Evidence map›Paper›PMID 34351919›Full record

ArticlePloS one2021

ST-segment elevation myocardial infarction with non-obstructive coronary arteries: Score derivation for prediction based on a large national registry.

Magdalena Jędrychowska, Zbigniew Siudak, Krzysztof Piotr Malinowski, Łukasz Zandecki, Michał Zabojszcz, Tomasz Kameczura, Piotr Mika, Krzysztof Bartuś, Wojciech Wańha, Wojciech Wojakowski and 3 more

Abstract read
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In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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

13 authors.

Magdalena Jędrychowska2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland.
Zbigniew SiudakCollegium Medicum, Jan Kochanowski University, Kielce, Poland.
Krzysztof Piotr Malinowski2nd Department of Cardiology, Jagiellonian University Medical College, Kraków, Poland.
Łukasz ZandeckiCollegium Medicum, Jan Kochanowski University, Kielce, Poland.
Michał ZabojszczCollegium Medicum, Jan Kochanowski University, Kielce, Poland.
Tomasz KameczuraChair of Electroradiology, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland.
Piotr MikaDepartment of Clinical Rehabilitation, University School of Physical Education, Kraków, Poland.ORCID 0000-0002-5703-5947
Krzysztof BartuśDepartment of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, John Paul II Hospital, Kraków, Poland.
Wojciech WańhaDepartment of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
Wojciech WojakowskiDepartment of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
Jacek LegutkoDepartment of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital, Kraków, Poland.
Stanisław Bartuś2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland.
Rafał Januszek2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland.ORCID 0000-0002-6591-1919

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute myocardial infarction with ST-segment elevation (STEMI) and obstructive coronary arteries (MI-CAD) are treated with primary percutaneous coronary interventions (pPCI), while patients with STEMI and non-obstructive coronary arteries (MINOCA), usually require non-invasive therapy. The aim of the study is to design a score for predicting suspected MINOCA among an overall group of STEMI patients. MATERIALS AND

methodsBased on the Polish national registry of PCIs, we evaluated patients between 2014 and 2019, and selected 526,490 subjects treated with PCI and 650,728 treated using only coronary angiography. These subjects were chosen out of 1,177,218 patients who underwent coronary angiography. Then, we selected 124,663 individuals treated with pPCI due to STEMI and 5,695 patients with STEMI and MINOCA. The score for suspected MINOCA was created using the regression model, while the coefficients calculated for the final model were used to construct a predictive model in the form of a nomogram.

resultsPatients with MINOCA differ significantly from those in the MI-CAD group; they were significantly younger, less often males and demonstrated smaller burden of concomitant diseases. The model allowed to show that patients who scored more than 600 points had a 19% probability of MINOCA, while for those scoring more than 650 points, the likelihood was 71%. The other end of the MINOCA probability scale was marginal for patients who scored less than 500 points (< .2%).

conclusionsBased on the created MINOCA score presented in the current publication, we are able to distinguish MINOCA from MI-CAD patients in the STEMI group.

Indexed as

Coronary AngiographyCoronary VesselsModels, CardiovascularPercutaneous Coronary InterventionRegistriesST Elevation Myocardial InfarctionAgedAge FactorsFemaleHumansMaleMiddle AgedRetrospective StudiesSex Factors

Identifiers

PMID34351919
PMCPMC8341573

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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.