Evidence map›Paper›PMID 38723003›Full record

ArticlePloS one2024

Early unfractionated heparin treatment in patients with STEMI - trial design and rationale.

Misa Fister, Ursa Mikuz, Klemen Ziberna, Danilo Franco, Peter Radsel, Matjaz Bunc, Marko Noc, Tomaz Goslar

Abstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Misa FisterDepartment of intensive internal medicine, University Medical Center Ljubljana, Ljubljana, Slovenia.ORCID 0000-0001-7341-8756
Ursa MikuzDepartment of intensive internal medicine, University Medical Center Ljubljana, Ljubljana, Slovenia.
Klemen ZibernaMedical faculty, University of Ljubljana, Ljubljana, Slovenia.
Danilo FrancoDepartment of Advanced Biomedical Science, University of Naples "Federico II", Naples, Italy.ORCID 0000-0002-6470-5785
Peter RadselDepartment of intensive internal medicine, University Medical Center Ljubljana, Ljubljana, Slovenia.
Matjaz BuncDepartment of intensive internal medicine, University Medical Center Ljubljana, Ljubljana, Slovenia.
Marko NocDepartment of intensive internal medicine, University Medical Center Ljubljana, Ljubljana, Slovenia.
Tomaz GoslarDepartment of intensive internal medicine, University Medical Center Ljubljana, Ljubljana, Slovenia.ORCID 0000-0001-9051-2074

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The early unfractionated heparin (UFH) treatment in patients with ST-elevation myocardial infarction (STEMI) is a single-center, open-label, randomized controlled trial. The study population are patients with STEMI that undergo primary percutaneous coronary intervention (PPCI). The trial was designed to investigate whether early administration of unfractionated heparin immediately after diagnosis of STEMI is beneficial in terms of patency of infarct-related coronary artery (IRA) when compared to established UFH administration at the time of coronary intervention. The patients will be randomized in 1:1 fashion in one of the two groups. The primary efficacy endpoint of the study is Thrombolysis in myocardial infarction (TIMI) flow grades 2 and 3 on diagnostic coronary angiography. Secondary outcome measures are: TIMI flow after PPCI, progression to cardiogenic shock, 30-day mortality, ST-segment resolution, highest Troponin I and Troponin I values at 24 hours. The safety outcome is bleeding complications. The study of early heparin administration in patients with STEMI will address whether pretreatment with UFH can increase the rate of spontaneous reperfusion of infarct-related coronary artery.

Indexed as

HeparinPercutaneous Coronary InterventionST Elevation Myocardial InfarctionAdultAgedAnticoagulantsCoronary AngiographyFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicTreatment OutcomeAnticoagulantsHeparin

Identifiers

PMID38723003
PMCPMC11081261

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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.