Evidence map›Paper›PMID 28616287›Full record

ArticleJournal of thoracic disease2017

Statin-ezetimibe versus statin lipid-lowering therapy in patients with acute coronary syndromes undergoing percutaneous coronary intervention.

Yun-Yan Dai, Hai-Shan Zhang, Xin-Gang Zhang, Qi-Gang Guan, Yuan Gao, Yu-Ze Li, Yue-Lan Zhang, Da-Lin Jia, Ying-Xian Sun, Guo-Xian Qi and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. 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

11 authors at 2 institutions in 1 country.

Yun-Yan DaiDepartment of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
Hai-Shan ZhangDepartment of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
Xin-Gang ZhangDepartment of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
Qi-Gang GuanDepartment of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
Yuan GaoDepartment of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
Yu-Ze LiDepartment of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
Yue-Lan ZhangDepartment of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
Da-Lin JiaDepartment of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
Ying-Xian SunDepartment of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
Guo-Xian QiDepartment of Geriatric Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
Wen TianDepartment of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China.
China Medical University · CNFirst Hospital of China Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies comparing the clinical efficacy and safety of intensive statin therapy with ezetimibe-statin combination therapy are still rare at present, especially in Asian population.

methodsWe enrolled 202 patients who suffered acute coronary syndrome (ACS) and underwent percutaneous coronary intervention (PCI) between May and July in 2016. Patients were allocated into three groups based on the lipid lowering strategy: moderate-intensity statin group (n=118), ezetimibe combined with moderate-intensity statin group (ezetimibe-statin combination, n=55) and intensive statin group (n=29). The lipid profiles and side effects were analyzed and compared among the patients in three groups at admission, 1 month and 3 months after PCI. The clinical outcomes of the patients were observed through 6-month follow-up.

resultsOne month after PCI, the level of non-high density lipoprotein-cholesterol (non-HDL-C) was decreased by 41.9%, 21.6% and 29.8% by ezetimibe-statin combination therapy, moderate-intensity statin therapy and intensive statin therapy, respectively (P<0.05). The reduction percentages of TC and LDL-C were significantly higher in ezetimibe-statin combination group than in moderate-intensity statin group (P<0.001). The proportion of patients reaching LDL-C goal was higher in ezetimibe-statin combination group (69.1%, P=0.007) and intensive statin group (67.9%, P=0.047) compared with moderate-intensity statin group (46.9%) at 1 month after PCI. There was no significant difference among the three groups with respect to hepatic enzymes level, creatine kinase (CK) level and incidence of muscle symptoms.

conclusionsThe reduction percentage of non-HDL-C was larger in ezetimibe-statin combination group than intensive statin group. This finding suggested that statin/ezetimibe combination therapy could be an alternative to intensive statin therapy in Chinese patients with atherosclerotic cardiovascular disease.

Indexed as

acute coronary syndromes (ACS)cholesterolezetimibepercutaneous coronary intervention (PCI)Statin

Identifiers

PMID28616287
PMCPMC5465113
OpenAlexW2617792817

What Socratic holds

Textmetadata
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.