Evidence mapPaperPMID 31354240Full record

SynthesisDrug design, development and therapy2019

Effect of loading dose of atorvastatin therapy prior to percutaneous coronary intervention in patients with acute coronary syndrome: a meta-analysis of six randomized controlled trials.

Mingfeng Ma, Lixia Bu, Li Shi, Renwei Guo, Bin Yang, Huili Cao, Liangping Luo, Ligong Lu

Registry-linked trialOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Drug design, development and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04974814 (Comparison of the Treatment Efficacy of Rosuvastatin Versus Atorvastatin Loading Prior to Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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.

NCT04974814 naunknown statusstarted 2021, after this paper: background citation

Comparison of the Treatment Efficacy of Rosuvastatin Versus Atorvastatin Loading Prior to Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction

Ran2021Enrolled99Registered outcomes2Posted comparisons0ConditionsST Elevation Myocardial InfarctionArmsAtorvastatin 80mg, Control Test, Rosuvastatin 40mg
PMID 24216317PMID 32651772other papers from this trial
Open the trial in the graph
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  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

8 authors at 3 institutions in 1 country.

Mingfeng MaDepartment of Cardiology, Zhuhai Hospital Affiliated with Jinan University (Zhuhai People's Hospital), Zhuhai, Guangdong 519000, People's Republic of China.
Lixia BuDepartment of Neurology, Fenyang Hospital of Shanxi Province, Fenyang, Shanxi 032200, People's Republic of China.
Li ShiDepartment of Cardiology, Zhuhai Hospital Affiliated with Jinan University (Zhuhai People's Hospital), Zhuhai, Guangdong 519000, People's Republic of China.
Renwei GuoDepartment of Neurology, Fenyang Hospital of Shanxi Province, Fenyang, Shanxi 032200, People's Republic of China.
Bin YangDepartment of Cardiovascular Medicine, Second Hospital of Shanxi University, Taiyuan, Shanxi 030001, People's Republic of China.
Huili CaoDepartment of Cardiovascular Medicine, Second Hospital of Shanxi University, Taiyuan, Shanxi 030001, People's Republic of China.
Liangping LuoDepartment of Medical Imaging Center, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, People's Republic of China, liangpingluo@126.com.
Ligong LuCenter of Intervention Radiology, Zhuhai Precision Medicine Center, Zhuhai People's Hospital, Zhuhai, Guangdong 519000, People's Republic of China, mamingfeng106@sina.com.
Zhuhai People's Hospital · CNSecond Hospital of Shanxi Medical University · CNShanxi Fenyang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study sought to summarize the evidence of pre-procedural atorvastatin therapy to improve the prognosis of acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI). PATIENTS AND

methodsWe searched PubMed and Embase from inception to July 2018 for randomized controlled trials that compared loading dose atorvastatin pretreatment with no or low dose for the prevention of cardiovascular events. The primary end points were all-cause mortality and myocardial infarction (MI) at 30 days. The secondary end point was 30-day major adverse cardiovascular events (MACE), a composite of all-cause mortality, MI, and revascularization.

resultsSix trials with 4,991 individuals were included in our meta-analysis. High-dose atorvastatin preloading before PCI was associated with a 27% relative reduction in MI (OR: 0.73, 95% CI, 0.56-0.94,

conclusionHigh-dose atorvastatin pretreatment leads to a significant reduction in MI and MACE at 30 days in ACS patients undergoing PCI, especially in ST-segment elevation MI.

Indexed as

Percutaneous Coronary InterventionAcute Coronary SyndromeAtorvastatinDose-Response Relationship, DrugHumansRandomized Controlled Trials as TopicStructure-Activity RelationshipAtorvastatinacute coronary syndromeadverse eventsatorvastatinpercutaneous coronary intervention

Identifiers

PMID31354240
PMCPMC6585398
OpenAlexW2939437201

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.