Evidence map›Paper›PMID 27411096›Full record

Trial reportArquivos brasileiros de cardiologia2016

Is Local Nitric Oxide Availability Responsible for Myocardial Salvage after Remote Preconditioning?

Esbeidira Aranet Arroyo-Martínez, Alejandra Meaney, Gabriela Gutiérrez-Salmeán, Juan Miguel Rivera-Capello, Vidal González-Coronado, Alejandro Alcocer-Chauvet, Genaro Castillo, Nayelli Nájera, Guillermo Ceballos, Eduardo Meaney

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arquivos brasileiros de cardiologia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Perioperative Cardioprotection by Remote Ischemic Conditioning.International journal of molecular sciences · 2019
    Review
  4. Article
  5. Article
  6. Cardioprotection by remote ischemic conditioning and its signal transduction.Pflugers Archiv : European journal of physiology · 2017
    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

10 authors at 3 institutions in 2 countries.

Esbeidira Aranet Arroyo-MartínezUnidade Cardiovascular, Hospital "Primero de Octubre", Cidade do México, México.
Alejandra MeaneyUnidade Cardiovascular, Hospital "Primero de Octubre", Cidade do México, México.
Gabriela Gutiérrez-SalmeánFaculdade de Ciências da Saúde, Universidade Anáhuac México Norte, Cidade do México, Mexico.
Juan Miguel Rivera-CapelloUnidade Cardiovascular, Hospital "Primero de Octubre", Cidade do México, México.
Vidal González-CoronadoUnidade Cardiovascular, Hospital "Primero de Octubre", Cidade do México, México.
Alejandro Alcocer-ChauvetUnidade Cardiovascular, Hospital "Primero de Octubre", Cidade do México, México.
Genaro CastilloUnidade Cardiovascular, Hospital "Primero de Octubre", Cidade do México, México.
Nayelli NájeraLaboratório de Investigação Integral Cardiometabólica, Escola Superior de Medicina, Instituto Politécnico Nacional, Cidade do México, Mexico.
Guillermo CeballosLaboratório de Investigação Integral Cardiometabólica, Escola Superior de Medicina, Instituto Politécnico Nacional, Cidade do México, Mexico.
Eduardo MeaneyLaboratório de Investigação Integral Cardiometabólica, Escola Superior de Medicina, Instituto Politécnico Nacional, Cidade do México, Mexico.
Universidad Anáhuac · MXHospital Universitario 12 De Octubre · ESInstituto Politécnico Nacional · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote ischemic preconditioning (RIPC) represents an attractive therapy for myocardial protection, particularly when ischemic events can be anticipated. Although several hypothetic mechanisms have been proposed, no definite molecular pathways have been elucidated.

objectiveWe evaluated the effect of brachial circulation cuff occlusion on myocardial ischemic tolerance, necrosis, and nitric oxide (NO) in patients with ischemic heart disease undergoing elective percutaneous coronary interventions (PCI).

methods46 patients were randomly allocated into two groups: control and RIPC before PCI procedures. Electrocardiographic analysis, serum concentrations of troponin I (cTn-I) were measured at baseline and 24 hours after PCI. A blood sample from the atherosclerotic plaque was drawn to determine nitrate and nitrites.

resultsRIPC increased the availability of NO in the stented coronary artery. Control patients presented a small but significant increase in cTn-I, whilst it remained unchanged in preconditioned group. The preconditioning maneuver not only preserved but also enhanced the sum of R waves.

conclusionsRIPC induced an intracoronary increase of NO levels associated with a decrease in myocardial damage (measured as no increase in cTn-I) with electrocardiographic increases in the sum of R waves, suggesting an improved myocardium after elective PCI.

Indexed as

Percutaneous Coronary InterventionAgedCreatinineElectrocardiographyFemaleGlomerular Filtration RateHumansIschemic Preconditioning, MyocardialMaleMiddle AgedMyocardial InfarctionMyocardial Reperfusion InjuryNitric OxideNitric Oxide Synthase Type IIITroponin ICreatinineNitric OxideNitric Oxide Synthase Type IIITroponin I

Identifiers

PMID27411096
PMCPMC5074068
OpenAlexW2470447943

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.