Evidence map›Paper›PMID 41560022›Full record

Observational studyMedicine2026

Prognostic impact of baseline left ventricular ejection fraction in patients with coronary chronic total occlusion after successful percutaneous coronary intervention or medical therapy: A prospective cohort study.

Yong Hoon Kim, Ae-Young Her, Seung-Woon Rha, Cheol Ung Choi, Byoung Geol Choi, Soohyung Park, Jung Rae Cho, Min-Woong Kim, Ji Young Park

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2026. 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

9 authors.

Yong Hoon KimDepartment of Internal Medicine, Division of Cardiology, Kangwon National University College of Medicine, Chuncheon, Republic of Korea.ORCID 0000-0002-9669-3598
Ae-Young HerDepartment of Internal Medicine, Division of Cardiology, Kangwon National University College of Medicine, Chuncheon, Republic of Korea.ORCID 0000-0002-9990-6843
Seung-Woon RhaCardiovascular Center, Korea University Guro Hospital, Seoul, Republic of Korea.ORCID 0000-0001-9456-9852
Cheol Ung ChoiCardiovascular Center, Korea University Guro Hospital, Seoul, Republic of Korea.ORCID 0000-0003-2815-9358
Byoung Geol ChoiDepartment of Biomedical Laboratory Science, Honam University, Gwangju, Republic of Korea.ORCID 0000-0002-6090-869
Soohyung ParkCardiovascular Center, Korea University Guro Hospital, Seoul, Republic of Korea.ORCID 0000-0001-8463-2002
Jung Rae ChoDepartment of Internal Medicine, Cardiology Division, Kangnam Sacred Heart Hospital.ORCID 0000-0002-9803-6612
Min-Woong KimDepartment of Cardiology, Changwon Hanmaeum Hospital, Hanyang University College of Medicine, Changwon, Republic of Korea.ORCID 0009-0001-6512-9097
Ji Young ParkDepartment of Internal Medicine, Division of Cardiology, Cardiovascular Center, Nowon Eulji Medical Center, Eulji University, Seoul, Republic of Korea.ORCID 0000-0002-6097-059

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Left ventricular ejection fraction (LVEF) is a key determinant of prognosis in patients with coronary artery disease. However, the impact of LVEF categories on long-term outcomes in patients with coronary chronic total occlusion (CTO) remains underexplored. This study aimed to evaluate the 3-year clinical outcomes in CTO patients according to LVEF category. We retrospectively analyzed 1255 patients with coronary CTO, categorized into 3 groups based on LVEF: reduced (rEF, ≤40%), mildly reduced (mrEF, 41-49%), and preserved (pEF, ≥50%). The primary outcome was all-cause mortality. Secondary outcomes included cardiac death (CD), non-CD, myocardial infarction, and any revascularization, including target lesion revascularization (CTO vessels), target vessel revascularization (TVR and CTO vessels), and nontarget vessel revascularization (non-TVR and non-CTO vessels). After adjustment, all-cause mortality (P = .004 and P < .001, respectively) and CD (P = .005 and P < .001, respectively) were significantly higher in the rEF group compared with the mrEF and pEF groups. The mrEF group had significantly higher rates of any revascularization (P < .001), target lesion revascularization (CTO vessel, P = .024), and TVR (CTO vessel, P = .001) than the pEF group. These findings remained consistent even when the analysis was confined to patients who underwent percutaneous coronary intervention. In this single-center study of patients with coronary CTO, all-cause mortality was higher in the rEF group than in the mrEF and pEF groups, whereas no significant difference was observed between the mrEF and pEF groups. However, the mrEF group had a higher rate of any revascularization than the pEF group.

Indexed as

Coronary OcclusionPercutaneous Coronary InterventionStroke VolumeVentricular Function, LeftAgedChronic DiseaseFemaleHumansMaleMiddle AgedPrognosisProspective StudiesRetrospective Studieschronic total occlusionmortalityventricular ejection fraction

Identifiers

PMID41560022
PMCPMC12826200

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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.