Evidence map›Paper›PMID 37427793›Full record

Observational studyTherapeutic advances in cardiovascular disease

MiR-21 and Tocilizumab interactions improve COVID-19 myocarditis outcomes.

Amir Hossein Heydari, Saeid Ghaffari, Zahra Khani, Sophia Heydari, Zakaria Eskandari, Mohammad Esmaeil Heidari

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Therapeutic advances in cardiovascular disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 12 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

6 authors at 2 institutions in 2 countries.

Amir Hossein HeydariSchool of Medicine, Zanjan University of Medical Science, Karmandan District, Mahdavi, Zanjan, Zanjan Province, Iran.ORCID 0000-0002-3293-1243
Saeid GhaffariSchool of Medicine, Zanjan University of Medical Science, Zanjan, Zanjan Province, Iran.
Zahra KhaniSchool of Medicine, Zanjan University of Medical Science, Zanjan, Zanjan Province, Iran.
Sophia HeydariShahid Beheshti Hospital, Zanjan University of Medical Science, Zanjan, Zanjan Province, Iran.
Zakaria EskandariShahid Beheshti Hospital, Zanjan University of Medical Science, Zanjan, Zanjan Province, Iran.
Mohammad Esmaeil HeidariDepartment of Electrical Engineering, Henry Samueli School of Engineering, University of California, Los Angeles, CA, USA.
Zanjan University of Medical Sciences · IRUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocarditis is now one of the most fatal and morbid complications of COVID-19. Many scientists have recently concentrated on this problem.

objectivesThis study assessed the effects of Remdesivir (RMS) and Tocilizumab (TCZ) in COVID-19 myocarditis.

designObservational, cohort study.

methodsPatients with COVID-19 myocarditis were enrolled in the study and divided into three groups, TCZ-treated, RMS-treated, and Dexamethasone-treated patients. After 7 days of treatment, patients were reassessed for improvement.

resultsTCZ significantly improved patients' ejection fraction in 7 days, but it had limited efficacy. RMS improved inflammatory characteristics of the disease, but RMS-treated patients showed exacerbated cardiac function over 7 days, and the mortality rate with RMS was higher than TCZ. TCZ protects the heart by decreasing the miR-21 expression rate.

conclusionUsing Tocilizumab in early diagnosed COVID-19 myocarditis patients can save their cardiac function after hospitalization and decrease the mortality rate. miR-21 level determines the outcome and responsiveness of COVID-19 myocarditis to treatment.

Indexed as

COVID-19MicroRNAsMyocarditisAntibodies, Monoclonal, HumanizedCohort StudiesCOVID-19 Drug TreatmentHumansRetrospective StudiesSARS-CoV-2Antibodies, Monoclonal, HumanizedMicroRNAsMIRN21 microRNA, humantocilizumabCOVID-19miR-21-pmyocarditisRemdesivirSARS-CoVTocilizumab

Identifiers

PMID37427793
PMCPMC10333985
OpenAlexW4383699771

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.