Evidence map›Paper›PMID 36829203›Full record

Observational studyBMC medicine2023

SGLT-2 inhibitors and in-stent restenosis-related events after acute myocardial infarction: an observational study in patients with type 2 diabetes.

Raffaele Marfella, Celestino Sardu, Nunzia D'Onofrio, Carlo Fumagalli, Lucia Scisciola, Ferdinando Carlo Sasso, Mario Siniscalchi, Ludovica Vittoria Marfella, Davide D'Andrea, Fabio Minicucci and 11 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 9 pooled it
19.7field-weighted citation impact, top 1% 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

59 citing papers in PubMed, 9 syntheses or guidelines pooled it, 98 citations in OpenAlex.

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  7. The Use of Sodium-Glucose Cotransporter-2 Inhibitors in Coronary Revascularization: Where Are We Now? A Systematic Review.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
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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

21 authors at 2 institutions in 1 country.

Raffaele Marfella *Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy. raffaele.marfella@unicampania.it.
Celestino Sardu *Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Nunzia D'OnofrioDepartment of Precision Medicine, the University of Campania "Luigi Vanvitelli", Naples, Italy.
Carlo FumagalliDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Lucia ScisciolaDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Ferdinando Carlo SassoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Mario SiniscalchiDepartment of Cardiology, Hospital Cardarelli, Naples, Italy.
Ludovica Vittoria MarfellaDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Davide D'AndreaDepartment of Cardiology, Hospital Cardarelli, Naples, Italy.
Fabio MinicucciDepartment of Cardiology, Hospital Cardarelli, Naples, Italy.
Giuseppe SignorielloDepartment of Mental Health and Public Medicine, Section of Statistic, the University of Campania "Luigi Vanvitelli", Naples, Italy.
Arturo CesaroDivision of Clinical Cardiology, A.O.R.N. Sant'Anna e San Sebastiano', University of Campania "Luigi Vanvitelli", Caserta, Italy.
Maria Consiglia TrottaDepartment of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Chiara FrigéIRCCS MultiMedica, Via Fantoli 16/15, 20138, Milan, Italy.
Francesco PrattichizzoIRCCS MultiMedica, Via Fantoli 16/15, 20138, Milan, Italy. francesco.prattichizzo@multimedica.it.ORCID 0000-0002-2959-2658
Maria Luisa BalestrieriDepartment of Precision Medicine, the University of Campania "Luigi Vanvitelli", Naples, Italy.
Antonio CerielloIRCCS MultiMedica, Via Fantoli 16/15, 20138, Milan, Italy.
Paolo CalabròDivision of Clinical Cardiology, A.O.R.N. Sant'Anna e San Sebastiano', University of Campania "Luigi Vanvitelli", Caserta, Italy.
Ciro MauroDepartment of Cardiology, Hospital Cardarelli, Naples, Italy.
Luca Del ViscovoDepartment of Precision Medicine, the University of Campania "Luigi Vanvitelli", Naples, Italy.
Giuseppe PaolissoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
University of Campania "Luigi Vanvitelli" · ITMultiMedica · IT

Funding

Ministero dell'Istruzione, dell'Università e della Ricerca 2020LM8WNW
6 · The paper itself

Abstract

backgroundNo study evaluated the incidence of intra-stent restenosis (ISR)-related events in patients with type 2 diabetes (T2DM) and acute myocardial infarction (AMI) treated or not with sodium/glucose cotransporter 2 inhibitors (SGLT2i).

methodsWe recruited 377 patients with T2DM and AMI undergoing percutaneous coronary intervention (PCI). Among them, 177 T2DM were treated with SGLT2 inhibitors before PCI. The primary outcome was major adverse cardiovascular events (MACE) defined as cardiac death, re-infarction, and heart failure related to ISR. In patients without ISR, minimal lumen area and minimal lumen diameter were assessed by coronary CT-angiography at 1-year follow-up.

resultsGlycemic control was similar in SGLT2i-treated patients and never SGLT2i-users. The incidence of ISR-related MACE was higher in never SGLT2i-users compared with SGLT2i-treated patients, an effect independent of glycemic status (HR = 0.418, 95% CI = 0.241-0.725, P = 0.002) and observed also in the subgroup of patients with HbA1c < 7% (HR = 0.393, 95% CI = 0.157-0.984, P = 0.027). In patients without the event, the stent patency was greater in SGLT2i-treated patients compared with never SGLT2i-users at 1-year follow-up.

conclusionsSGLT2i treatment in T2DM is associated with a reduced incidence of ISR-related events, independently of glycemic control.

Indexed as

Coronary RestenosisDiabetes Mellitus, Type 2Myocardial InfarctionPercutaneous Coronary InterventionSodium-Glucose Transporter 2 InhibitorsHumansRisk FactorsTreatment OutcomeSodium-Glucose Transporter 2 InhibitorsGlycemic controlMajor adverse cardiovascular eventsRestenosisSGLT-2 inhibitorsType 2 diabetes

Identifiers

PMID36829203
PMCPMC9960194
OpenAlexW4321783346

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.