Evidence map›Paper›PMID 34275476›Full record

ArticleTrials2021

Angiotensin-converting enzyme inhibitor for post-transcatheter aortic valve implantation patients: study protocol for a multicenter randomized, open-label blinded endpoint control trial.

Yan Biao Liao, Congying Xia, Yiheng Cheng, Qiao Li, Xin Wei, Yuanweixiang Ou, Fei Chen, Yijian Li, Qi Liu, Tianyuan Xiong and 5 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. 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

15 authors at 1 institution in 1 country.

Yan Biao Liao *Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Congying Xia *Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0003-4304-5965
Yiheng ChengDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Qiao LiDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Xin WeiDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Yuanweixiang OuDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Fei ChenDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Yijian LiDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Qi LiuDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Tianyuan XiongDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Zhengang ZhaoDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Yong PengDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Jiafu WeiDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Yuan FengDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China. fynotebook@hotmail.com.
Mao ChenDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China. hmaochen@vip.sina.com.
Sichuan University · CN

Funding

Chinese Association of Cardiology CSCF2020B04
6 · The paper itself

Abstract

backgroundWith the expanded utilization of transcatheter aortic valve implantation (TAVI) to younger and lower surgical risk patients with severe aortic stenosis (AS), optimal medical therapy after TAVI procedure has become the main concern. Renin-angiotensin system inhibitors (RASi) are widely utilized in the area of cardiovascular disease including heart failure and myocardial infarction and revealed the ability to reverse left ventricular (LV) remodeling. Interests have, thus, been drawn in investigating whether the prescription of RASi after the TAVI procedure can prevent or reverse cardiac remodeling and improve long-term clinical outcomes. No recommendation regarding the prescription of RASi after TAVI is proposed yet due to the lack of evidence from randomized controlled trials, especially in the Chinese population. We, therefore, designed this randomized controlled trial to explore the effect of adding fosinopril to standard care in patients who underwent a successful TAVI procedure on the LV remodeling.

methodsA total of 200 post-TAVI patients from seven academic hospitals across China will be recruited and randomized with a ratio of 1:1 to receive standard care or standard care plus fosinopril. Follow-up visits will take place at 30 days, 3 months, 6 months, 12 months, and 24 months from randomization to assess the clinical symptoms, any adverse events, cardiac function, and quality of life. Cardiac magnetic resonance will be performed at baseline and repeated at the 24-month follow-up visit to assess LV remodeling. DISCUSSION: This study will provide evidence regarding medical therapy for AS patients who underwent TAVI and filling the gap in the Chinese population.

trial registrationChinese Clinical Trial Registry ChiCTR2100042266 . Registered on 17 January 2021.

Indexed as

Aortic Valve StenosisTranscatheter Aortic Valve ReplacementAngiotensin-Converting Enzyme InhibitorsAortic ValveChinaHumansMulticenter Studies as TopicQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeAngiotensin-Converting Enzyme InhibitorsAortic stenosisFosinoprilLeft ventricle massPrognosisRenin-angiotensin system inhibitor

Identifiers

PMID34275476
PMCPMC8286566
OpenAlexW3184538766

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.