Evidence map›Paper›PMID 35475346›Full record

ArticleJournal of the American Heart Association2022

Event Rates and Risk Factors for Recurrent Cardiovascular Events and Mortality in a Contemporary Post Acute Coronary Syndrome Population Representing 239 234 Patients During 2005 to 2018 in the United States.

Dylan L Steen, Irfan Khan, Katherine Andrade, Alexandra Koumas, Robert P Giugliano

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06454045 (Evaluation of Platelet Aggregability in Patients With Previous Acute Myocardial Infarction or Concomitant Lower Extremity Peripheral Artery Disease), which is not on this map. Cited by 64 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 3 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.

NCT06454045 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Evaluation of Platelet Aggregability in Patients With Previous Acute Myocardial Infarction or Concomitant Lower Extremity Peripheral Artery Disease

Typeobservational_patient_registrySponsorUniversity of Sao PauloRan2024 to 2028Enrolled100ConditionsCoronary Artery Disease, Peripheral Arterial DiseaseArmsClopidogrel
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 more citing papers are in PubMed but not listed here.

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

5 authors.

Dylan L SteenDivision of Cardiovascular Health and Disease Department of Medicine University of Cincinnati OH.ORCID 0000-0003-2383-895X
Irfan KhanSanofi Bridgewater NJ.ORCID 0000-0002-9832-0904
Katherine AndradeOptum Health Economics and Outcomes Research Eden Prairie MN.ORCID 0000-0002-5966-1140
Alexandra KoumasAxtria Berkeley Heights NJ.ORCID 0000-0003-3680-306X
Robert P GiuglianoCardiovascular Division Brigham and Women's Hospital Boston MA.ORCID 0000-0003-4110-7675

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Patients with acute coronary syndrome (ACS) are recognized by guidelines as remaining at high risk for adverse outcomes. Evidence from contemporary, representative ACS populations in a clinical practice setting is necessary to identify subgroups and strategies for improving patient outcomes. We aimed to describe event rates and risk factors in an ACS population over prolonged follow-up for cardiovascular end points. Methods and Results We identified 239 234 patients in the Optum Research Database (57.2% men; mean [standard deviation] age, 69.2 [12.2] years) with evidence of an ACS hospitalization (index ACS) during January 1, 2005 through December 30, 2018. Subgroups were based on index ACS event (myocardial infarction/unstable angina and revascularization status) and the Thrombolysis In Myocardial Infarction Risk Score for Secondary Prevention. The 5-year event rate for the primary end point representing nonfatal myocardial infarction, nonfatal ischemic stroke, and cardiovascular death was 33.4% (95% CI, 33.1%-33.7%;

Indexed as

Acute Coronary SyndromeMyocardial InfarctionAgedAngina, UnstableFemaleHumansMaleRisk FactorsSecondary PreventionUnited Statesacute coronary syndromecardiovascular eventsrisk factorrisk stratification

Identifiers

PMID35475346
PMCPMC9238606

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Registered trials

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.