Evidence map›Paper›PMID 41209141›Full record

ArticleReviews in cardiovascular medicine2025

Incremental Prognostic Value of Cystatin C-Based Estimated Glomerular Filtration Rate in Patients With Acute Coronary Syndrome.

Qiang Chen, Yike Li, Xu Chen, Haoming He, Yingying Xie, Yonghui Xu, Yue Cai, Tao Ye, Yanxiang Gao, Shiqiang Xiong and 2 more

Abstract read
In one paragraph

Article in Reviews in cardiovascular medicine, 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

12 authors.

Qiang ChenChina-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences, Peking Union Medical College, 100029 Beijing, China.ORCID https://orcid.org/0000-0003-1467-7090
Yike LiChina-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences, Peking Union Medical College, 100029 Beijing, China.
Xu ChenDepartment of Cardiology, The Third People's Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University, 610031 Chengdu, Sichuan, China.
Haoming HeChina-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences, Peking Union Medical College, 100029 Beijing, China.
Yingying XieChina-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences, Peking Union Medical College, 100029 Beijing, China.
Yonghui XuDepartment of Cardiology, China-Japan Friendship Hospital, 100029 Beijing, China.
Yue CaiDepartment of Cardiology, China-Japan Friendship Hospital, 100029 Beijing, China.
Tao YeDepartment of Cardiology, The Third People's Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University, 610031 Chengdu, Sichuan, China.
Yanxiang GaoDepartment of Cardiology, China-Japan Friendship Hospital, 100029 Beijing, China.
Shiqiang XiongDepartment of Cardiology, The Third People's Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University, 610031 Chengdu, Sichuan, China.
Lin CaiDepartment of Cardiology, The Third People's Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University, 610031 Chengdu, Sichuan, China.
Jingang ZhengChina-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences, Peking Union Medical College, 100029 Beijing, China.ORCID https://orcid.org/0000-0002-3769-6166

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The 2021 Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation, which incorporates both creatinine and cystatin C, provides enhanced estimation of glomerular filtration rate (eGFR) compared to creatinine-only equations. This study aimed to explore the incremental prognostic value of eGFR estimates in patients with acute coronary syndrome (ACS). Method: This retrospective analysis evaluated 1400 ACS patients undergoing a percutaneous coronary intervention (PCI). The primary endpoint was defined as major adverse cardiovascular events (MACEs), a composite of all-cause death and nonfatal myocardial infarction (MI). The eGFR values were calculated using three equations: one based solely on serum creatinine (eGFR Results: Over a median follow-up of 31.03 (27.34, 35.06) months, 135 (9.6%) patients experienced MACEs, including 99 (7.1%) deaths and 41 (2.9%) MIs. Lower eGFR values correlated with higher MACEs and the risk of death. Incorporating eGFR Conclusion: The eGFR based on the 2021 CKD-EPI equation using both creatinine and cystatin C significantly improves risk prediction and reclassification in ACS patients compared with a creatinine-based equation.

Indexed as

acute coronary syndromecystatin Cestimating glomerular filtration raterisk stratification

Identifiers

PMID41209141
PMCPMC12593831

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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.