Evidence map›Paper›PMID 35687219›Full record

SynthesisHeart failure reviews2023

PCSK9 inhibitors safely and effectively lower LDL after heart transplantation: a systematic review and meta-analysis.

Douglas L Jennings, Lina Sultan, Jennifer Mingov, Jason Choe, Farhana Latif, Susan Restaino, Kevin Clerkin, Marlena V Habal, Paolo C Colombo, Melana Yuzefpulskaya and 3 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Heart failure reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. 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

13 authors.

Douglas L JenningsDepartment of Pharmacy Practice, Long Island University College of Pharmacy, New York, NY, USA. dj2414@cumc.columbia.edu.ORCID 0000-0001-5554-2104
Lina SultanDepartment of Pharmacy Practice, Long Island University College of Pharmacy, New York, NY, USA.
Jennifer MingovDepartment of Pharmacy Practice, Long Island University College of Pharmacy, New York, NY, USA.
Jason ChoeDepartment of Pharmacy, New York-Presbyterian Hospital, Columbia University Medical Center, 622 W. 168th Street, New York, NY, USA.
Farhana LatifDivision of Cardiology, Department of Medicine, New York-Presbyterian Hospital, Columbia University, New York, NY, USA.
Susan RestainoDivision of Cardiology, Department of Medicine, New York-Presbyterian Hospital, Columbia University, New York, NY, USA.
Kevin ClerkinDivision of Cardiology, Department of Medicine, New York-Presbyterian Hospital, Columbia University, New York, NY, USA.
Marlena V HabalDivision of Cardiology, Department of Medicine, New York-Presbyterian Hospital, Columbia University, New York, NY, USA.
Paolo C ColomboDivision of Cardiology, Department of Medicine, New York-Presbyterian Hospital, Columbia University, New York, NY, USA.
Melana YuzefpulskayaDivision of Cardiology, Department of Medicine, New York-Presbyterian Hospital, Columbia University, New York, NY, USA.
Gabriel SayerDivision of Cardiology, Department of Medicine, New York-Presbyterian Hospital, Columbia University, New York, NY, USA.
Nir UrielDivision of Cardiology, Department of Medicine, New York-Presbyterian Hospital, Columbia University, New York, NY, USA.
William L BakerDepartment of Pharmacy Practice, University of Connecticut School of Pharmacy, Storrs, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary allograft vasculopathy (CAV) continues to afflict a high number of heart transplant (HT) recipients, and elevated LDL is a key risk factor. Many patients cannot tolerate statin medications after HT; however, data for alternative agents remains scarce. To address this key evidence gap, we evaluated the safety and efficacy of the PCSK9i after HT through systematic review and meta-analysis. We searched Medline, Cochrane Central, and Scopus from the earliest date through July 15th, 2021. Citations were included if they were a report of PCSK9i use in adults after HT and reported an outcome of interest. Outcomes included change in LDL cholesterol from baseline, incidence of adverse events, and evidence of CAV. Changes from baseline and outcome incidences were pooled using contemporary random-effects model methodologies. A total of six studies including 97 patients were included. Over a mean follow-up of 13 months (range 3-21), PCSK9i use lowered LDL by 82.61 mg/dL (95% CI - 119.15 to - 46.07; I

Indexed as

Heart TransplantationHydroxymethylglutaryl-CoA Reductase InhibitorsPCSK9 InhibitorsAdultCholesterol, LDLHumansCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsPCSK9 InhibitorsAlirocumabEvolocumabHeart transplantStatin intolerance

Identifiers

What OpenQuestion holds

Textmetadata
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.