Evidence map›Paper›PMID 36902699›Full record

ArticleJournal of clinical medicine2023

Platelet Reactivity and Cardiovascular Mortality Risk in the LURIC Study.

Martin Berger, Alexander Dressel, Marcus E Kleber, Winfried März, Peter Hellstern, Nikolaus Marx, Katharina Schütt

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Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Sex-related variations in platelet reactivity in presence or absence of antiplatelet therapy.European heart journal. Cardiovascular pharmacotherapy · 2025
    Article
  4. Article
  5. Platelet Reactivity in the Exacerbation of Psoriasis.Journal of clinical medicine · 2024
    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

7 authors.

Martin BergerDepartment of Internal Medicine I, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, Germany.ORCID 0000-0003-2644-0744
Alexander DresselD-A-CH-Gesellschaft Prävention von Herz-Kreislauf-Erkrankungen e.V., 22765 Hamburg, Germany.
Marcus E KleberVth Department of Medicine (Nephrology, Hypertensiology, Rheumatology, Endocrinology, Diabetology), Medical Faculty Mannheim, University of Heidelberg, 68167 Mannheim, Germany.
Winfried MärzVth Department of Medicine (Nephrology, Hypertensiology, Rheumatology, Endocrinology, Diabetology), Medical Faculty Mannheim, University of Heidelberg, 68167 Mannheim, Germany.ORCID 0000-0001-6083-8946
Peter HellsternCenter of Hemostasis and Thrombosis Zurich, 8006 Zurich, Switzerland.
Nikolaus MarxDepartment of Internal Medicine I, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, Germany.
Katharina SchüttDepartment of Internal Medicine I, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, Germany.

Funding

Deutsche Forschungsgemeinschaft TRR 219; Project-ID 322900939 [M03, M05, C07]
6 · The paper itself

Abstract

backgroundThe clinical and prognostic implications of platelet reactivity (PR) testing in a P2Y

objectivesThis explorative study aims to assess the role of PR and explore factors that may modify elevated mortality risk in patients with altered PR.

methodsPlatelet ADP-induced CD62P and CD63 expression were measured by flow-cytometry in 1520 patients who were referred for coronary angiography in the Ludwigshafen Risk and Cardiovascular Health Study (LURIC).

resultsHigh- and Low-platelet reactivity to ADP were strong predictors of cardiovascular and all-cause mortality and risk equivalent to the presence of coronary artery disease. (High platelet reactivity 1.4 [95% CI 1.1-1.9]; Low platelet reactivity: 1.4 [95% CI 1.0-2.0]). Relative weight analysis indicated glucose control (HbA1c), renal function ([eGFR]), inflammation (high-sensitive C-reactive protein [hsCRP]) and antiplatelet therapy by Aspirin as consistent mortality risk modifiers in patients with Low- and High-platelet reactivity. Pre-specified stratification of patients by risk modifiers HbA1c (<7.0%), eGFR (>60 mL/min/1.73 m

conclusionsCardiovascular mortality risk in patients with High- and Low platelet reactivity is equivalent to the presence of coronary artery disease. Targeted glucose control, improved kidney function and lower inflammation are associated with reduced mortality risk, however independent of platelet reactivity. In contrast, only in patients with High-platelet reactivity was Aspirin treatment associated with lower mortality.

Indexed as

cardiovascular mortalityCD62pCD63Fibrinogen-bindingplatelet reactivity

Identifiers

PMID36902699
PMCPMC10003439

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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.