Evidence map›Paper›PMID 34259010›Full record

ArticleJournal of the American Heart Association2021

Interplay Between Myocardial Bridging and Coronary Spasm in Patients With Myocardial Ischemia and Non-Obstructive Coronary Arteries: Pathogenic and Prognostic Implications.

Rocco A Montone, Filippo Luca Gurgoglione, Marco Giuseppe Del Buono, Riccardo Rinaldi, Maria Chiara Meucci, Giulia Iannaccone, Giulia La Vecchia, Massimiliano Camilli, Domenico D'Amario, Antonio Maria Leone and 8 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
8.5field-weighted citation impact, top 2% 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.

NCT05714319 recruitingnot on this mapstarted 2023, after this paper: background citation

Intracoronary Provocative Test With Acetylcholine in Patients With Stable Myocardial Ischemia or Myocardial Infarction and Non-Obstructive Coronary Arteries: the "Provoke" Study

TypeobservationalSponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2023 to 2028Enrolled600ConditionsMyocardial Infarction With Non-Obstructive Coronary Artery, Ischemia With Non-Obstructive Coronary ArteryArmsData collection, Clinical follow-up
NCT06281067 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Reassessment of myocardIAL Bridge TOwards PeRsOnalized Medicine: RIALTO PRO

TypeinterventionalSponsorAzienda Ospedaliero Universitaria Maggiore della CaritaRan2023 to 2026Enrolled500ConditionsMyocardial BridgeArms"full-physiology approach" arm, "standard approach" arm
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Evaluation and Treatment of Myocardial Bridging by Clinical Phenotype.Journal of the Society for Cardiovascular Angiography & Interventions · 2026
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  17. Prognostic significance of individual COVADIS criteria in patients undergoing acetylcholine provocation testing.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
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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

18 authors at 2 institutions in 1 country.

Rocco A MontoneDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Filippo Luca GurgoglioneDepartment of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy.
Marco Giuseppe Del BuonoDepartment of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy.
Riccardo RinaldiDepartment of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy.
Maria Chiara MeucciDepartment of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy.
Giulia IannacconeDepartment of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy.
Giulia La VecchiaDepartment of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy.
Massimiliano CamilliDepartment of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy.
Domenico D'AmarioDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Antonio Maria LeoneDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Rocco VergalloDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Cristina AurigemmaDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Antonino BuffonDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Enrico RomagnoliDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Francesco BurzottaDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Carlo TraniDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Filippo CreaDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Giampaolo NiccoliDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Università Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Myocardial bridging (MB) may represent a cause of myocardial ischemia in patients with non-obstructive coronary artery disease (NOCAD). Herein, we assessed the interplay between MB and coronary vasomotor disorders, also evaluating their prognostic relevance in patients with myocardial infarction and non-obstructive coronary arteries (MINOCA) or stable NOCAD. Methods and Results We prospectively enrolled patients with NOCAD undergoing intracoronary acetylcholine provocative test. The incidence of major adverse cardiac events, defined as the composite of cardiac death, non-fatal myocardial infarction, and rehospitalization for unstable angina, was assessed at follow-up. We also assessed angina status using Seattle Angina Questionnaires summary score. We enrolled 310 patients (mean age, 60.6±11.9; 136 [43.9%] men; 169 [54.5%] stable NOCAD and 141 [45.5%] MINOCA). MB was found in 53 (17.1%) patients. MB and a positive acetylcholine test coexisted more frequently in patients with MINOCA versus stable NOCAD. MB was an independent predictor of positive acetylcholine test and MINOCA. At follow-up (median, 22 months; interquartile range, 13-32), patients with MB had a higher rate of major adverse cardiac events, mainly driven by a higher rate of hospitalization attributable to angina, and a lower Seattle Angina Questionnaires summary score (all

Indexed as

ElectrocardiographyAcetylcholineCoronary AngiographyCoronary Artery DiseaseCoronary VasospasmCoronary VesselsDiagnosis, DifferentialFemaleFollow-Up StudiesHumansIncidenceInjections, Intra-ArterialMaleMiddle AgedMyocardial BridgingMyocardial IschemiaAcetylcholineVasodilator Agentsacute coronary syndromecoronary spasmMINOCAmyocardial bridgingmyocardial ischemiaprognosis

Identifiers

PMID34259010
PMCPMC8483499
OpenAlexW3182881656

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.