Evidence map›Paper›PMID 40491666›Full record

ArticleBJA open2025

Is chronic inflammation a risk factor for perioperative myocardial injury or heart failure in pancreatic surgery patients?

Ted Reniers, Thijs Rettig, Laura van Zeggeren, Ineke Dijkstra, Kyra Prinsze, Izaak Molenaar, Hjalmar van Santvoort, Olaf Cremer, Lisette Vernooij, Peter Noordzij

Registry-linked trialAbstract read
In one paragraph

Article in BJA open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03460938 (The Effect of Remote Ischemic Preconditioning on Postoperative Myocardial Ischemia in Pancreatic Surgery), which is not on this map. Cited by 2 papers.

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

NCT03460938 nacompletednot on this map

The Effect of Remote Ischemic Preconditioning on Postoperative Myocardial Ischemia in Pancreatic Surgery: a Randomized Controlled Trial

TypeinterventionalSponsorSt. Antonius HospitalRan2017 to 2019Enrolled90ConditionsMyocardial Ischemia, Inflammatory ResponseArmsRemote ischemic preconditioning
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  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

10 authors.

Ted ReniersDepartment of Anaesthesiology, Intensive Care and Pain Medicine, St Antonius Hospital, Nieuwegein, The Netherlands.
Thijs RettigDepartment of Anaesthesiology, Intensive Care and Pain Medicine, Amphia Hospital, Breda, The Netherlands.
Laura van ZeggerenDepartment of Anaesthesiology and Pain Medicine, Rijnstate Hospital, Arnhem, The Netherlands.
Ineke DijkstraDepartment of Clinical Chemistry, St Antonius Hospital, Nieuwegein, The Netherlands.
Kyra PrinszeDepartment of Hepato-Pancreato-Biliary Surgery, Regional Academic Cancer Centre Utrecht, St. Antonius Hospital, Nieuwegein, The Netherlands.
Izaak MolenaarDepartment of Hepato-Pancreato-Biliary Surgery, Regional Academic Cancer Centre Utrecht, St. Antonius Hospital, Nieuwegein, The Netherlands.
Hjalmar van SantvoortDepartment of Hepato-Pancreato-Biliary Surgery, Regional Academic Cancer Centre Utrecht, St. Antonius Hospital, Nieuwegein, The Netherlands.
Olaf CremerDepartment of Anaesthesiology and Intensive Care, University Medical Centre Utrecht, Utrecht, The Netherlands.
Lisette VernooijDepartment of Anaesthesiology, Intensive Care and Pain Medicine, St Antonius Hospital, Nieuwegein, The Netherlands.
Peter NoordzijDepartment of Anaesthesiology, Intensive Care and Pain Medicine, St Antonius Hospital, Nieuwegein, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic inflammation is associated with cardiovascular disease. Whether cardiac risk is increased in surgical patients with chronic inflammation is unknown. We hypothesised that preoperative interleukin 6 (IL-6) is associated with postoperative biomarker release indicative of myocardial injury and heart failure. Methods: In this prospective cohort study in pancreatic surgery patients, concentrations of IL-6, high-sensitive cardiac troponin-T (hs-cTnT), growth differentiation factor 15 (GDF-15), and N-terminal pro B-type natriuretic peptide (NT-proBNP) were assessed before surgery and 4, 12, 24, and 48 h after surgery. The primary outcome was perioperative myocardial injury (PMI), defined as an absolute hs-cTnT increase ≥14 pg ml Results: Of 88 patients, 24 (27%) had high preoperative IL-6 (>7 pg ml Conclusions: Preoperative inflammation was not associated with PMI or postoperative biomarkers of heart failure after pancreatic surgery. However, patients with high IL-6 concentrations had higher preoperative concentrations of cardiac biomarkers, suggesting the presence of subclinical cardiovascular disease. Clinical trial registration: NCT03460938.

Indexed as

biomarkersheart failureinflammationpancreatic surgeryPMI

Identifiers

PMID40491666
PMCPMC12145987

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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.