Evidence map›Paper›PMID 34295575›Full record

ArticleCureus2021

Comparison of Incidence of Myocardial Infarction in Patients With Rheumatoid Arthritis and Diabetes Mellitus.

Azka Ali, Akhtar Ali, Dilpat Kumar, Ravi Kumar, Kanwal Elahi, Fnu Suman, Zauraiz Anjum, Payal Tharwani, Maha Jahangir, Amber Rizwan

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Colchicine for the primary prevention of cardiovascular events.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Review
  3. Review
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

10 authors at 9 institutions in 3 countries.

Azka AliInternal Medicine, Mayo Hospital, Lahore, PAK.
Akhtar AliPulmonology and Critical Care, Services Hospital, Lahore, PAK.
Dilpat KumarInternal Medicine, Western Michigan University, Kalamazoo, USA.
Ravi KumarInternal Medicine, Chandka Medical College, Larkana, PAK.
Kanwal ElahiInternal Medicine, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Fnu SumanInternal Medicine, Peoples University of Medical and Health Sciences for Women, Nawabshah, PAK.
Zauraiz AnjumInternal Medicine, Fatima Jinnah Medical University, Lahore, PAK.
Payal TharwaniOral Medicine, Isra University, Hyderabad, PAK.
Maha JahangirInternal Medicine, Dow, Medical College, Dow University of Health Sciences, Karachi, PAK.
Amber RizwanFamily Medicine, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Jinnah Postgraduate Medical Center · PKChandka Medical College · PKDow University of Health Sciences · PKFatima Jinnah Medical University · PKIsra University · PKMayo Hospital · PKPeople’s University · INServices Hospital · PKWestern Michigan University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Patients with rheumatoid arthritis (RA) have a higher risk of cardiovascular diseases (CVDs) when compared to the general population, with most deaths attributed to myocardial infarctions (MI). However, patients with RA do not get the same attention in terms of cardiovascular screening as compared to other diseases, like diabetes mellitus (DM). Therefore, this study aims to compare the risk of CVD among patients with RA and DM. Methods This prospective study was carried out in Pakistan's two tertiary care hospitals. A total of 750 participants were enrolled in three groups with a 1:1:1 ratio; patients with RA, type 2 DM, and the control group. Patients were observed for 12 months or until the development of a major adverse cardiovascular event (MACE), whichever occurred first. Results Both fatal (12.66% vs. 13.48%; p-value: 0.79) and non-fatal (3.93% vs. 4.35%; p-value: 0.82) MI was comparable between both RA and DM group. However, compared to the control group, non-fatal MI (12.66% vs. 5.58%; p-value: 0.01) was significantly higher in the RA group. Conclusion Our study shows that RA and DM have an equal risk of cardiovascular (CV) events. It is important that RA should be considered as a prominent risk factor for CV events. The management of these patients should be multidisciplinary, including cardiologists.

Indexed as

associationdiabetesmajor adverse cardiovascular eventrheumatoid arthriitisrisk factor

Identifiers

PMID34295575
PMCPMC8290906
OpenAlexW3173388346

What OpenQuestion holds

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LicenceCC BY
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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.