Evidence map›Paper›PMID 34323122›Full record

ArticleJournal of the American Heart Association2021

Effect of Heart Failure on Long-Term Clinical Outcomes After Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Patients With Severe Coronary Artery Disease.

Ko Yamamoto, Yukiko Matsumura-Nakano, Hiroki Shiomi, Masahiro Natsuaki, Takeshi Morimoto, Kazushige Kadota, Tomohisa Tada, Yasuaki Takeji, Yusuke Yoshikawa, Kazuaki Imada and 27 more

Open 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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Impact of Diabetes on Long-Term Outcomes of Percutaneous Coronary Intervention for Coronary Bifurcation Lesions.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Observational
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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

37 authors at 18 institutions in 1 country.

Ko YamamotoDepartment of Cardiovascular Medicine Kyoto University Graduate School of Medicine Kyoto Japan.
Yukiko Matsumura-NakanoDepartment of Cardiovascular Medicine Kyoto University Graduate School of Medicine Kyoto Japan.
Hiroki ShiomiDepartment of Cardiovascular Medicine Kyoto University Graduate School of Medicine Kyoto Japan.
Masahiro NatsuakiDepartment of Cardiovascular Medicine Saga University Saga Japan.
Takeshi MorimotoDepartment of Clinical Epidemiology Hyogo College of Medicine Nishinomiya Japan.
Kazushige KadotaDepartment of Cardiology Kurashiki Central Hospital Kurashiki Japan.
Tomohisa TadaDepartment of Cardiology Shizuoka General Hospital Shizuoka Japan.
Yasuaki TakejiDepartment of Cardiovascular Medicine Kyoto University Graduate School of Medicine Kyoto Japan.
Yusuke YoshikawaDepartment of Cardiovascular Medicine Kyoto University Graduate School of Medicine Kyoto Japan.
Kazuaki ImadaDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.
Takenori DomeiDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.
Kazuhisa KanedaDepartment of Cardiology Mitsubishi Kyoto Hospital Kyoto Japan.
Ryoji TaniguchiDepartment of Cardiology Hyogo Prefectural Amagasaki General Medical Center Amagasaki Japan.
Natsuhiko EharaDepartment of Cardiovascular Medicine Kobe City Medical Center General Hospital Kobe Japan.
Ryuzo NawadaDepartment of Cardiology Shizuoka City Shizuoka Hospital Shizuoka Japan.
Kyohei YamajiDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.
Eri KatoDepartment of Cardiovascular Medicine Kyoto University Graduate School of Medicine Kyoto Japan.
Mamoru ToyofukuDepartment of Cardiology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Naoki KanemitsuDepartment of Cardiovascular Surgery Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Eiji ShinodaDepartment of Cardiology Hamamatsu Rosai Hospital Hamamatsu Japan.
Satoru SuwaDepartment of Cardiology Juntendo University Shizuoka Hospital Izunokuni Japan.
Atsushi IwakuraDepartment of Cardiovascular Surgery Tenri Hospital Tenri Japan.
Toshihiro TamuraDepartment of Cardiology Tenri Hospital Tenri Japan.
Yoshiharu SogaDepartment of Cardiovascular Surgery Kokura Memorial Hospital Kitakyushu Japan.
Tsukasa InadaDepartment of Cardiovascular Center Osaka Red Cross Hospital Osaka Japan.
Mitsuo MatsudaDepartment of Cardiology Kishiwada City Hospital Kishiwada Japan.
Tadaaki KoyamaDepartment of Cardiovascular Surgery Kobe City Medical Center General Hospital Kobe Japan.
Takeshi AoyamaDivision of Cardiology Shimada Municipal Hospital Shimada Japan.
Yukihito SatoDepartment of Cardiology Hyogo Prefectural Amagasaki General Medical Center Amagasaki Japan.
Yutaka FurukawaDepartment of Cardiovascular Medicine Kobe City Medical Center General Hospital Kobe Japan.
Kenji AndoDepartment of Cardiology Kokura Memorial Hospital Kitakyushu Japan.
Fumio YamazakiDepartment of Cardiovascular Surgery Shizuoka City Shizuoka Hospital Shizuoka Japan.
Tatsuhiko KomiyaDepartment of Cardiovascular Surgery Kurashiki Central Hospital Kurashiki Japan.
Kenji MinatoyaDepartment of Cardiovascular Surgery Kyoto University Graduate School of Medicine Kyoto Japan.
Yoshihisa NakagawaDepartment of Cardiovascular Medicine Shiga University of Medical Science Shiga Japan.
Takeshi KimuraDepartment of Cardiovascular Medicine Kyoto University Graduate School of Medicine Kyoto Japan.
CREDO‐Kyoto PCI/CABG Registry Cohort‐3 Investigators
Kyoto University · JPKokura Memorial Hospital · JPKobe City Medical Center General Hospital · JPHyogo Prefectural Amagasaki General Medical Center · JPJapanese Red Cross Society Wakayama Medical Center · JPKurashiki Central Hospital · JPShizuoka City Hospital · JPTenri Hospital · JPFamily Inada (Japan) · JPHamamatsu Rosai Hospital · JPHyogo Medical University · JPJuntendo University Shizuoka Hospital · JPKishiwada City Hospital · JPMitsubishi Kyoto Hospital · JPSaga University · JPShiga University of Medical Science · JPShimada Municipal Hospital · JPShizuoka General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Heart failure might be an important determinant in choosing coronary revascularization modalities. There was no previous study evaluating the effect of heart failure on long-term clinical outcomes after percutaneous coronary intervention (PCI) relative to coronary artery bypass grafting (CABG). Methods and Results Among 14 867 consecutive patients undergoing first coronary revascularization with PCI or isolated CABG between January 2011 and December 2013 in the CREDO-Kyoto PCI/CABG registry Cohort-3, we identified the current study population of 3380 patients with three-vessel or left main coronary artery disease, and compared clinical outcomes between PCI and CABG stratified by the subgroup based on the status of heart failure. There were 827 patients with heart failure (PCI: N=511, and CABG: N=316), and 2553 patients without heart failure (PCI: N=1619, and CABG: N=934). In patients with heart failure, the PCI group compared with the CABG group more often had advanced age, severe frailty, acute and severe heart failure, and elevated inflammatory markers. During a median 5.9 years of follow-up, there was a significant interaction between heart failure and the mortality risk of PCI relative to CABG (interaction

Indexed as

Coronary Artery BypassCoronary Artery DiseaseHeart FailureLong Term Adverse EffectsPercutaneous Coronary InterventionAgedComorbidityFemaleFrailtyHumansJapanMaleOutcome Assessment, Health CareRisk FactorsSeverity of Illness IndexTreatment Outcomecoronary artery bypass graftingcoronary artery diseaseheart failurepercutaneous coronary intervention

Identifiers

PMID34323122
PMCPMC8475682
OpenAlexW3186970569

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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.