Evidence map›Paper›PMID 38014673›Full record

Observational studyJournal of the American Heart Association2023

Coronary Plaque Characteristics and Underlying Mechanism of Acute Coronary Syndromes in Different Age Groups of Patients With Diabetes.

Keishi Suzuki, Takayuki Niida, Haruhito Yuki, Daisuke Kinoshita, Daichi Fujimoto, Hang Lee, Iris McNulty, Masamichi Takano, Sunao Nakamura, Tsunekazu Kakuta and 2 more

2 registry-linked trialsOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.8field-weighted citation impact, top 6% 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.

NCT03479723 completednot on this map

Identification of Predictors for Coronary Plaque Erosion in Patients With Acute Coronary Syndrome

Typeobservational_patient_registrySponsorMassachusetts General HospitalRan2017 to 2024Enrolled1,793ConditionsAcute Coronary Syndrome
NCT04523194 active not recruitingnot on this map

Massachusetts General Hospital and Tsuchiura Kyodo General Hospital Coronary Imaging Collaboration

TypeobservationalSponsorMassachusetts General HospitalRan2020 to 2027Enrolled1,000ConditionsAtherosclerosisArmsOptical Coherence Tomography (OCT) and Computed Tomography Angiography (CTA)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Pathogenesis of plaque erosion.Trends in cardiovascular medicine · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Intermediate coronary stenosis evaluation in patients with or without diabetes: are FFR and IVUS equally "sweet"?EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Article
  11. Article
  12. Article
  13. 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

12 authors at 5 institutions in 2 countries.

Keishi SuzukiCardiology Division Massachusetts General Hospital Harvard Medical School Boston MA.
Takayuki NiidaCardiology Division Massachusetts General Hospital Harvard Medical School Boston MA.ORCID 0000-0003-1586-4971
Haruhito YukiCardiology Division Massachusetts General Hospital Harvard Medical School Boston MA.ORCID 0000-0002-2284-7611
Daisuke KinoshitaCardiology Division Massachusetts General Hospital Harvard Medical School Boston MA.ORCID 0000-0001-5571-5079
Daichi FujimotoCardiology Division Massachusetts General Hospital Harvard Medical School Boston MA.ORCID 0000-0001-5455-674X
Hang LeeBiostatistics Center Massachusetts General Hospital Harvard Medical School Boston MA.ORCID 0000-0002-3498-236X
Iris McNultyCardiology Division Massachusetts General Hospital Harvard Medical School Boston MA.
Masamichi TakanoCardiovascular Center Nippon Medical School Chiba Hokusoh Hospital Inzai, Chiba Japan.
Sunao NakamuraInterventional Cardiology Unit New Tokyo Hospital Chiba Japan.ORCID 0000-0002-0651-0090
Tsunekazu KakutaDepartment of Cardiology Tsuchiura Kyodo General Hospital, Tsuchiura Ibaraki Japan.ORCID 0000-0002-4004-5292
Kyoichi MizunoMitsukoshi Health and Welfare Foundation Tokyo Japan.ORCID 0009-0003-9933-9513
Ik-Kyung JangCardiology Division Massachusetts General Hospital Harvard Medical School Boston MA.ORCID 0000-0002-5796-3006
Harvard University · USChiba Hokusou Hospital · JPMitsukoshi Health and Welfare Foundation · JPNew Tokyo Hospital · JPTsuchiura Kyodo General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh cardiovascular mortality has been reported in young patients with diabetes. However, the underlying pathology in different age groups of patients with diabetes has not been studied. METHODS AND

resultsThe aim of this study was to investigate the plaque characteristics and underlying pathology of acute coronary syndrome in different age groups of patients with or without diabetes in a large cohort. Patients who presented with acute coronary syndrome and underwent preintervention optical coherence tomography imaging were included. Culprit plaque was classified as plaque rupture, plaque erosion, or calcified plaque and stratified into 5 age groups. Plaque characteristics including features of vulnerability were examined by optical coherence tomography. Among 1394 patients, 482 (34.6%) had diabetes. Patients with diabetes, compared with patients without diabetes, had a higher prevalence of lipid-rich plaque (71.2% versus 64.8%,

conclusionsPatients without diabetes showed an increasing trend with age in plaque rupture and lipid-rich plaque, whereas patients with diabetes had a high prevalence of these vulnerable features at an early age. These results suggest that atherosclerotic vascular changes with increased vulnerability start at a younger age in patients with diabetes. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifiers: NCT04523194, NCT03479723. URL: https://www.umin.ac.jp/ctr/. Unique identifier: UMIN000041692.

Indexed as

Acute Coronary SyndromeCoronary Artery DiseaseDiabetes MellitusPlaque, AtheroscleroticCoronary AngiographyCoronary VesselsHumansLipidsRetrospective StudiesTomography, Optical CoherenceLipidsacute coronary syndromeagediabetesoptical coherence tomography

Identifiers

PMID38014673
PMCPMC10727321
OpenAlexW4389088258

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.