Evidence map›Paper›PMID 41669984›Full record

ArticleJournal of the American Heart Association2026

Circulating Markers of Neutrophil Extracellular Traps for Long-Term Prognosis in Patients With Acute Chest Pain.

Gard Mikael Sæle Myrmel, Ragnhild Helseth, Ole Thomas Steiro, Hilde Lunde Tjora, Jørund Langørgen, Rune Oskar Bjørneklett, Vibeke Bratseth, Sheryl Palmero, Ida Gjervold Lunde, Kristine Lovise Mørk Kindberg and 3 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2026. 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. 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

13 authors.

Gard Mikael Sæle MyrmelDepartment of Heart Disease Haukeland University Hospital Bergen Norway.ORCID 0000-0003-4885-1085
Ragnhild HelsethOslo Center for Clinical Heart Research, Department of Cardiology Ullevaal Oslo University Hospital Oslo Norway.ORCID 0000-0001-5012-9214
Ole Thomas SteiroDepartment of Heart Disease Haukeland University Hospital Bergen Norway.ORCID 0000-0003-2520-9436
Hilde Lunde TjoraEmergency Care Clinic Haukeland University Hospital Bergen Norway.ORCID 0000-0003-2577-5497
Jørund LangørgenDepartment of Heart Disease Haukeland University Hospital Bergen Norway.
Rune Oskar BjørneklettEmergency Care Clinic Haukeland University Hospital Bergen Norway.ORCID 0000-0001-6637-5743
Vibeke BratsethOslo Center for Clinical Heart Research, Department of Cardiology Ullevaal Oslo University Hospital Oslo Norway.ORCID 0000-0003-2775-4219
Sheryl PalmeroOslo Center for Clinical Heart Research, Department of Cardiology Ullevaal Oslo University Hospital Oslo Norway.ORCID 0000-0002-8130-107X
Ida Gjervold LundeOslo Center for Clinical Heart Research, Department of Cardiology Ullevaal Oslo University Hospital Oslo Norway.ORCID 0000-0001-9502-6841
Kristine Lovise Mørk KindbergOslo Center for Clinical Heart Research, Department of Cardiology Ullevaal Oslo University Hospital Oslo Norway.
Kjell VikenesDepartment of Heart Disease Haukeland University Hospital Bergen Norway.ORCID 0000-0003-4794-6269
Torbjørn OmlandK.G. Jebsen Centre for Cardiac Biomarkers Institute of Clinical Medicine, University of Oslo Oslo Norway.ORCID 0000-0002-6452-0369
Kristin Moberg AakreDepartment of Heart Disease Haukeland University Hospital Bergen Norway.ORCID 0000-0002-7340-6736

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeutrophil extracellular traps are released from activated neutrophils and are involved in the pathogenesis of atherosclerotic lesions, atherothrombosis, and myocardial injury. We investigated the prognostic value of circulating neutrophil extracellular trap biomarkers in patients with suspected acute coronary syndrome (ACS).

methodsA total of 1482 patients admitted with suspected non-ST-segment elevation ACS were included and followed for a median of 4.2 years. The primary end point was a composite of death from any cause, incident myocardial infarction and hospitalization for heart failure. Secondary end points were all-cause mortality, cardiovascular death, incident myocardial infarction, hospitalization for heart failure, and new-onset atrial fibrillation. Admission blood samples were analyzed for the neutrophil extracellular trap biomarkers double-stranded DNA (dsDNA), CitH3 (citrullinated histone H3), and myeloperoxidase-DNA.

resultsA doubling of dsDNA concentration was associated with a hazard ratio (HR) of 3.11 (95% CI, 1.61-5.98,

conclusionsIn patients with suspected ACS, dsDNA emerged as a long-term prognostic marker for a composite outcome of death, incident myocardial infarction, or heart failure hospitalization, independent of conventional risk factors. DsDNA can independently from established risk factors identify high-risk patients with and without ACS who may benefit from risk reduction.

Indexed as

Acute Coronary SyndromeDNAExtracellular TrapsHistonesNeutrophilsAgedBiomarkersFemaleHeart FailureHumansMaleMiddle AgedPeroxidasePrognosisRisk FactorsTime FactorsBiomarkersDNAHistonesMPO protein, humanPeroxidaseacute coronary syndromeatherosclerosisdouble‐stranded DNAneutrophil extracellular trapsprognostic biomarkers

Identifiers

PMID41669984
PMCPMC13055700

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.