Evidence map›Paper›PMID 39262111›Full record

ArticleClinical cardiology2024

The Impact of Body Mass Index on the Mortality of Myocardial Infarction Patients With Nonobstructive Coronary Arteries.

Chaohui Dong, Mustafa Kacmaz, Clara Schlettert, Mohammad Abumayyaleh, Ibrahim Akin, Rayyan Hemetsberger, Andreas Mügge, Assem Aweimer, Nazha Hamdani, Ibrahim El-Battrawy

Abstract read
In one paragraph

Article in Clinical cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Chaohui DongDepartment of Cellular and Translational Physiology, Institute of Physiology, Ruhr-University Bochum, Bochum, Germany.
Mustafa KacmazDepartment of Cellular and Translational Physiology, Institute of Physiology, Ruhr-University Bochum, Bochum, Germany.
Clara SchlettertDepartment of Cardiology and Angiology, Bergmannsheil University Hospital, Ruhr University of Bochum, Bochum, Germany.
Mohammad AbumayyalehFirst Department of Medicine, University Medical Centre Mannheim (UMM), Mannheim, Germany.
Ibrahim AkinFirst Department of Medicine, University Medical Centre Mannheim (UMM), Mannheim, Germany.
Rayyan HemetsbergerDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Andreas MüggeDepartment of Cardiology and Angiology, Bergmannsheil University Hospital, Ruhr University of Bochum, Bochum, Germany.
Assem AweimerDepartment of Cardiology and Angiology, Bergmannsheil University Hospital, Ruhr University of Bochum, Bochum, Germany.
Nazha HamdaniDepartment of Cellular and Translational Physiology, Institute of Physiology, Ruhr-University Bochum, Bochum, Germany.
Ibrahim El-BattrawyDepartment of Cellular and Translational Physiology, Institute of Physiology, Ruhr-University Bochum, Bochum, Germany.

Funding

InnovationForum program of the Medical Faculty, RUB (Grants IF-023-22 and IF-034-22) EU's Horizon 2020 research and innovation program (Grant 739593) Deutsche Forschungsgemeinschaft (Grants HA 7512/2-1 and HA 7512/2-4) Else-Kröner-foundation (Grant 2022_EKES.48) German Heart Foundation (Grant 2024).
6 · The paper itself

Abstract

objectivesMyocardial infarction without significant stenosis or occlusion of the coronary arteries carries a high risk of recurrent major adverse cardiovascular events and poor prognosis. This study aimed to investigate the association between body mass index and outcomes in patients with a suspected myocardial infarction with nonobstructive coronary artery disease (MINOCA).

methodsPatients were recruited at Bergmannsheil University Hospital from January 2010 to April 2021. The primary outcomes were in-hospital and long-term mortality. Secondary outcomes consisted of adverse events during hospitalization and during follow-up.

resultsA total of 373 patients were included in the study, with a mean follow-up time of 6.2 years. The patients were divided into different BMI groups: < 25 kg/m² (n = 121), 25-30 kg/m² (n = 140), and > 30 kg/m² (n = 112). In-hospital mortality was 1.7% versus 2.1% versus 4.5% (p = 0.368). However, long-term mortality tended to be higher in the < 25 kg/m² group compared to the 25-30 and > 30 kg/m² groups (log-rank p = 0.067). Subgroup analysis using Kaplan-Meier analysis showed a higher rate of cardiac cause of death in the < 25 kg/m² group compared to the 25-30 and > 30 kg/m² groups: 5.7% versus 1.1% versus 0.0% (log-rank p = 0.042). No significant differences were observed in other adverse events between the different BMI groups during hospitalization and long-term follow-up.

conclusionsPatients with a BMI < 25 kg/m² who experience a suspected myocardial infarction without significant coronary artery disease may have higher all-cause mortality and cardiovascular cause of death. However, further data are needed to confirm these findings.

Indexed as

Body Mass IndexHospital MortalityMyocardial InfarctionAgedCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFemaleFollow-Up StudiesHumansMaleMiddle AgedMINOCAPrognosisRetrospective StudiesRisk Assessmentadverse eventsmortalitymyocardial infarctionobesityoverweight

Identifiers

PMID39262111
PMCPMC11390790

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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.