Evidence map›Paper›PMID 35407517›Full record

ArticleJournal of clinical medicine2022

Early Treatment of Acute Myocardial Infarction with Melatonin: Effects on MMP-9 and Adverse Cardiac Events.

Alberto Domínguez-Rodríguez, Daniel Hernández-Vaquero, Pedro Abreu-González, Néstor Báez-Ferrer, Rocío Díaz, Pablo Avanzas, Fedor Simko, Virginia Domínguez-González, Ramaswamy Sharma, Russel J Reiter

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. 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

10 authors at 6 institutions in 3 countries.

Alberto Domínguez-RodríguezServicio de Cardiología, Hospital Universitario de Canarias, 38010 Santa Cruz de Tenerife, Spain.ORCID 0000-0002-6384-6893
Daniel Hernández-VaqueroÁrea del Corazón, Hospital Universitario Central de Asturias, 33011 Oviedo, Spain.ORCID 0000-0003-3518-6629
Pedro Abreu-GonzálezDepartamento de Fisiología, Facultad de Medicina, Universidad de La Laguna, 38200 Santa Cruz de Tenerife, Spain.ORCID 0000-0002-7553-1784
Néstor Báez-FerrerServicio de Cardiología, Hospital Universitario de Canarias, 38010 Santa Cruz de Tenerife, Spain.
Rocío DíazÁrea del Corazón, Hospital Universitario Central de Asturias, 33011 Oviedo, Spain.
Pablo AvanzasÁrea del Corazón, Hospital Universitario Central de Asturias, 33011 Oviedo, Spain.ORCID 0000-0002-4958-6108
Fedor SimkoInstitute of Pathophysiology, Faculty of Medicine, Comenius University, 81108 Bratislava, Slovakia.ORCID 0000-0002-9922-4885
Virginia Domínguez-GonzálezSchool of Medicine, Facultad de Ciencias de la Salud, Universidad de La Laguna, 38200 Santa Cruz de Tenerife, Spain.
Ramaswamy SharmaDepartment of Cell Systems and Anatomy, Joe R. and Teresa Lozano Long School of Medicine, UT Health San Antonio, San Antonio, TX 78229, USA.ORCID 0000-0003-2346-5305
Russel J ReiterDepartment of Cell Systems and Anatomy, Joe R. and Teresa Lozano Long School of Medicine, UT Health San Antonio, San Antonio, TX 78229, USA.ORCID 0000-0001-6763-4225
Hospital Universitario Central de Asturias · ESHospital Universitario de Canarias · ESThe University of Texas Health Science Center at San Antonio · USUniversidad de La Laguna · ESComenius University Bratislava · SKUniversidad de Oviedo · ES

Funding

Fundación Canaria de Investigación Sanitaria PIFUN11/18Sociedad Española de Cardiología SEC 2018 Grant
6 · The paper itself

Abstract

backgroundMatrix metalloproteinase-9 (MMP-9) is crucial in tissue remodeling after an adverse cardiac event. In experimental studies, melatonin has been found to attenuate MMP-9 activation. The present study assessed the effects of systemic melatonin administration on the prognosis of patients with acute myocardial infarction (AMI) successfully treated with primary percutaneous coronary intervention, and to examine the effects on MMP-9 levels.

methodsWe conducted a randomized controlled trial, enrolling patients who underwent primary percutaneous coronary intervention due to AMI. They were assigned to two groups for melatonin or placebo. The primary endpoint was a combined event of mortality and heart failure readmission at 2 years. The secondary endpoint was the levels of MMP-9 after the percutaneous coronary intervention.

resultsNinety-four patients were enrolled, 45 in the melatonin group and 49 in the control group. At 2 years of follow-up, 13 (13.8%) patients suffered the primary endpoint (3 deaths and 10 readmissions due to heart failure), 3 patients in the melatonin group and 10 in the placebo group. The difference in the restricted mean survival time was 87.5 days (

conclusionsThis pilot study demonstrated that compared to placebo, melatonin administration was associated with better outcomes in AMI patients undergoing primary percutaneous coronary intervention.

Indexed as

acute myocardial infarctionmajor cardiovascular eventsmelatoninMMP-9primary percutaneous coronary intervention

Identifiers

PMID35407517
PMCPMC9000067
OpenAlexW4220987206

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.