Evidence map›Paper›PMID 34240403›Full record

ArticleCardiology journal2023

Clinical outcomes in patients with acute myocardial infarction treated with primary percutaneous coronary intervention stratified according to duration of pain-to-balloon time and type of myocardial infarction.

Bartłomiej Staszczak, Zbigniew Siudak, Krzysztof Piotr Malinowski, Magdalena Jędrychowska, Michał Zabojszcz, Magdalena Dolecka-Ślusarczyk, Agnieszka Janion-Sadowska, Michał Susuł, Tomasz Tokarek, Joanna Bartuś and 5 more

Abstract read
In one paragraph

Article in Cardiology journal, 2023. 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.

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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

15 authors.

Bartłomiej StaszczakDepartment of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Zbigniew SiudakCollegium Medicum, Jan Kochanowski University, Kielce, Poland.
Krzysztof Piotr MalinowskiDepartment of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
Magdalena JędrychowskaDepartment of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Michał ZabojszczCollegium Medicum, Jan Kochanowski University, Kielce, Poland.
Magdalena Dolecka-ŚlusarczykCollegium Medicum, Jan Kochanowski University, Kielce, Poland.
Agnieszka Janion-SadowskaCollegium Medicum, Jan Kochanowski University, Kielce, Poland.
Michał SusułDepartment of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Tomasz TokarekDepartment of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Joanna BartuśAndrzej Frycz Modrzewski Krakow University, Krakow, Poland.
Artur PawlikDepartment of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Sylwia SochaDepartment of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Andrzej SurdackiDepartment of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
Stanisław BartuśDepartment of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Rafał JanuszekDepartment of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland. jaanraf@interia.pl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBased on the clinical outcomes of patients with ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI), treated with primary percutaneous coronary intervention (pPCI), this study intended to assess mortality and major adverse cardiac and cerebrovascular event (MACCE) rates according to duration of pain-to-balloon (PTB) time and type of MI.

methodsThis is a retrospective cohort study based on the prospectively collected ORPKI registry which covers PCIs performed in Poland chosen between January 2014 and December 2017. Under assessment were 1,994 STEMI and 923 NSTEMI patients. Study endpoints included mortality and MACCE rates (in-hospital, 30-day, 12- and 36-month). Predictors of all-cause mortality in the overall group, STEMI and NSTEMI were assessed by multivariable analysis.

resultsKaplan-Meier survival curve analysis did not reveal significant differences between the STEMI and NSTEMI group for all-cause mortality or MACCE at the 36-month follow-up. While in the long PTB time group, MACCE rate was significantly greater in STEMI patients when compared to NSTEMI (p = 0.004). Among STEMI patients, the short, medium and long PTB time groups differed significantly in the rate of all-cause mortality (p = 0.006) and MACCE (p = 0.04) at 1,095 days of follow-up, which were the greatest in the long PTB time group.

conclusionsBefore considering the length of PTB time, there were no statistically significant differences in mortality or MACCE frequency between the STEMI and NSTEMI group at 36-month follow-up. Longer PTB times are related to significantly greater mortality at the 36-month follow-up in the STEMI, but not in the NSTEMI group.

Indexed as

Myocardial InfarctionNon-ST Elevated Myocardial InfarctionPercutaneous Coronary InterventionST Elevation Myocardial InfarctionHumansRegistriesRetrospective StudiesRisk FactorsTreatment Outcomeacute myocardial infarctionclinical outcomesmortalitypain-to-balloon timeprimary percutaneous coronary intervention

Identifiers

PMID34240403
PMCPMC10635712

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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.