Evidence map›Paper›PMID 24463539›Full record

Trial reportEuropean journal of clinical pharmacology2014

Safety of combination therapy with milrinone and esmolol for heart protection during percutaneous coronary intervention in acute myocardial infarction.

Kian-Keong Poh, Xin Xu, Mark Y Chan, Chi-Hang Lee, Edgar L Tay, Adrian F Low, Koo Hui Chan, Winnie Sia, Liang-Qiu Tang, Huay Cheem Tan and 4 more

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical pharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02098629 (Concomitant Milrinone and Esmolol Treatment in Patients with Acute Myocardial Infarction), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
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.

NCT02098629 phase2completednot on this mapstarted 2015, after this paper: background citation

Concomitant Milrinone and Esmolol Treatment in Patients with Acute Myocardial Infarction

TypeinterventionalSponsorShantou University Medical CollegeRan2015 to 2024Enrolled25ConditionsMyocardial Reperfusion InjuryArmsMilrinone, Esmolol, Saline Infusion
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

14 authors at 5 institutions in 3 countries.

Kian-Keong PohCardiac Department, National University Heart Center, National University Health System, 1E Kent Ridge Rd, NUHS Tower Block, Level 9, Singapore, 19228, Singapore, kian_keong_poh@nuhs.edu.sg.
Xin Xu
Mark Y Chan
Chi-Hang Lee
Edgar L Tay
Adrian F Low
Koo Hui Chan
Winnie Sia
Liang-Qiu Tang
Huay Cheem Tan
Charles Y Lui
Vincent Nguyen
Kenichi Fujise
Ming-He Huang
National University Health System · SGNational University of Singapore · SGThe University of Texas Medical Branch at Galveston · USYue Bei People's Hospital · CNUniversity of Utah Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIschemia/reperfusion injury remains an untreated clinical problem in patients with acute myocardial infarction (AMI) despite significant advances in emergent revascularization through percutaneous coronary intervention (PCI). Pharmacological intervention for infarct size reduction is unavailable. We have identified that the medications milrinone and esmolol, when administered together at the beginning of the reperfusion, significantly decrease infarct size via reducing reperfusion injury in an experimental model. The present study tested the safety of combination therapy of milrinone and esmolol (M + E) in patients with AMI.

methodsSixteen subjects with AMI requiring PCI were consecutively recruited. M + E was intravenously infused simultaneously for 10 min started at 5 min before anticipated angioplasty balloon inflation. Another 16 consecutively recruited AMI patients requiring PCI served as a placebo arm treated per routine clinical protocol. Blood pressure (BP) and heart rate (HR) were monitored continuously during PCI.

resultsM + E combination therapy resulted in a trend of non-significant reduction in BP compared with a control group. There was a modest but significant increase in HR at the later phase of M + E infusion compared with a control group. No significant cardiac arrhythmia was induced during M + E infusion.

conclusionsThe combination therapy with M + E produces a minimal change in hemodynamics and appears safe as an adjunctive therapy to PCI in AMI patients. Further studies are warranted.

Indexed as

Percutaneous Coronary InterventionBlood PressureDrug Therapy, CombinationElectrocardiographyHeart RateHumansInfusions, IntravenousMilrinoneMyocardial InfarctionMyocardial Reperfusion InjuryPropanolaminesesmololMilrinonePropanolamines

Identifiers

PMID24463539
OpenAlexW2056053029

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.