Evidence map›Paper›PMID 40396508›Full record

ArticleCardiology journal2025

Assessment of acute coronary syndromes among patients with left main coronary artery disease in centers with and without cardiac surgery on-site. Data from PL-ACS registry.

Karol Śmiech, Krzysztof Brust, Kamil Bujak, Mariusz Gąsior, Tomasz Roleder

Abstract readMulticenter Study
In one paragraph

Article in Cardiology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Karol ŚmiechRegional Specialist Hospital, Research and Development Center, Wroclaw, Poland. smiechkarol@gmail.com.
Krzysztof BrustRegional Specialist Hospital, Research and Development Center, Wroclaw, Poland.
Kamil Bujak3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze Medical University of Silesia in Katowice, Poland.
Mariusz Gąsior3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze Medical University of Silesia in Katowice, Poland.
Tomasz RolederRegional Specialist Hospital, Research and Development Center, Wroclaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe treatment of left main coronary artery disease (LMCAD) in acute coronary syndrome patients is challenging in daily clinical practice. Therefore, the question arises whether the clinical outcomes of acute coronary syndrome (ACS) patients with LM disease vary between centers with and without cardiac surgery on site.

methodsThe study is a retrospective analysis of ACS patient outcomes using data from the PL-ACS registry, which is a Polish archive of ACS patients. The following analysis considered patients with LMCAD (n=4000) who were divided into two groups: those treated in the centers with the cardiac surgery department on site (CS group, n=427) and those without (non-CS group, n=3573).

resultsPatients with ACS in non-CS group more often were not qualified for revascularization than patients in CS group (11.7% in the CS group vs. 19.9% in the non-CS group, p<0.001), however, CABG was more common in non-CS group (18.7% in CS group vs. 25.7% in non-CS group, p<0.001). PCI, including angioplasty of LM, was more common in CS-group than non-CS group (38,6% vs. 30,3%, p<0.001). Among patients with ACS in CS group, major adverse cardiac events (MACE) were observed with greater frequency.

conclusionsPatients with LM disease admitted to the centers with CS initially had more risk factors for more intensive hospitalization compared to patients in centers without CS on-site. Clinical outcomes and treatment procedures may differ regarding the availability of CS on-site.

Indexed as

Acute Coronary SyndromeCardiac Surgical ProceduresCoronary Artery BypassCoronary Artery DiseasePercutaneous Coronary InterventionAgedFemaleHumansMaleMiddle AgedPolandRegistriesRetrospective StudiesRisk FactorsTreatment Outcomeacute coronary syndromeCABGleft main coronary artery diseasepercutaneous coronary intervention

Identifiers

PMID40396508
PMCPMC12221318

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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.