Evidence map›Paper›PMID 30249940›Full record

Trial reportJournal of atherosclerosis and thrombosis2019

Low Baseline High-Sensitive C-Reactive Protein is Associated with Coronary Atherosclerosis Regression: Insights from the MILLION Study.

Kenji Sakata, Tadatsugu Gamou, Hayato Tada, Kenshi Hayashi, Hidekazu Ino, Masakazu Yamagishi, Masa-aki Kawashiri, behalf of the MILLION Study Group

Open access · diamondAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of atherosclerosis and thrombosis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. 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

8 authors at 1 institution in 1 country.

Kenji SakataDepartment of Cardiovascular and Internal Medicine, Kanazawa University Graduate School of Medicine.
Tadatsugu GamouDepartment of Cardiovascular and Internal Medicine, Kanazawa University Graduate School of Medicine.
Hayato TadaDepartment of Cardiovascular and Internal Medicine, Kanazawa University Graduate School of Medicine.
Kenshi HayashiDepartment of Cardiovascular and Internal Medicine, Kanazawa University Graduate School of Medicine.
Hidekazu InoDepartment of Cardiovascular and Internal Medicine, Kanazawa University Graduate School of Medicine.
Masakazu YamagishiDepartment of Cardiovascular and Internal Medicine, Kanazawa University Graduate School of Medicine.
Masa-aki KawashiriDepartment of Cardiovascular and Internal Medicine, Kanazawa University Graduate School of Medicine.
behalf of the MILLION Study Group
Kanazawa University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe prospective, randomized, multicenter Myocardial Ischemia Treated with Percutaneous Coronary Intervention and Plaque Regression by Lipid Lowering & Blood Pressure Controlling assessed by Intravascular Ultrasonography (MILLION) study demonstrated that combined treatment with atorvastatin and amlodipine enhanced coronary artery plaque regression. Although the baseline high-sensitive C-reactive protein (hs-CRP) reportedly plays an important role in atherogenesis, few data exist regarding the relationship between hs-CRP and plaque regression in patients receiving a combined atorvastatin and amlodipine therapy.

methodsA total of 68 patients (male, 55; mean age, 64.2 years) with baseline and follow-up 3-dimensional intravascular ultrasound examinations in the MILLION study were stratified by baseline hs-CRP level quartiles. The serial measurements of lipid, blood pressure, and percentage changes in the plaque volume were compared between the groups, and the factors associated with the percentage change in the plaque volume were assessed.

resultsThere were no significant between-group differences in the extent of change in low-density lipoprotein cholesterol (LDL-C) or systolic and diastolic blood pressure after 18-24 months of treatment. The percentage change in the plaque volume showed a linear association with the baseline hs-CRP (p for trend <0.05); however, there was no correlation with changes in LDL-C or systolic and diastolic blood pressure. In the multiple regression analysis, the baseline hs-CRP level was independently associated with the percentage change in the plaque volume (β=0.29, p=0.022).

conclusionsCoronary plaque regression was associated with the baseline hs-CRP level in patients treated with a combined lipid- and blood pressure-lowering therapy.

Indexed as

AgedAmlodipineAntihypertensive AgentsAtorvastatinBiomarkersCoronary Artery DiseaseC-Reactive ProteinFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedPrognosisProspective StudiesAmlodipineAntihypertensive AgentsAtorvastatinBiomarkersC-Reactive ProteinHydroxymethylglutaryl-CoA Reductase InhibitorsAmlodipineAtorvastatinHigh-Sensitivity C-Reactive ProteinIntravascular ultrasound

Identifiers

PMID30249940
PMCPMC6514178
OpenAlexW2892436966

What Socratic holds

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LicenceCC BY-NC-SA
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Registered trials

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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.