Evidence map›Paper›PMID 38214300›Full record

ArticleJournal of the American Heart Association2024

Association of Periprocedural Inflammatory Activation With Increased Risk for Early Coronary Stent Thrombosis.

Konstantin A Krychtiuk, Konstantin Bräu, Stephanie Schauer, Alexander Sator, Lukas Galli, Andreas Baierl, Christian Hengstenberg, Clemens Gangl, Irene M Lang, Christian Roth and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Konstantin A KrychtiukDepartment of Internal Medicine II-Division of Cardiology Medical University of Vienna Vienna Austria.ORCID 0000-0001-7792-2837
Konstantin BräuDepartment of Internal Medicine II-Division of Cardiology Medical University of Vienna Vienna Austria.ORCID 0000-0001-6640-3740
Stephanie SchauerDepartment of Internal Medicine II-Division of Cardiology Medical University of Vienna Vienna Austria.ORCID 0000-0001-6013-5052
Alexander SatorDepartment of Internal Medicine II-Division of Cardiology Medical University of Vienna Vienna Austria.
Lukas GalliDepartment of Internal Medicine II-Division of Cardiology Medical University of Vienna Vienna Austria.ORCID 0009-0000-4530-249X
Andreas BaierlDepartment of Statistics and Operations Research University of Vienna Vienna Austria.
Christian HengstenbergDepartment of Internal Medicine II-Division of Cardiology Medical University of Vienna Vienna Austria.ORCID 0000-0002-8284-2994
Clemens GanglDepartment of Internal Medicine II-Division of Cardiology Medical University of Vienna Vienna Austria.ORCID 0000-0003-2374-6342
Irene M LangDepartment of Internal Medicine II-Division of Cardiology Medical University of Vienna Vienna Austria.ORCID 0000-0003-0485-2692
Christian RothDepartment of Internal Medicine II-Division of Cardiology Medical University of Vienna Vienna Austria.
Rudolf BergerDepartment of Internal Medicine I Cardiology and Nephrology, Hospital of St. John of God Eisenstadt Austria.
Walter S SpeidlDepartment of Internal Medicine II-Division of Cardiology Medical University of Vienna Vienna Austria.ORCID 0000-0002-7267-3138
Medical University of Vienna · ATLudwig Boltzmann Institute for Digital Health and Prevention · ATHospital of the Brothers of St. John of God · ATUniversity of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStent thrombosis is a rare but deleterious event. Routine coronary angiography with percutaneous coronary intervention (PCI) is often deferred in the presence of laboratory markers of acute inflammation to prevent complications. The aim of this study was to investigate whether an acute inflammatory state is associated with an increased risk of early stent thrombosis. METHODS AND

resultsWithin a prospective single-center registry, the association between preprocedural acute inflammatory activation, defined as C-reactive protein plasma levels >50 mg/L or a leukocyte count >12 g/L, and occurrence of early (≤30 days) stent thrombosis was evaluated. In total, 11 327 patients underwent PCI and of those, 6880 patients had laboratory results available. 49.6% of the study population received PCI for an acute coronary syndrome and 50.4% for stable ischemic heart disease. In patients with signs of acute inflammatory activation (24.9%), PCI was associated with a significantly increased risk for stent thrombosis (hazard ratio, 2.89;

conclusionsAn acute inflammatory state at the time of PCI was associated with a significantly increased risk of early stent thrombosis. Evidence of acute inflammation should result in deferred PCI in elective patients, while future studies are needed for patients with acute coronary syndrome.

Indexed as

Acute Coronary SyndromeCoronary ThrombosisMyocardial IschemiaPercutaneous Coronary InterventionBiomarkersHumansInflammationPlatelet Aggregation InhibitorsProspective StudiesRisk FactorsStentsTreatment OutcomeBiomarkersPlatelet Aggregation Inhibitorscoronary stent thrombosisC‐reactive proteininflammationleukocyte countPCIstent

Identifiers

PMID38214300
PMCPMC10926812
OpenAlexW4390793789

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.