Evidence map›Paper›PMID 25307674›Full record

Trial reportJournal of thrombosis and thrombolysis2015

The effect of rosuvastatin on thromboinflammation in the setting of acute coronary syndrome.

Travis R Sexton, Eric L Wallace, Tracy E Macaulay, Richard J Charnigo, Virgilio Evangelista, Charles L Campbell, Alison L Bailey, Susan S Smyth

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of thrombosis and thrombolysis, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 14% 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.

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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. The role of NETosis in heart failure.Heart failure reviews · 2024
    Review
  5. Combined use of frontal plane QRS-T angle and platelet-to-lymphocyte ratio in the risk prediction of ischemic cardiomyopathy in STEMI.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2024
    Article
  6. Statins and Hemostasis: Therapeutic Potential Based on Clinical Evidence.Advances in experimental medicine and biology · 2023
    Review
  7. Review
  8. Article
  9. Article
  10. NETosis as a Pathogenic Factor for Heart Failure.Oxidative medicine and cellular longevity · 2021
    Review
  11. Review
  12. Effect of 2 Different Dosages of Rosuvastatin on Prognosis of Acute Myocardial Infarction Patients with New-Onset Atrial Fibrillation in Jinan, China.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Observational
  13. Article
  14. Platelet apoptosis in patients with acute coronary syndromes.Journal of thrombosis and thrombolysis · 2015
    Article
  15. 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

8 authors at 2 institutions in 2 countries.

Travis R SextonThe Gill Heart Institute, University of Kentucky, BBSRB B201, Lexington, KY, 40506, USA.
Eric L Wallace
Tracy E Macaulay
Richard J Charnigo
Virgilio Evangelista
Charles L Campbell
Alison L Bailey
Susan S Smyth
University of Kentucky · USMario Negri Sud Foundation · IT

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
Clinical Scholars In Cardiovascular ScienceT32HL091812 · NHLBI · UNIVERSITY OF KENTUCKY · PI SMYTH, SUSAN S. · 2008 to 2018
$2.3M
NCATS NIH HHS UL1 TR000117NCATS NIH HHS UL1TR000117NHLBI NIH HHS T32 HL091812NHLBI NIH HHS T32HL091812
6 · The paper itself

Abstract

In patients with acute coronary syndromes (ACS), early therapy with high-dose statins may reduce short-term adverse clinical outcomes. The mechanisms responsible are not known but could involve anti-inflammatory or anti-thrombotic effects. Compelling evidence from experimental models and clinical studies suggests that the interplay between inflammatory and thrombotic systems, typified by platelet-monocyte and platelet-neutrophil interactions, might be a key regulator of ischemic vascular events. The study sought to determine if early, high-dose administration of the HMG-CoA reductase inhibitor rosuvastatin in the setting of ACS exerts beneficial vascular effects by reducing, and inhibiting biomarkers of thromboinflammation, such as platelet-monocyte and platelet-neutrophil interactions, and biomarkers of myocardial necrosis. A total of 54 patients presenting with ACS within 8 h of symptom onset were randomized to rosuvastatin 40 mg or placebo. Rosuvastatin significantly reduced interactions between platelets and circulating neutrophils (P = 0.015) and monocytes (P = 0.009) within 24 h. No significant effects were observed on platelet aggregation or plasma levels of PF4, sP-selectin, or sCD40L, whereas significant reductions of RANTES occurred over time in both treatment groups. Plasma levels of myeloperoxidase (MPO) declined more rapidly with rosuvastatin therapy than placebo. In a subset of patients with normal cardiac necrosis biomarkers at randomization, rosuvastatin therapy was associated with less myocardial damage as measured by troponin-I or CK-MB. Early administration of high-dose statin therapy in patients with ACS appears to improve biomarkers of inflammation within 8 h, which may translate into fewer ischemic events.

Indexed as

Acute Coronary SyndromeAdultAgedBiomarkersBlood PlateletsCD40 LigandCell CommunicationCreatine Kinase, MB FormDose-Response Relationship, DrugEarly Medical InterventionFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsInflammationMaleMiddle AgedBiomarkersCD40 LigandCreatine Kinase, MB FormHydroxymethylglutaryl-CoA Reductase InhibitorsPeroxidasePlatelet Factor 4P-SelectinRosuvastatin CalciumTroponin I

Identifiers

PMID25307674
PMCPMC4320305
OpenAlexW2078176561

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.