Evidence map›Paper›PMID 39721703›Full record

ArticleJournal of atherosclerosis and thrombosis2025

Diagnostic Ability of Risk Models in the Field of Ischemic Stroke for Predicting Atherosclerotic Outcomes in Patients with Acute Myocardial Infarction.

Hiroki Goto, Yuichi Saito, Hiroaki Yaginuma, Kazunari Asada, Takanori Sato, Osamu Hashimoto, Hideki Kitahara, Yoshio Kobayashi

Abstract readMulticenter Study
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

8 authors.

Hiroki GotoDepartment of Cardiovascular Medicine, Chiba University Hospital.
Yuichi SaitoDepartment of Cardiovascular Medicine, Chiba University Hospital.
Hiroaki YaginumaDepartment of Cardiovascular Medicine, Chiba University Hospital.
Kazunari AsadaDepartment of Cardiovascular Medicine, Chiba University Hospital.
Takanori SatoDepartment of Cardiovascular Medicine, Chiba University Hospital.
Osamu HashimotoDepartment of Cardiology, Chiba Emergency and Psychiatric Medical Center.
Hideki KitaharaDepartment of Cardiovascular Medicine, Chiba University Hospital.
Yoshio KobayashiDepartment of Cardiovascular Medicine, Chiba University Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsSeveral risk-scoring models, including the Fukuoka Stroke Risk Score, Essen Stroke Risk Score, and Stroke Prognosis Instrument II, have been developed to predict recurrent cerebrovascular events in patients with ischemic stroke. As myocardial infarction (MI) and ischemic stroke are both atherosclerotic diseases, these scoring models in the field of cerebrovascular disease may be applicable and useful for risk stratification in patients with acute MI. We therefore evaluated the diagnostic ability and clinical applicability of these stroke risk scores in predicting atherosclerotic events after acute MI.

methodsThis multicenter retrospective study included 2016 patients with acute MI who underwent percutaneous coronary intervention and survived to discharge. The three risk-scoring models were calculated, and their diagnostic ability for major adverse cardiovascular events (MACE) after discharge, a composite of cardiovascular death, recurrent MI, and ischemic stroke, was evaluated.

resultsDuring the median follow-up of 523 days, 218 (10.8%) patients experienced MACE after discharge. High values for Fukuoka Stroke Risk Score, Essen Stroke Risk Score, and Stroke Prognosis Instrument II were progressively associated with an increased risk of MACE after discharge. Overall, the diagnostic abilities of the three risk scores were similar.

conclusionsRisk prediction models in the field of ischemic stroke, including the Fukuoka Stroke Risk Score, Essen Stroke Risk Score, and Stroke Prognosis Instrument II, were useful in stratifying MACE risk in patients with acute MI. Risk-scoring models for atherosclerotic cardiovascular disease may be applicable to patient populations with other cardiovascular diseases in different arterial territories.

Indexed as

AtherosclerosisIschemic StrokeMyocardial InfarctionAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPercutaneous Coronary InterventionPrognosisRetrospective StudiesRisk AssessmentRisk FactorsAcute myocardial infarctionAtherosclerotic cardiovascular diseaseRisk score

Identifiers

PMID39721703
PMCPMC12237784

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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.