Evidence map›Paper›PMID 35715526›Full record

ReviewCardiovascular drugs and therapy2024

Antacid Therapy in Coronary Artery Disease and Heart Failure: Proton Pump Inhibitors vs. H

Muzamil Khawaja, Janki Thakker, Riyad Kherallah, Masafumi Kitakaze, Hani Jneid, Dominick J Angiolillo, Yochai Birnbaum

Abstract readReview
PubMed Publisher
In one paragraph

Review in Cardiovascular drugs and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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

7 authors at 3 institutions in 2 countries.

Muzamil KhawajaThe Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Janki ThakkerThe Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Riyad KherallahThe Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Masafumi KitakazeCenter of Medical Innovation and Translational Research, Department of Medical Data Science, Osaka University Graduate School of Medicine, Osaka, Japan.
Hani JneidThe Section of Cardiology, The Department of Medicine, Baylor College of Medicine, 7200 Cambridge Street, Houston, TX, 77030, USA.
Dominick J AngiolilloDivision of Cardiology, The University of Florida College of Medicine, Jacksonville, FL, USA.
Yochai BirnbaumThe Section of Cardiology, The Department of Medicine, Baylor College of Medicine, 7200 Cambridge Street, Houston, TX, 77030, USA. ybirnbau@bcm.edu.ORCID 0000-0001-7653-6328
Baylor College of Medicine · USThe University of Osaka · JPUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcid suppressive therapy using histamine H RECENT

findingsPPIs were originally championed as better than H2RAs for preventing GIB events in cardiovascular disease patients on DAPT therapy, but there is evidence to suggest that drug-drug interactions between clopidogrel and PPIs may translate to worse cardiovascular outcomes. Studies demonstrating PPI superiority in the setting of DAPT were also limited due to small sample sizes and high levels of bias. Consequently, there is renewed interest in H2RAs for patients on DAPT with some data demonstrating similar or improved clinical outcomes over PPI therapy. Additionally, studies have discovered a possible role for H2RAs in the management of heart failure (HF) incidence, symptoms, and mortality. Studies comparing H2RAs and PPIs in patients on DAPT have demonstrated mixed results for cardiovascular and GIB outcomes, with several studies being underpowered and limited by biases. Recent clinical and pre-clinical studies now support the noninferiority of H2RAs for major outcomes and even utility in HF. These findings suggest that H2RAs may warrant reconsideration as an acid suppressive therapy over PPIs for patients on DAPT or with HF.

Indexed as

Cardiovascular DiseasesCoronary Artery DiseaseHeart FailureAntacidsGastrointestinal HemorrhageHistamine H2 AntagonistsHumansPlatelet Aggregation InhibitorsProton Pump InhibitorsAntacidsHistamine H2 AntagonistsPlatelet Aggregation InhibitorsProton Pump InhibitorsCongestive heart failureCoronary artery diseaseDual antiplatelet therapyGastrointestinal bleedingH2 receptor antagonistsProton pump inhibitors

Identifiers

PMID35715526
OpenAlexW4283076873

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.