Evidence map›Paper›PMID 34664409›Full record

ReviewESC heart failure2021

Antithrombotic and anticoagulation therapies in cardiogenic shock: a critical review of the published literature.

Razvan I Radu, Tuvia Ben Gal, Magdy Abdelhamid, Elena-Laura Antohi, Marianna Adamo, Andrew P Ambrosy, Oliviana Geavlete, Yuri Lopatin, Alexander Lyon, Oscar Miro and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in ESC heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.2field-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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Molecular medicine reports · 2026
    Article
  6. The role of cangrelor in acute and high-risk PCI settings.European heart journal. Cardiovascular pharmacotherapy · 2025
    Review
  7. Pre-treatment with P2Y12 inhibitors in acute myocardial infarction with cardiogenic shock.European heart journal. Cardiovascular pharmacotherapy · 2025
    Observational
  8. Article
  9. Observational
  10. Potent P2YCritical care (London, England) · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. 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

15 authors at 13 institutions in 12 countries.

Razvan I RaduICCU Department, Emergency Institute for Cardiovascular Diseases 'Prof. Dr. C.C. Iliescu', Bucharest, Romania.ORCID 0000-0003-0596-2877
Tuvia Ben GalDepartment of Cardiology, Rabin Medical Center (Beilinson Campus), Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Magdy AbdelhamidCardiology Department, Kasr Alainy School of Medicine, Cairo University, Cairo, Egypt.
Elena-Laura AntohiICCU Department, Emergency Institute for Cardiovascular Diseases 'Prof. Dr. C.C. Iliescu', Bucharest, Romania.
Marianna AdamoCardiothoracic Department, Civil Hospitals and Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Andrew P AmbrosyDepartment of Cardiology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, USA.
Oliviana GeavleteICCU Department, Emergency Institute for Cardiovascular Diseases 'Prof. Dr. C.C. Iliescu', Bucharest, Romania.
Yuri LopatinCardiology Centre, Volgograd Medical University, Volgograd, Russian Federation.
Alexander LyonCardio-Oncology Service, Royal Brompton Hospital and Imperial College London, London, UK.
Oscar MiroEmergency Department, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain.
Marco MetraCardiology, Cardiothoracic Department, Civil Hospitals; Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
John ParissisSecond Department of Cardiology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Sean P CollinsDepartment of Emergency Medicine; Vanderbilt University Medical Centre, Nashville, TN, USA.
Stefan D AnkerDepartment of Cardiology (CVK), Berlin Institute of Health Center for Regenerative Therapies (BCRT), German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Ovidiu ChioncelICCU Department, Emergency Institute for Cardiovascular Diseases 'Prof. Dr. C.C. Iliescu', Bucharest, Romania.ORCID 0000-0002-3197-3628
Carol Davila University of Medicine and Pharmacy · ROBerlin-Brandenburger Centrum für Regenerative Therapien · DEBrescia University · USCairo University · EGCivil Hospital Karachi · PKHospital Clínic de Barcelona · ESInstitutul de Urgenţă pentru Boli Cardiovasculare "Prof.Dr. C.C. Iliescu" · ROKaiser Permanente · USNational and Kapodistrian University of Athens · GRRoyal Brompton Hospital · GBTel Aviv University · ILVanderbilt University Medical Center · USVolgograd State Medical University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiogenic shock (CS) is a complex multifactorial clinical syndrome, developing as a continuum, and progressing from the initial insult (underlying cause) to the subsequent occurrence of organ failure and death. There is a large phenotypic variability in CS, as a result of the diverse aetiologies, pathogenetic mechanisms, haemodynamics, and stages of severity. Although early revascularization remains the most important intervention for CS in settings of acute myocardial infarction, the administration of timely and effective antithrombotic therapy is critical to improving outcomes in these patients. In addition, other clinical settings or non-acute myocardial infarction aetiologies, associated with high thrombotic risk, may require specific regimens of short-term or long-term antithrombotic therapy. In CS, altered tissue perfusion, inflammation, and multi-organ dysfunction induce unpredictable alterations to antithrombotic drugs' pharmacokinetics and pharmacodynamics. Other interventions used in the management of CS, such as mechanical circulatory support, renal replacement therapies, or targeted temperature management, influence both thrombotic and bleeding risks and may require specific antithrombotic strategies. In order to optimize safety and efficacy of these therapies in CS, antithrombotic management should be more adapted to CS clinical scenario or specific device, with individualized antithrombotic regimens in terms of type of treatment, dose, and duration. In addition, patients with CS require a close and appropriate monitoring of antithrombotic therapies to safely balance the increased risk of bleeding and thrombosis.

Indexed as

Myocardial InfarctionShock, CardiogenicAnticoagulantsFibrinolytic AgentsHemodynamicsHumansAnticoagulantsFibrinolytic AgentsAnticoagulation therapyAntiplatelet therapyAntithrombotic therapyCardiogenic shock

Identifiers

PMID34664409
PMCPMC8712803
OpenAlexW3205253191

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.