Evidence map›Paper›PMID 38357886›Full record

SynthesisEuropean stroke journal2024

Asymptomatic coronary artery disease in ischaemic stroke survivors: A systematic review and meta-analysis.

Rahul G Muthalaly, Timothy B Abrahams, Nitesh Nerlekar, Adam J Nelson, Sean Tan, Jasmine Chan, Thanh Phan, Henry Ma, Stephen J Nicholls

Open access · hybridAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European stroke journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 1 institution in 1 country.

Rahul G MuthalalyVictorian Heart Institute, Monash University, Clayton, VIC, Australia.ORCID 0000-0002-0078-2685
Timothy B AbrahamsVictorian Heart Institute, Monash University, Clayton, VIC, Australia.
Nitesh NerlekarVictorian Heart Institute, Monash University, Clayton, VIC, Australia.
Adam J NelsonVictorian Heart Institute, Monash University, Clayton, VIC, Australia.
Sean TanVictorian Heart Institute, Monash University, Clayton, VIC, Australia.
Jasmine ChanVictorian Heart Institute, Monash University, Clayton, VIC, Australia.
Thanh PhanVictorian Heart Institute, Monash University, Clayton, VIC, Australia.ORCID 0000-0003-3400-6323
Henry MaVictorian Heart Institute, Monash University, Clayton, VIC, Australia.
Stephen J NichollsVictorian Heart Institute, Monash University, Clayton, VIC, Australia.
Monash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIschaemic stroke and coronary artery disease share risk factors and stroke survivors experience a high rate of cardiac events. Recent work suggests a high burden of asymptomatic coronary artery disease (CAD) in ischaemic stroke survivors. Thus, we performed this systematic review and meta-analysis to A) estimate the prevalence of CAD in ischaemic stroke survivors without known CAD and B) evaluate the association between coronary atherosclerosis and future major adverse cardiovascular events (MACE) in stroke survivors. PATIENTS AND

methodsWe conducted a systematic review and meta-analysis according to the PRISMA statement. We included studies investigating acute ischaemic stroke or transient ischaemic attack where participants underwent anatomical assessment of all coronary arteries. For objective B) we included studies that reported an association between coronary atherosclerosis and MACE. Two reviewers used the Newcastle-Ottawa Scale to assess risk of bias. We used random-effects modelling for our analyses.

resultsWe identified 2983 studies of which 17 were included. These studies had a total of 6862 participants between 2008 and 2022. The pooled prevalence of any coronary atherosclerosis was 66.8% (95% CI 57.2%-75.1%) with substantial heterogeneity ( DISCUSSION AND

conclusionsAsymptomatic CAD is common in ischaemic stroke survivors. The presence and severity of asymptomatic CAD strongly associates with the risk of future MACE. Further evaluation of the benefits of routine coronary assessment in ischaemic stroke is warranted.

Indexed as

Coronary Artery DiseaseIschemic StrokeAsymptomatic DiseasesHumansPrevalenceRisk FactorsSurvivorscoronary angiographyCoronary artery diseaseischaemic strokemajor adverse cardiovascular events

Identifiers

PMID38357886
PMCPMC11418521
OpenAlexW4391840439

What OpenQuestion holds

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LicenceCC BY-NC
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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.