Evidence map›Paper›PMID 38939381›Full record

ArticleJACC. Advances2024

Sex Differences in Coronary Artery Disease Characteristics Among Patients With Type 2 Myocardial Infarction.

Claire Lin, Cian P McCarthy, Reza Mohebi, Yuxi Liu, Ron Blankstein, Sean P Murphy, Hannah Miksenas, Campbell Rogers, Daniel K Amponsah, Paula K Rambarat and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in JACC. Advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04864119 (DEFINing the PrEvalence and Characteristics of Coronary Artery Disease Among Patients With TYPE 2 Myocardial Infarction Using CT-FFR), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT04864119 completednot on this map

DEFINing the PrEvalence and Characteristics of Coronary Artery Disease Among Patients With TYPE 2 Myocardial Infarction Using CT-FFR

TypeobservationalSponsorMassachusetts General HospitalRan2021 to 2024Enrolled50ConditionsType 2 Myocardial Infarction
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Observational
  5. 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

16 authors.

Claire LinDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Cian P McCarthyDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Reza MohebiDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Yuxi LiuDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ron BlanksteinCardiovascular Division, Department of Medicine and Radiology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Sean P MurphyDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Hannah MiksenasDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Campbell RogersHeartFlow Inc, Mountain View, California, USA.
Daniel K AmponsahDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Paula K RambaratDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Avanthi RaghavanDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Allison LevinDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Brian GhoshhajraDivision of Cardiovascular Imaging, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jason H WasfyDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sandeep HedgireDivision of Cardiovascular Imaging, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
James L JanuzziDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Type 2 myocardial infarction (MI) results from coronary supply and demand imbalance and has a poor prognosis. It is crucial to identify potential sex-based differences in the prevalence and nature of coronary artery disease (CAD) within this population. Objectives: The purpose of this study was to evaluate sex-based disease differences in type 2 MI among patients evaluated with coronary computed tomography angiography and fractional flow reserve. Methods: In a single-center, prospective study, patients with strictly adjudicated type 2 MI underwent coronary computed tomography angiography with fractional flow reserve. Results: Among 50 study participants enrolled, 50% were women. A similar mix of MI precipitants was present in both sexes. ST-segment depression was more common in women (64% vs 32%), while men were more likely to have T wave inversion (68% vs 36%). Women and men had comparable coronary artery calcium scores (median: 152 [Q1, Q3: 45, 762] vs 234 [Q1, Q3: 56, 422]). Prevalence of any CAD (84% vs 100%), obstructive CAD (24% vs 28%), and hemodynamically significant focal stenosis (20% vs 32%) were similar between sexes. Total plaque volume was similar between sexes, but women had significantly lower levels of low-attenuation plaque (median: 3 [Q1, Q3: 1, 7] vs 9 [Q1, Q3: 3, 14]). Conclusions: Among patients with type 2 MI, prevalence of any CAD and obstructive CAD did not differ according to sex. Total plaque volume was similar between sexes, but women had a lower volume of low-attenuation plaque (DEFINing the PrEvalence and Characteristics of Coronary Artery Disease Among Patients With TYPE 2 Myocardial Infarction Using CT-FFR [DEFINE TYPE2MI]; NCT04864119).

Indexed as

coronary computed tomography angiographyfractional flow reservesex-based differencestype 2 myocardial infarction

Identifiers

PMID38939381
PMCPMC11198490

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Registered trials

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.