Evidence map›Paper›PMID 38184523›Full record

SynthesisBMC cardiovascular disorders2024

The impact of the time factors on the exercise-based cardiac rehabilitation outcomes of the patients with acute myocardial infarction after percutaneous coronary intervention: a systematic review and meta-analysis.

Peiyu Zhang, Chaofeng Niu, Lijing Zhang, Haixia Lai, Birong Liu, Diyang Lv, Rui Zhuang, Yong Liu, Di Xiao, Liyong Ma and 1 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. 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

11 authors at 2 institutions in 1 country.

Peiyu Zhang *Department of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Chaofeng Niu *Department of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Lijing ZhangDepartment of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China. dzmyyxnk@163.com.
Haixia LaiDepartment of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Birong LiuDepartment of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Diyang LvDepartment of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Rui ZhuangDepartment of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Yong LiuDepartment of Cardiology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China.
Di XiaoDepartment of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Liyong MaDepartment of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China. 1513142077@qq.com.
Meng LiDepartment of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China. 15201328277@163.com.
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine · CNBeijing University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveCardiac rehabilitation (CR) has been demonstrated to improve outcomes in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). However, the optimal CR initiation time and duration remain to be determined. This study aimed to explore the impact of the time factors on the CR outcomes in AMI patients who received PCI by the method of meta-regression analysis.

methodsWe searched five databases (PubMed, Embase, Cochrane Library, Web of Science and Google scholar) up to October 31, 2023. Meta-regression analysis was utilized to explore the impact of the time factors on the effect sizes. Subgroups with more than 3 studies were used for meta-regression analysis.

resultsOur analysis included 16 studies and a total of 1810 patients. The meta-regression analysis revealed that the initiation time and duration of CR had no significant impact on the occurrence of arrhythmia, coronary artery restenosis and angina pectoris. The initiation time and duration of CR also had no significant impact on the changes in left ventricular ejection fraction (LVEF, starting time: estimate = 0.160, p = 0.130; intervention time: estimate = 0.017, p = 0.149), left ventricular end-diastolic volume (LVEDV, starting time: estimate = - 0.191, p = 0.732; intervention time: estimate = - 0.033, p = 0.160), left ventricular end-systolic volume (LVESV, starting time: estimate = - 0.301, p = 0.464; intervention time: estimate = 0.015, p = 0.368) and 6-minute walk test (6MWT, starting time: estimate = - 0.108, p = 0.467; intervention time: estimate = 0.019, p = 0.116).

conclusionImplementation of CR following PCI in patients with AMI is beneficial. However, in AMI patients, there is no significant difference in the improvement of CR outcomes based on different CR starting times within 1 month after PCI or different durations of the CR programs. It indicates that it is feasible for patients with AMI to commence CR within 1 month after PCI and continue long-term CR, but the time factors which impact CR are intricate and further clinical research is still needed to determine the optimal initiation time and duration of CR.

Indexed as

Cardiac RehabilitationMyocardial InfarctionPercutaneous Coronary InterventionHumansStroke VolumeTime FactorsVentricular Function, LeftAcute myocardial infarctionCardiac rehabilitationMeta-analysisPercutaneous coronary interventionTime

Identifiers

PMID38184523
PMCPMC10771662
OpenAlexW4390640681

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.