, 1,206 days; interquartile range, 654-1,910 days), the occurrence of the primary endpoint was significantly higher in the Low EPA/AA group than in the High EPA/AA group. Of note, the rate of cardiovascular death was significantly higher in the Low EPA/AA group, and the rates of myocardial infarction and stroke tended to be higher. Conclusion A low EPA/AA ratio was associated with long-term adverse cardiovascular events in Japanese patients with coronary artery disease.

Indexed as

Coronary Artery DiseaseMyocardial InfarctionPercutaneous Coronary InterventionArachidonic AcidEicosapentaenoic AcidHumansRisk FactorsArachidonic AcidEicosapentaenoic Acidcardiovascular eventcoronary artery diseaseEPA/AA ratio

Identifiers

PMID34148960
PMCPMC8758441

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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.