Evidence map›Paper›PMID 36252093›Full record

ArticleCirculation. Cardiovascular quality and outcomes2022

Lipid-Lowering Therapy Use and Intensification Among United States Veterans Following Myocardial Infarction or Coronary Revascularization Between 2015 and 2019.

Alexander R Zheutlin, Catherine G Derington, Jennifer S Herrick, Robert S Rosenson, Bharat Poudel, Monika M Safford, Todd M Brown, Elizabeth A Jackson, Mark Woodward, Stephanie Reading and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

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  5. Treatment pathways of lipid-lowering therapies in Germany 2016-2022.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 3 countries.

Alexander R ZheutlinDepartment of Internal Medicine, University of Utah, Salt Lake City (A.R.Z.).ORCID 0000-0002-5578-782X
Catherine G DeringtonDivision of Health System Innovation and Research, Department of Population Health Sciences (C.G.D., A.P.B.), University of Utah School of Medicine, Salt Lake City.ORCID 0000-0001-7382-4607
Jennifer S HerrickDivision of Epidemiology, Department of Internal Medicine (J.S.H.), University of Utah School of Medicine, Salt Lake City.ORCID 0000-0001-9257-8843
Robert S RosensonMount Sinai Heart, Icahn School of Medicine at Mount Sinai, New York, NY (R.S.P.).
Bharat PoudelDepartment of Epidemiology, University of Alabama at Birmingham School of Public Health (B.P., P.M.).ORCID 0000-0003-2958-2561
Monika M SaffordDepartment of Medicine, Weill Cornell Medicine, New York, NY (M.M.S.).ORCID 0000-0002-3060-0563
Todd M BrownDivision of Cardiovascular Disease, Department of Medicine (E.A.J., T.M.B.), University of Alabama at Birmingham.
Elizabeth A JacksonDivision of Cardiovascular Disease, Department of Medicine (E.A.J., T.M.B.), University of Alabama at Birmingham.ORCID 0000-0002-5086-0418
Mark WoodwardThe George Institute for Global Health, School of Public Health, Imperial College London, United Kingdom (M.W.).ORCID 0000-0001-9800-5296
Stephanie ReadingCenter for Observational Research, Amgen, Inc, Thousand Oaks, CA (S.R., K.O., J.E.).ORCID 0000-0003-0494-7448
Kate OrrothCenter for Observational Research, Amgen, Inc, Thousand Oaks, CA (S.R., K.O., J.E.).
Jason ExterCenter for Observational Research, Amgen, Inc, Thousand Oaks, CA (S.R., K.O., J.E.).
Salim S ViraniSection of Cardiovascular Research, Department of Medicine, Baylor College of Medicine, Houston, TX (S.S.V.).ORCID 0000-0001-9541-6954
Paul MuntnerDepartment of Epidemiology, University of Alabama at Birmingham School of Public Health (B.P., P.M.).ORCID 0000-0002-4711-5492
Adam P BressDivision of Health System Innovation and Research, Department of Population Health Sciences (C.G.D., A.P.B.), University of Utah School of Medicine, Salt Lake City.ORCID 0000-0002-2259-5039
Amgen (United States) · USUniversity of Utah · USAlabama Department of Public Health · USUniversity of Alabama at Birmingham · USCornell University · USIcahn School of Medicine at Mount Sinai · USMichael E. DeBakey VA Medical Center · USThe George Institute for Global Health · GBVA Salt Lake City Healthcare System · US

Funding

Utah Stimulating Access to Research in Residency Transition Scholar (StARRTS)R38HL143605 · NHLBI · UNIVERSITY OF UTAH · PI CONROY, MARGARET B, OKUYEMI, KOLAWOLE S · 2018 to 2021
$1.3M
Utah Stimulating Access to Research in ResidencyR38HL167282 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Margaret B Conroy, JOSEPH BARNEY STANFORD · 2023 to 2026
$924k
NHLBI NIH HHS R38 HL143605NHLBI NIH HHS R38 HL167282
6 · The paper itself

Abstract

backgroundUnderstanding how statins, ezetimibe, and PCSK9i (proprotein convertase subtilisin/kexin type 9 serine protease inhibitors) are prescribed after a myocardial infarction (MI) or elective coronary revascularization may improve lipid-lowering therapy (LLT) intensification and reduce recurrent atherosclerotic cardiovascular disease events. We described the use and intensification of LLT among US veterans who had a MI or elective coronary revascularization between July 24, 2015, and December 9, 2019, within 12 months of hospital discharge.

methodsLLT intensification was defined as increasing statin dose, or initiating a statin, ezetimibe, or a PCSK9i, overall and among those with an LDL-C (low-density lipoprotein cholesterol)

resultsAmong 81 372 index events (mean age, 69.0 years, 2.3% female, mean LDL-C 89.6 mg/dL, 33.8% with LDL-C <70 mg/dL), 39.7% were not taking any LLT, and 22.0%, 37.2%, and 0.6% were taking a low-moderate intensity statin, a high-intensity statin, and ezetimibe, respectively, before MI/coronary revascularization during the study period. Within 14 days, 3 months, and 12 months posthospitalization, 33.3%, 41.9%, and 47.3%, respectively, of veterans received LLT intensification. LLT intensification was most common among veterans taking no LLT (82.5%, n=26 637) before MI/coronary revascularization. Higher baseline LDL-C, having a lipid test, and attending a cardiology visit were each associated with a greater likelihood of LLT intensification, while age

conclusionsLess than half of veterans received LLT intensification in the year after MI or coronary revascularization suggesting a missed opportunity to reduce atherosclerotic cardiovascular disease risk.

Indexed as

Anticholesteremic AgentsAtherosclerosisHydroxymethylglutaryl-CoA Reductase InhibitorsMyocardial InfarctionVeteransAgedCholesterol, LDLEzetimibeFemaleHumansMaleUnited StatesAnticholesteremic AgentsCholesterol, LDLEzetimibeHydroxymethylglutaryl-CoA Reductase Inhibitorscardiovascular diseaselipoproteinmyocardial infarctionsecondary preventionveterans

Identifiers

PMID36252093
PMCPMC10680021
OpenAlexW4306167581

What OpenQuestion holds

Texttitle and abstract
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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.