Evidence map›Paper›PMID 38993583›Full record

ArticleWorld journal of cardiology2024

Initial decrease in the lipoprotein(a) level is a novel prognostic biomarker in patients with acute coronary syndrome.

Yasuhiko Saeki, Jun Sawaguchi, Satori Akita, Taka-Aki Takamura, Kosuke Fujibayashi, Minoru Wakasa, Hironobu Akao, Michihiko Kitayama, Yasuyuki Kawai, Kouji Kajinami

Abstract read
In one paragraph

Article in World journal of cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. 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.

Yasuhiko SaekiDepartment of Cardiology, Kanazawa Medical University, Uchinada 9200293, Japan.
Jun SawaguchiDepartment of Cardiology, Kanazawa Medical University, Uchinada 9200293, Japan.
Satori AkitaDepartment of Cardiology, Kanazawa Medical University, Uchinada 9200293, Japan.
Taka-Aki TakamuraDepartment of Cardiology, Kanazawa Medical University, Uchinada 9200293, Japan.
Kosuke FujibayashiDepartment of Cardiology, Kanazawa Medical University, Uchinada 9200293, Japan.
Minoru WakasaDepartment of Cardiology, Kanazawa Medical University, Uchinada 9200293, Japan.
Hironobu AkaoDepartment of Cardiology, Kanazawa Medical University, Uchinada 9200293, Japan.
Michihiko KitayamaTrans-catheter Cardiovascular Therapeutics, Kanazawa Medical University, Uchinada 9200293, Japan.
Yasuyuki KawaiDepartment of Cardiology, Kanazawa Medical University, Uchinada 9200293, Japan.
Kouji KajinamiDepartment of Cardiology, Kanazawa Medical University, Uchinada 9200293, Japan. kajinami@kanazawa-med.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLipoprotein(a) [Lp(a)] is a causal risk factor for atherosclerotic cardiovascular diseases; however, its role in acute coronary syndrome (ACS) remains unclear.

aimTo investigate the hypothesis that the Lp(a) levels are altered by various conditions during the acute phase of ACS, resulting in subsequent cardiovascular events.

methodsFrom September 2009 to May 2016, 377 patients with ACS who underwent emergent coronary angiography, and 249 who completed ≥ 1000 d of follow-up were enrolled. Lp(a) levels were measured using an isoform-independent assay at each time point from before percutaneous coronary intervention (PCI) to 48 h after PCI. The primary endpoint was the occurrence of major adverse cardiac events (MACE; cardiac death, other vascular death, ACS, and non-cardiac vascular events).

resultsThe mean circulating Lp(a) level decreased significantly from pre-PCI (0 h) to 12 h after (19.0 mg/dL to 17.8 mg/dL,

conclusionCirculating Lp(a) levels in patients with ACS decreased significantly after emergent PCI, and a greater decrease was independently associated with a worse prognosis.

Indexed as

Acute coronary syndromeLipoprotein (a)Major adverse cardiac eventsPercutaneous coronary interventionPrognosis

Identifiers

PMID38993583
PMCPMC11235205

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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.