Evidence map›Paper›PMID 40135329›Full record

Trial reportCirculation. Heart failure2025

Blood Transfusion in Patients With Acute Myocardial Infarction, Anemia, and Heart Failure: Lessons From MINT.

Andrew M Goldsweig, William J Kostis, Brandon M Herbert, Claire Bouleti, Brian J Potter, Jordan B Strom, Jocelyne Benatar, Thao Huynh, Srikanth Vallurupalli, Estêvão Lanna Figueiredo and 13 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Circulation. Heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02981407 (Myocardial Ischemia and Transfusion), which is not on this 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.

NCT02981407 phase3completednot on this map

Myocardial Ischemia and Transfusion

TypeinterventionalSponsorRutgers, The State University of New JerseyRan2017 to 2023Enrolled3,506ConditionsMyocardial Infarction, AnemiaArmsRed Blood Cell Transfusion
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Andrew M GoldsweigDepartment of Cardiovascular Medicine, Baystate Medical Center (A.M.G.).ORCID 0000-0003-2952-7837
William J KostisDivision of Cardiovascular Disease and Hypertension, Robert Wood Johnson Medical School, New Brunswick, NJ (W.J.K.).ORCID 0000-0002-0543-9798
Brandon M HerbertDepartment of Epidemiology, University of Pittsburgh School of Public Health, PA (B.M.H., M.M.B.).ORCID 0000-0003-3857-7422
Claire BouletiDepartment of Cardiology, University of Poitiers, France (C.B.).ORCID 0000-0001-6922-0093
Brian J PotterDepartment of Cardiology, Centre Hospitalier de L'Universite de Montreal, QC, Canada (B.J.P., P.C.H.).ORCID 0000-0002-0316-9026
Jordan B StromDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA (J.B.S.).ORCID 0000-0002-6592-6141
Jocelyne BenatarCardiovascular Directorate, Te Toka Tumai, Auckland, New Zealand (J.B.).ORCID 0000-0002-6724-8997
Thao HuynhDivision of Cardiology, McGill University, Montreal, QC, Canada (T.H.).ORCID 0000-0002-5082-1363
Srikanth VallurupalliDivision of Cardiology, University of Arkansas for Medical Sciences, Little Rock (S.R.V.).
Estêvão Lanna FigueiredoInstituto Orizonti, Belo Horizonte, Brazil (E.L.F.).ORCID 0000-0001-5420-2482
J Dawn AbbottDivision of Cardiovascular Medicine, Brown University and Lifespan Cardiovascular Institute, Providence, RI (J.D.A.).ORCID 0000-0002-2560-0155
Howard A CooperDepartment of Cardiology, Westchester Medical Center, Valhalla, NY (H.A.C.).
Andrew P DeFilippisDivision of Cardiovascular Medicine, Vanderbilt University, Nashville, TN (A.P.D.).ORCID 0000-0002-5135-9748
Dean A FergussonDepartment of Medicine (D.A.F.), University of Ottawa, ON, Canada.
Shaun G GoodmanPeter Munk Cardiac Centre, St. Michael's Hospital, Toronto, ON, Canada (S.G.G.).ORCID 0000-0001-8068-2440
Paul C HébertDepartment of Cardiology, Centre Hospitalier de L'Universite de Montreal, QC, Canada (B.J.P., P.C.H.).ORCID 0000-0002-0440-8586
Renato D LopesDivision of Cardiology, Duke Clinical Research Institute and Duke University, Durham, NC (R.D.L., J.H.A.).ORCID 0000-0003-2999-4961
Sunil V RaoDepartment of Cardiovascular Medicine, Baystate Medical Center (A.M.G.).ORCID 0000-0003-2914-0894
Tabassome SimonDepartment of Pharmacology, Sorbonne University, Paris, France (T.S.).ORCID 0000-0002-4550-0450
Jeffrey L CarsonDivision of General Internal Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ (J.L.C.).ORCID 0000-0001-5466-2833
Maria Mori BrooksDepartment of Epidemiology, University of Pittsburgh School of Public Health, PA (B.M.H., M.M.B.).ORCID 0000-0002-2030-7873
John H AlexanderDivision of Cardiology, Duke Clinical Research Institute and Duke University, Durham, NC (R.D.L., J.H.A.).ORCID 0000-0002-1444-2462
MINT Investigators

Funding

Myocardial Ischemia and Transfusion (MINT) - CCCU01HL133817 · NHLBI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI CARSON, JEFFREY LEE · 2016 to 2022
$17.1M
Myocardial Ischemia and Transfusion (MINT) - DCCU01HL132853 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BROOKS, MARIA MORI · 2016 to 2022
$4.1M
NHLBI NIH HHS U01 HL132853NHLBI NIH HHS U01 HL133817
6 · The paper itself

Abstract

backgroundBlood transfusion may precipitate adverse outcomes, including heart failure (HF), among patients with acute myocardial infarction (MI). This study characterizes the effects of a restrictive or liberal transfusion strategy on outcomes in patients with MI and anemia with and without baseline HF.

methodsIn the MINT trial (Myocardial Ischemia and Transfusion), 3504 patients with MI and anemia (hemoglobin <10 g/dL) were randomized to a restrictive (hemoglobin <8 g/dL) or liberal (hemoglobin <10 g/dL) transfusion strategy. We compared the effects of transfusion strategy on outcomes among patients with and without baseline HF. The primary outcome was death or HF at 30 days.

resultsCompared with patients without baseline HF (n=1633), those with baseline HF (n=1871) had higher rates of death or HF (18.0% versus 10.0%) at 30 days. Restrictive transfusion resulted in numerically higher rates of death or HF (rate ratio, 1.20 [95% CI, 0.99-1.45] versus 0.94 [95% CI, 0.70-1.26];

conclusionsA liberal transfusion strategy is safe for patients with MI and anemia, including those with baseline HF. Restrictive transfusion tended to result in worse outcomes, particularly in patients with baseline HF. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT02981407.

Indexed as

AnemiaBlood TransfusionHeart FailureMyocardial InfarctionAgedFemaleHumansMaleMiddle AgedRisk FactorsTreatment Outcomeanemiaheart failurehemoglobinmyocardial infarction

Identifiers

PMID40135329
PMCPMC11999761

What OpenQuestion holds

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Registered trials

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.