Evidence map›Paper›PMID 36514961›Full record

Trial reportThe Journal of international medical research2022

Effects of intracoronary low-dose prourokinase administration on ST-segment elevation in patients with myocardial infarction and a high thrombus burden: a randomized controlled trial.

Mingkun Cao, Zhiyong Wang, Xiujie Meng, Zhiru Xu, Jiangfeng Gao, Wangliang Zhu, Suhua Yu, Haijun Zhang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of international medical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

8 authors at 5 institutions in 1 country.

Mingkun CaoNational United Engineering Laboratory for Biomedical Material Modification, Dezhou, China.
Zhiyong WangInternal Medicine-Cardiovascular Department, Inner Mongolia People's Hospital, Inner Mongolia, China.
Xiujie MengInternal Medicine-Cardiovascular Department, Inner Mongolia International Mongolian Medical Hospital, Inner Mongolia, China.
Zhiru XuInternal Medicine-Cardiovascular Department, Inner Mongolia People's Hospital, Inner Mongolia, China.
Jiangfeng GaoInternal Medicine-Cardiovascular Department, Inner Mongolia People's Hospital, Inner Mongolia, China.
Wangliang ZhuInternal Medicine-Cardiovascular Department, Inner Mongolia People's Hospital, Inner Mongolia, China.
Suhua YuBlue Sail Pioneer Lab, JW Medical Systems, Jiwei Shandong, China.
Haijun ZhangShanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.ORCID 0000-0002-3686-6346
Inner Mongolia People's Hospital · CNInner Mongolia International Mongolian Hospital · CNJW Medical Systems (China) · CNNational Engineering Research Center for Compounding and Modification of Polymer Materials · CNTongji University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of low-dose prourokinase (pro-UK) administration during primary percutaneous coronary intervention (PCI) for the treatment of acute ST-segment elevation myocardial infarction (STEMI) in patients with a high thrombus burden.

methodsA prospective, randomized controlled trial was conducted at the Inner Mongolia People's Hospital, China. Patients with STEMI and a high thrombus burden who underwent thrombus aspiration and primary PCI were randomly allocated to pro-UK administration or control groups. The primary endpoint was corrected thrombolysis in myocardial infarction (TIMI) frame count (CTFC).

resultsThere were no significant differences in the baseline demographics or clinical characteristics of the two groups. The CTFC, tissue myocardial perfusion grade, ST-segment resolution, and myocardial blush grade of the pro-UK group were significantly better than those of the control group. In addition, after 30 days of follow-up, the pro-UK group had better cardiac function and perfusion than the control group. There were no differences in the clinical outcomes or incidence of hemorrhage.

conclusionsIntracoronary low-dose pro-UK improves myocardial perfusion and cardiac function in patients with a high thrombus burden. Major hemorrhages still occur in patients administered pro-UK, but are no more frequent.

Indexed as

Myocardial InfarctionPercutaneous Coronary InterventionST Elevation Myocardial InfarctionThrombosisArrhythmias, CardiacCoronary AngiographyCysteineHumansProspective StudiesTreatment OutcomeCysteineS-(2-chloro-1,1,2-trifluoroethyl)cysteinecardiac functioncardiac perfusionhigh thrombus burdenLow-dose prourokinasemyocardial reperfusionpercutaneous coronary interventionST-elevation myocardial infarction

Identifiers

PMID36514961
PMCPMC9756369
OpenAlexW4311371728

What OpenQuestion holds

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Registered trials

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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.