Evidence map›Paper›PMID 39749045›Full record

SynthesisCardiovascular therapeutics2024

Heparin and Bivalirudin in Percutaneous Coronary Intervention for Acute Coronary Syndromes: A Review Article.

Guiping Wang, Kaijie Qi, Xuyang Li, Shuping Zuo, Ruolin Zhang, Yanan Zhao, Suya Sun, Juanjuan Zhang, Xiaokun Liu

Abstract readSystematic Review
In one paragraph

Synthesis in Cardiovascular therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Guiping WangDepartment of Cardiology, Tangshan Gongren Hospital, Tangshan, Hebei Province, China.ORCID https://orcid.org/0000-0003-3278-5829
Kaijie QiSchool of Public Health, Wuhan University, Wuhan, Hubei Province, China.ORCID https://orcid.org/0009-0002-2264-9356
Xuyang LiDepartment of Cardiology, Tangshan Gongren Hospital, Tangshan, Hebei Province, China.ORCID https://orcid.org/0009-0002-6212-6621
Shuping ZuoDepartment of Cardiology, Tangshan Gongren Hospital, Tangshan, Hebei Province, China.ORCID https://orcid.org/0000-0001-9594-2364
Ruolin ZhangHarvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-2263-152X
Yanan ZhaoDepartment of Cardiology, Tangshan Gongren Hospital, Tangshan, Hebei Province, China.ORCID https://orcid.org/0000-0002-6096-398X
Suya SunDepartment of Cardiology, Tangshan Gongren Hospital, Tangshan, Hebei Province, China.ORCID https://orcid.org/0000-0003-4801-7170
Juanjuan ZhangDepartment of Cardiology, Tangshan Gongren Hospital, Tangshan, Hebei Province, China.ORCID https://orcid.org/0000-0001-6726-4789
Xiaokun LiuDepartment of Cardiology, Tangshan Gongren Hospital, Tangshan, Hebei Province, China.ORCID https://orcid.org/0000-0002-7248-0758

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute coronary syndrome (ACS) is one of the most common leading global causes of mortality, encompassing ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI), and unstable angina (UA). Percutaneous coronary intervention (PCI) has become a pivotal therapeutic approach for ACS, underscoring the importance of anticoagulation strategies. Among the commonly employed anticoagulants in PCI, heparin and bivalirudin take precedence, with heparin serving as the archetypal choice. Nevertheless, the determination of an optimal anticoagulation regimen remains a point of contention in contemporary clinical practice. To address the differences in anticoagulants during PCI, we meticulously conducted a literature review through PubMed and Web of Science, employing search terms such as "heparin," "bivalirudin," "percutaneous coronary intervention," and "acute coronary syndrome." For patients with PIC brought on by STEMI, NSTEMI, and stable or UA pectoris, the review focused on randomized controlled trials to assess and compare the efficacy and safety of heparin and bivalirudin as anticoagulant options. This systematic review is aimed at furnishing valuable insights into the ongoing debate surrounding the choice of anticoagulation regimens in PCI. By scrutinizing clinical evidence derived from relevant trials, we seek to inform and guide healthcare practitioners in making informed decisions based on the unique requirements of patients with various ACS presentations.

Indexed as

Acute Coronary SyndromeAnticoagulantsAntithrombinsHeparinHirudinsPeptide FragmentsPercutaneous Coronary InterventionRecombinant ProteinsClinical Decision-MakingHemorrhageHumansNon-ST Elevated Myocardial InfarctionRisk AssessmentRisk FactorsST Elevation Myocardial InfarctionTreatment OutcomeAnticoagulantsAntithrombinsbivalirudinHeparinHirudinsPeptide FragmentsRecombinant ProteinsACSbivalirudinheparinPCI

Identifiers

PMID39749045
PMCPMC11695083

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.