Evidence map›Paper›PMID 37365588›Full record

ArticleCardiovascular diabetology2023

The predictive value of atherogenic index of plasma for cardiovascular outcomes in patients with acute coronary syndrome undergoing percutaneous coronary intervention with LDL-C below 1.8mmol/L.

Yue Wang, Shen Wang, Shuaifeng Sun, Fadong Li, Wenxin Zhao, Hongxia Yang, Xiaofan Wu

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
11.2field-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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Yue WangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2th Anzhen Road, Chaoyang District, Beijing, 100029, China.
Shen WangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2th Anzhen Road, Chaoyang District, Beijing, 100029, China.
Shuaifeng SunDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2th Anzhen Road, Chaoyang District, Beijing, 100029, China.
Fadong LiDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2th Anzhen Road, Chaoyang District, Beijing, 100029, China.
Wenxin ZhaoDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2th Anzhen Road, Chaoyang District, Beijing, 100029, China.
Hongxia YangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2th Anzhen Road, Chaoyang District, Beijing, 100029, China.
Xiaofan WuDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 2th Anzhen Road, Chaoyang District, Beijing, 100029, China. drwuxf@163.com.
Beijing Anzhen Hospital · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe potential predictive significance of atherogenic index of plasma (AIP) for cardiovascular outcomes in patients with acute coronary syndrome (ACS) and who have undergone percutaneous coronary intervention (PCI), with low-density lipoprotein-cholesterol (LDL-C) below 1.8mmol/L, has not been well explored.

methodsThe retrospective cohort analysis included 1,133 patients with ACS and LDL-C levels below 1.8mmol/L who underwent PCI. AIP is calculated as log (triglyceride/high-density lipoprotein-cholesterol). Patients were divided into two groups according to the median value of AIP. The primary endpoint was major adverse cardiovascular and cerebrovascular events (MACCEs), a composite of all-cause death, nonfatal myocardial infarction, ischemic stroke or unplanned repeat revascularization. The association between AIP and the prevalence of MACCE was evaluated using multivariable Cox proportional hazard models.

resultsOver a median follow-up of 26 months, the incidence of MACCE was higher in the high AIP group compared to the low AIP group (9.6% vs. 6.0%, P log-rank = 0.020), and the difference was mainly derived from an increased risk of unplanned repeat revascularization (7.6% vs. 4.6%, P log-rank = 0.028). After adjusting for multiple variables, elevated AIP was independently associated with an increased risk of MACCE, regardless of whether AIP was considered a nominal or continuous variable (hazard ratio [HR] 1.62, 95% confidence interval [CI] 1.04-2.53 or HR 2.01, 95% CI 1.09-3.73).

conclusionsThe present study demonstrates that AIP is a significant predictor of adverse outcomes in ACS patients undergoing PCI with LDL-C < 1.8mmol/L. These results suggest that AIP may offer supplementary prognostic information for ACS patients with optimally managed LDL-C levels.

Indexed as

Acute Coronary SyndromeAtherosclerosisPercutaneous Coronary InterventionCholesterol, LDLHumansRetrospective StudiesRisk FactorsTreatment OutcomeCholesterol, LDLAcute coronary syndromeAtherogenic index of plasmaLDL-C < 1.8mmol/LPercutaneous coronary intervention

Identifiers

PMID37365588
PMCPMC10294439
OpenAlexW4382139862

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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.