Evidence map›Paper›PMID 39128927›Full record

ArticleNature communications2024

Clinical characteristics and prognostic importance of anticoagulant use in ischemic left ventricular aneurysm: a retrospective cohort study.

Qin-Fen Chen, Liangguo Wang, Christos S Katsouras, Mengge Gong, Chenyang Liu, Liyou Lian, Xiaoyan Chen, Xuemeng Zhu, Chen Chen, Xiaofang Feng and 2 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

12 authors.

Qin-Fen Chen *Medical Care Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Liangguo Wang *Department of Cardiovascular Medicine, the Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Christos S KatsourasSecond Department of Cardiology, University Hospital of Ioannina Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, 45110, Greece.
Mengge GongDepartment of Cardiovascular Medicine, the Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Chenyang LiuDepartment of Cardiovascular Medicine, the Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.ORCID 0009-0008-7874-5703
Liyou LianDepartment of Cardiovascular Medicine, the Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Xiaoyan ChenDepartment of Cardiovascular Medicine, the Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Xuemeng ZhuDepartment of Cardiovascular Medicine, the Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Chen ChenDepartment of Cardiovascular Medicine, the Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Xiaofang FengDepartment of Cardiovascular Medicine, the Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Wei-Hong LinMedical Care Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Xiao-Dong ZhouDepartment of Cardiovascular Medicine, the Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China. zhouxiaodong@wmu.edu.cn.ORCID 0000-0002-8534-0818

Funding

Wenzhou Municipal Science and Technology Bureau (Wenzhou Municipal Sci - Tech Bureau) 2022Y0726Wenzhou Municipal Science and Technology Bureau (Wenzhou Municipal Sci - Tech Bureau) Y20220081
6 · The paper itself

Abstract

There is insufficient data on systemic embolic events (SSEs) in patients with ischemic left ventricular aneurysm (LVA) concerning the impact of anticoagulation therapy. In this retrospective cohort study with 1043 patients with ischemic LVA, SSEs occurred in 7.2% over 2.4 years. After adjusting for relevant factors, the use of anticoagulants was independently associated with a lower incidence of SSE (3.1% vs. 9.0%, P < 0.001; subdistribution hazard ratios (SHR) 0.21, 95% confidence intervals (CI) 0.10-0.44, P < 0.001), with no significant difference in net adverse clinical events (NACEs) (10.6% vs. 13.3%, P = 0.225). Specifically, anticoagulation in patients with apical segment akinesis significantly reduced SSEs (3.9% vs. 13.6%, P = 0.002) and NACE rates (7.8% vs. 19.4%, P = 0.002). Major bleeding rates did not significantly differ between groups (5.6% vs. 3.5%, P = 0.111). These findings highlight the SSE risk in ischemic LVA and suggest potential benefits of anticoagulation, particularly in those with apical segment akinesis. These findings need to be validated in independent datasets.

Indexed as

AnticoagulantsHeart AneurysmAgedEmbolismFemaleHeart VentriclesHemorrhageHumansMaleMiddle AgedMyocardial IschemiaPrognosisRetrospective StudiesRisk FactorsAnticoagulants

Identifiers

PMID39128927
PMCPMC11317478

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.