Evidence map›Paper›PMID 40586027›Full record

ArticleCJC open2025

Microcirculation Function in Non-ST-Elevation Myocardial Infarction After the Index Event and at Follow-Up Assessment.

Luis Paiva, Enrique Gutiérrez, Maria João Ferreira, Lino Gonçalves

Abstract read
In one paragraph

Article in CJC open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Observational
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

4 authors.

Luis PaivaMedical School, University of Coimbra, Coimbra, Portugal.
Enrique GutiérrezCardiology Department, General University of Hospital Gregorio Marañón, Madrid, Spain.
Maria João FerreiraMedical School, University of Coimbra, Coimbra, Portugal.
Lino GonçalvesMedical School, University of Coimbra, Coimbra, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The assessment of coronary physiology is seldom considered in cases of non-ST-elevation myocardial infarction (NSTEMI). This study aimed to characterize coronary physiology and determine the incidence of microvascular dysfunction in the myocardial infarction (MI) culprit coronary artery during the acute phase of NSTEMI and subsequent follow-up evaluation. Methods: This study included 30 patients hospitalized for NSTEMI. A physiological assessment of the MI culprit coronary artery was performed using fractional flow reserve, coronary flow reserve (CFR), and index of microcirculatory resistance (IMR). At a median of 7 months after MI, patients underwent repeated physiological assessment of the same coronary artery. Results: Microvascular dysfunction identified using CFR (< 2.0) was frequently present (60%) during the acute phase of NSTEMI, whereas severe microcirculatory dysfunction (IMR > 40) was uncommon (17%). Over time, a significant reduction occurred in the prevalence of abnormal CFR values (< 2.0; 60% vs 26%, Conclusions: In the acute phase of NSTEMI, reduced CFR was commonly observed in the MI culprit coronary artery, whereas severe microcirculatory dysfunction was infrequent.

Identifiers

PMID40586027
PMCPMC12198610

What OpenQuestion holds

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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.