Evidence map›Paper›PMID 34640348›Full record

ArticleJournal of clinical medicine2021

Vascular Protective Effects of New Oral Anticoagulants in Patients with Atrial Fibrillation.

Gyeong-Won Jang, Jung Myung Lee, Seung Woo Choi, Joan Kim, Young Shin Lee, Hyung Oh Kim, Hyemoon Chung, Jong Shin Woo, Jin Bae Kim, Woo-Shik Kim and 1 more

Abstract read
In one paragraph

Article 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

11 authors.

Gyeong-Won JangDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.ORCID 0000-0002-1195-7655
Jung Myung LeeDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.ORCID 0000-0002-1904-5335
Seung Woo ChoiDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.
Joan KimDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.
Young Shin LeeDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.ORCID 0000-0002-8460-1959
Hyung Oh KimDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.
Hyemoon ChungDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.
Jong Shin WooDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.
Jin Bae KimDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.
Woo-Shik KimDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.
Weon KimDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.ORCID 0000-0003-1264-9870

Funding

the National Research Foundation of the Ministry of Education, Science and Technology NRF-2020R1F1A1076495
6 · The paper itself

Abstract

This study was designed to determine the efficacy of a new oral anticoagulant (NOAC) therapy for the prevention of endothelial dysfunction and atherosclerosis progression in patients with atrial fibrillation (AF). Sixty-five AF patients with a CHA2DS2-VASc score ≥2 without previous history of cardiovascular disease were registered and randomly assigned to either an NOAC group (dabigatran or rivaroxaban) or the warfarin group. Reactive hyperemia peripheral arterial tonometry (RH-PAT) measurements reflecting endothelial function were taken using Endo-PAT2000. Carotid intima-media thickness (IMT) was measured at baseline, 12 months, and 24 months, and several biomarkers were also analyzed. For the primary end point, the reactive hyperemia index (RHI) for the NOAC group was 1.5 ± 0.4 and that for the warfarin group was 1.6 ± 0.5. The left and right carotid IMT was 0.7 mm in the NOAC groups and 0.8 mm in the warfarin group. At 12 months, RHI was 1.6 ± 0.3 for the dabigatran group, 1.6 ± 0.5 for the rivaroxaban group, and 1.6 ± 0.3 for the warfarin group. The three groups did not differ statistically with respect to change in left and right carotid IMT at 12 and 24 months, respectively. The biomarkers for endothelial function and atherosclerosis were not significantly different. There was a trend of reduced P-selectin levels in the NOAC group compared to the warfarin group. In patients with AF, there were no significant differences in the prevention of endothelial dysfunction and atherosclerosis progression between the NOAC and warfarin groups.

Indexed as

anticoagulantsatherosclerosisatrial fibrillationcardiovascular diseasesendothelium

Identifiers

PMID34640348
PMCPMC8509820

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.