Evidence map›Paper›PMID 38939390›Full record

ArticleJACC. Advances2024

Antithrombotic Therapy in Patients With Infective Endocarditis: A Systematic Review and Meta-Analysis.

Tulio Caldonazo, Rita Musleh, Alexandros Moschovas, Hristo Kirov, Marcus Franz, Karl Georg Haeusler, Gloria Faerber, Torsten Doenst, Albrecht Günther, Mahmoud Diab

Abstract 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. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Antithrombotic therapy in infective endocarditis: Long-term clinical outcomes of a retrospective cohort study.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Article
  10. 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

10 authors.

Tulio CaldonazoDepartment of Cardiothoracic Surgery, Friedrich-Schiller-University, Jena, Germany.
Rita MuslehDepartment of Neurology, Friedrich-Schiller-University, Jena, Germany.
Alexandros MoschovasDepartment of Thoracic and Cardiovascular Surgery, University Hospital Würzburg, Würzburg, Germany.
Hristo KirovDepartment of Cardiothoracic Surgery, Friedrich-Schiller-University, Jena, Germany.
Marcus FranzDepartment of Cardiology, Friedrich-Schiller-University, Jena, Germany.
Karl Georg HaeuslerDepartment of Neurology, University Hospital of Würzburg (UKW), Würzburg, Germany.
Gloria FaerberDepartment of Cardiothoracic Surgery, Friedrich-Schiller-University, Jena, Germany.
Torsten DoenstDepartment of Cardiothoracic Surgery, Friedrich-Schiller-University, Jena, Germany.
Albrecht GüntherDepartment of Neurology, Friedrich-Schiller-University, Jena, Germany.
Mahmoud DiabDepartment of Cardiothoracic Surgery, Friedrich-Schiller-University, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antithrombotic therapy (ATT) in patients with infective endocarditis (IE) is challenging. Objectives: The authors evaluated the impact of anticoagulant and antiplatelet therapy on clinical endpoints in IE patients. Methods: We performed a systematic review and meta-analysis comparing IE patients with prior and/or ongoing use of ATT vs those without any ATT during IE course. Primary outcome was reported in-hospital cerebrovascular events. Secondary outcomes were in-hospital mortality, intracranial hemorrhage (ICH), systemic thromboembolism (ST), and mortality within 6 months. Results: Twelve studies, with a total of 12,151 patients, were included. The primary endpoint was not different comparing 10,115 IE patients with or without prior anticoagulation (OR: 1.10; 95% CI: 0.56-2.17; Conclusions: ATT in IE patients was not associated with higher frequency of cerebrovascular events or ICH. Moreover, we found that the use of anticoagulation was associated with decreased in-hospital mortality and the use of antiplatelets was associated with decreased ST. Due to the limitations of this study, these results should be interpreted cautiously showing the necessity of a randomized setup.

Indexed as

antiplatelet/anticoagulation therapycerebrovascular eventsinfective endocarditisintracranial hemorrhage

Identifiers

PMID38939390
PMCPMC11198087

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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.