Evidence map›Paper›PMID 34648075›Full record

Trial reportBasic research in cardiology2021

Effect of remote ischaemic conditioning on infarct size and remodelling in ST-segment elevation myocardial infarction patients: the CONDI-2/ERIC-PPCI CMR substudy.

Rohin Francis, Jun Chong, Manish Ramlall, Chiara Bucciarelli-Ducci, Tim Clayton, Matthew Dodd, Thomas Engstrøm, Richard Evans, Vanessa M Ferreira, Marianna Fontana and 14 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Basic research in cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
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  9. Article
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  11. Review
  12. Article
  13. Do We Really Need Aspirin Loading for STEMI?Cardiovascular drugs and therapy · 2022
    Review
  14. 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

24 authors.

Rohin Francis *The Hatter Cardiovascular Institute, University College London, London, WC1E 6HX, UK.
Jun Chong *Cardiovascular and Metabolic Disorders Program, Duke-National University of Singapore Medical School, Singapore, Singapore.
Manish RamlallThe Hatter Cardiovascular Institute, University College London, London, WC1E 6HX, UK.
Chiara Bucciarelli-DucciBiomedical Research Centre, Bristol Heart Institute, National Institute of Health Research (NIHR), University Hospitals Bristol NHS Foundation Trust and University of Bristol, Upper Maudlin St, Bristol, BS2 8HW, UK.
Tim ClaytonLondon School of Hygiene and Tropical Medicine Clinical Trials Unit, London, UK.
Matthew DoddLondon School of Hygiene and Tropical Medicine Clinical Trials Unit, London, UK.
Thomas EngstrømRigshospitalet, Department of Cardiology, University of Copenhagen, Copenhagen, Denmark.
Richard EvansLondon School of Hygiene and Tropical Medicine Clinical Trials Unit, London, UK.
Vanessa M FerreiraDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
Marianna FontanaRoyal Free Hospital London and Institute of Cardiovascular Science, University College London, London, UK.
John P GreenwoodLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Rajesh K KharbandaDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
Won Yong KimDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Tushar KotechaRoyal Free Hospital London and Institute of Cardiovascular Science, University College London, London, UK.
Jacob T LønborgRigshospitalet, Department of Cardiology, University of Copenhagen, Copenhagen, Denmark.
Anthony MathurDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Ulla Kristine MøllerDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
James MoonDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Alexander PerkinsLondon School of Hygiene and Tropical Medicine Clinical Trials Unit, London, UK.
Roby D RakhitRoyal Free Hospital London and Institute of Cardiovascular Science, University College London, London, UK.
Derek M YellonThe Hatter Cardiovascular Institute, University College London, London, WC1E 6HX, UK.
Hans Erik BøtkerDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Heerajnarain Bulluck *Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Derek J Hausenloy *The Hatter Cardiovascular Institute, University College London, London, WC1E 6HX, UK. d.hausenloy@ucl.ac.uk.ORCID http://orcid.org/0000-0003-0729-4956

Funding

British Heart Foundation CS/14/3/31002British Heart Foundation FS/10/039/28270British Heart Foundation FS/18/21/33447Medical Research Council MC_G1002673
6 · The paper itself

Abstract

The effect of limb remote ischaemic conditioning (RIC) on myocardial infarct (MI) size and left ventricular ejection fraction (LVEF) was investigated in a pre-planned cardiovascular magnetic resonance (CMR) substudy of the CONDI-2/ERIC-PPCI trial. This single-blind multi-centre trial (7 sites in UK and Denmark) included 169 ST-segment elevation myocardial infarction (STEMI) patients who were already randomised to either control (n = 89) or limb RIC (n = 80) (4 × 5 min cycles of arm cuff inflations/deflations) prior to primary percutaneous coronary intervention. CMR was performed acutely and at 6 months. The primary endpoint was MI size on the 6 month CMR scan, expressed as median and interquartile range. In 110 patients with 6-month CMR data, limb RIC did not reduce MI size [RIC: 13.0 (5.1-17.1)% of LV mass; control: 11.1 (7.0-17.8)% of LV mass, P = 0.39], or LVEF, when compared to control. In 162 patients with acute CMR data, limb RIC had no effect on acute MI size, microvascular obstruction and LVEF when compared to control. In a subgroup of anterior STEMI patients, RIC was associated with lower incidence of microvascular obstruction and higher LVEF on the acute scan when compared with control, but this was not associated with an improvement in LVEF at 6 months. In summary, in this pre-planned CMR substudy of the CONDI-2/ERIC-PPCI trial, there was no evidence that limb RIC reduced MI size or improved LVEF at 6 months by CMR, findings which are consistent with the neutral effects of limb RIC on clinical outcomes reported in the main CONDI-2/ERIC-PPCI trial.

Indexed as

Myocardial InfarctionPercutaneous Coronary InterventionST Elevation Myocardial InfarctionHumansMagnetic Resonance SpectroscopySingle-Blind MethodStroke VolumeTreatment OutcomeVentricular Function, LeftCardioprotectionCardiovascular magnetic resonanceMyocardial infarct sizeRemote ischaemic conditioning

Identifiers

PMID34648075
PMCPMC8516772

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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.