Evidence map›Paper›PMID 36873769›Full record

ReviewJACC. Asia2023

Diagnostic and Therapeutic Strategies for Stable Coronary Artery Disease Following the ISCHEMIA Trial.

Shun Kohsaka, Kentaro Ejiri, Hidenobu Takagi, Ippei Watanabe, Yodo Gatate, Kenji Fukushima, Shintaro Nakano, Taishi Hirai

Abstract readReview
In one paragraph

Review in JACC. Asia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Stem Cell Therapy against Ischemic Heart Disease.International journal of molecular sciences · 2024
    Review
  5. Review
  6. 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

8 authors.

Shun KohsakaDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Kentaro EjiriDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Hidenobu TakagiDepartment of Diagnostic Radiology, Tohoku University Hospital, Sendai, Japan.
Ippei WatanabeDepartment of Internal Medicine, Toho University Faculty of Medicine, Tokyo, Japan.
Yodo GatateDepartment of Cardiology, Self-Defense Forces Central Hospital, Tokyo, Japan.
Kenji FukushimaDepartment of Radiology, Fukushima Medical University, Fukushima, Japan.
Shintaro NakanoDepartment of Cardiology, Saitama Medical University International Medical Center, Hidaka, Japan.
Taishi HiraiDepartment of Cardiology, University of Missouri, Columbia, Missouri, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Until recently, coronary revascularization with coronary artery bypass grafting or percutaneous coronary intervention has been regarded as the standard choice for stable coronary artery disease (CAD), particularly for patients with a significant burden of ischemia. However, in conjunction with remarkable advances in adjunctive medical therapy and a deeper understanding of its long-term prognosis from recent large-scale clinical trials, including ISCHEMIA (International Study of Comparative Health Effectiveness With Medical and Invasive Approaches), the approach to stable CAD has changed drastically. Although the updated evidence from recent randomized clinical trials will likely modify the recommendations for future clinical practice guidelines, there are still unresolved and unmet issues in Asia, where prevalence and practice patterns are markedly different from those in Western countries. Herein, the authors discuss perspectives on: 1) assessing the diagnostic probability of patients with stable CAD; 2) application of noninvasive imaging tests; 3) initiation and titration of medical therapy; and 4) evolution of revascularization procedures in the modern era.

Indexed as

CABG, coronary artery bypass graftingCAD, coronary artery diseaseCTA, computed tomographic angiographyDAPT, dual antiplatelet therapyEF, ejection fractionFFR, fractional flow reserveICA, invasive coronary angiographyIVUS, intravascular ultrasoundLVEF, left ventricular ejection fractionnoninvasive testingOCT, optical coherent tomographyOMT, optimal medical therapyoptimal medical therapyPCI, percutaneous coronary interventionpretest probabilityPTP, pretest probabilityRCT, randomized clinical trialrevascularizationstable coronary artery disease

Identifiers

PMID36873769
PMCPMC9982228

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.