Evidence map›Paper›PMID 38132641›Full record

ArticleJournal of cardiovascular development and disease2023

Association of Coronary Collaterals and Myocardial Salvage Measured by Serial Cardiac Magnetic Resonance Imaging after Acute Myocardial Infarction.

Jan Pec, Stefan Buchner, Michael Wester, Kurt Debl, Okka W Hamer, Florian Poschenrieder, Lars S Maier, Michael Arzt, Stefan Stadler

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. 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

9 authors at 2 institutions in 1 country.

Jan PecDepartment of Internal Medicine II, University Hospital Regensburg, 93053 Regensburg, Germany.ORCID 0009-0001-4661-1232
Stefan BuchnerDepartment of Internal Medicine, Cham Hospital, 93413 Cham, Germany.
Michael WesterDepartment of Internal Medicine II, University Hospital Regensburg, 93053 Regensburg, Germany.ORCID 0000-0001-7869-8363
Kurt DeblDepartment of Internal Medicine II, University Hospital Regensburg, 93053 Regensburg, Germany.
Okka W HamerDepartment of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.
Florian PoschenriederDonaustauf Hospital, 93093 Donaustauf, Germany.
Lars S MaierDepartment of Internal Medicine II, University Hospital Regensburg, 93053 Regensburg, Germany.ORCID 0000-0001-9915-4429
Michael ArztDepartment of Internal Medicine II, University Hospital Regensburg, 93053 Regensburg, Germany.
Stefan StadlerDepartment of Internal Medicine II, University Hospital Regensburg, 93053 Regensburg, Germany.
University Hospital Regensburg · DEKlinik Donaustauf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary collateral flow in angiography has been linked with lower mortality rates in patients with coronary artery disease. However, the relevance of the underlying mechanism is sparse. Therefore, we tested the hypothesis that in patients with acute myocardial infarction (AMI), relevant coronary collateral flow is associated with more salvaged myocardium and lower risk of developing heart failure. METHODS AND

resultsPatients with first AMI who received a percutaneous coronary intervention within 24 h after symptom onset were classified visually by assigning a Cohen-Rentrop Score (CRS) ranging between 0 (no collaterals) and 3 (complete retrograde filling of the occluded vessel). All 36 patients included in the analysis underwent cardiac magnetic resonance examination within 3 to 5 days after myocardial infarction and after 12 weeks. Patients with relevant collateral flow (CRS 2-3) to the infarct-related artery had significantly smaller final infarct size compared to those without (7 ± 4% vs. 20 ± 12%,

conclusionIn patients with first AMI, relevant collateral flow to the infarct-related artery was associated with more salvaged myocardium at 12 weeks, translating into greater improvement of systolic left ventricular function. The protective effect of coronary collaterals and the variance of infarct location should be further investigated in larger studies.

Indexed as

coronary collateralsmagnetic resonance imagingmyocardial infarctionmyocardial salvage index

Identifiers

PMID38132641
PMCPMC10743778
OpenAlexW4388977676

What OpenQuestion holds

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LicenceCC BY
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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.