Evidence map›Paper›PMID 34279451›Full record

ReviewJournal of clinical medicine2021

Reducing Cardiac Injury during ST-Elevation Myocardial Infarction: A Reasoned Approach to a Multitarget Therapeutic Strategy.

Alessandro Bellis, Giuseppe Di Gioia, Ciro Mauro, Costantino Mancusi, Emanuele Barbato, Raffaele Izzo, Bruno Trimarco, Carmine Morisco

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 25 citations in OpenAlex.

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  12. Mechanism of Action of Flavonoids ofMolecules (Basel, Switzerland) · 2022
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  15. Exercise Training: The Holistic Approach in Cardiovascular Prevention.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021
    Review
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  18. Oxidative Stress, Ferroptosis Indicators, and Nicorandil Efficacy in STEMI Patients During Percutaneous Coronary Intervention.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

8 authors at 2 institutions in 2 countries.

Alessandro BellisUnità Operativa Complessa Cardiologia con UTIC ed Emodinamica-Dipartimento Emergenza Accettazione, Azienda Ospedaliera "Antonio Cardarelli", Via A. Cardarelli n. 9, 80131 Napoli, Italy.ORCID 0000-0003-3476-5696
Giuseppe Di GioiaCardiac Catheterization Laboratory, Montevergine Clinic, Via M. Malzoni, 83013 Mercogliano, Italy.ORCID 0000-0003-3297-8399
Ciro MauroUnità Operativa Complessa Cardiologia con UTIC ed Emodinamica-Dipartimento Emergenza Accettazione, Azienda Ospedaliera "Antonio Cardarelli", Via A. Cardarelli n. 9, 80131 Napoli, Italy.
Costantino MancusiDipartimento di Scienze Biomediche Avanzate, Università FEDERICO II, Via S. Pansini n. 5, 80131 Napoli, Italy.ORCID 0000-0001-6690-1408
Emanuele BarbatoDipartimento di Scienze Biomediche Avanzate, Università FEDERICO II, Via S. Pansini n. 5, 80131 Napoli, Italy.
Raffaele IzzoDipartimento di Scienze Biomediche Avanzate, Università FEDERICO II, Via S. Pansini n. 5, 80131 Napoli, Italy.
Bruno TrimarcoDipartimento di Scienze Biomediche Avanzate, Università FEDERICO II, Via S. Pansini n. 5, 80131 Napoli, Italy.ORCID 0000-0002-0701-6449
Carmine MoriscoDipartimento di Scienze Biomediche Avanzate, Università FEDERICO II, Via S. Pansini n. 5, 80131 Napoli, Italy.ORCID 0000-0002-2158-6317
Ospedale Antonio Cardarelli · ITOnze Lieve Vrouwziekenhuis Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The significant reduction in 'ischemic time' through capillary diffusion of primary percutaneous intervention (pPCI) has rendered myocardial-ischemia reperfusion injury (MIRI) prevention a major issue in order to improve the prognosis of ST elevation myocardial infarction (STEMI) patients. In fact, while the ischemic damage increases with the severity and the duration of blood flow reduction, reperfusion injury reaches its maximum with a moderate amount of ischemic injury. MIRI leads to the development of post-STEMI left ventricular remodeling (post-STEMI LVR), thereby increasing the risk of arrhythmias and heart failure. Single pharmacological and mechanical interventions have shown some benefits, but have not satisfactorily reduced mortality. Therefore, a multitarget therapeutic strategy is needed, but no univocal indications have come from the clinical trials performed so far. On the basis of the results of the consistent clinical studies analyzed in this review, we try to design a randomized clinical trial aimed at evaluating the effects of a reasoned multitarget therapeutic strategy on the prevention of post-STEMI LVR. In fact, we believe that the correct timing of pharmacological and mechanical intervention application, according to their specific ability to interfere with survival pathways, may significantly reduce the incidence of post-STEMI LVR and thus improve patient prognosis.

Indexed as

coronary microvascular obstructionextracellular matrixleft ventricular remodelingprimary percutaneous coronary interventionremote ischemic conditioning

Identifiers

PMID34279451
PMCPMC8268641
OpenAlexW3176590740

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.