Evidence map›Paper›PMID 32435011›Full record

Trial reportJournal of atherosclerosis and thrombosis2021

Effects of Statin Plus Ezetimibe on Coronary Plaques in Acute Coronary Syndrome Patients with Diabetes Mellitus: Sub-Analysis of PRECISE-IVUS Trial.

Koichiro Fujisue, Kenshi Yamanaga, Suguru Nagamatsu, Hideki Shimomura, Takuro Yamashita, Koichi Nakao, Sunao Nakamura, Masaharu Ishihara, Kunihiko Matsui, Naritsugu Sakaino and 15 more

Open access · diamondAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of atherosclerosis and thrombosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 21% 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, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Lipid-lowering Therapy and Coronary Plaque Regression.Journal of atherosclerosis and thrombosis · 2024
    Review
  6. 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

25 authors at 15 institutions in 1 country.

Koichiro FujisueDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences and Center for Metabolic Regulation of Healthy Aging (CMHA), Kumamoto University.
Kenshi YamanagaDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences and Center for Metabolic Regulation of Healthy Aging (CMHA), Kumamoto University.
Suguru NagamatsuDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences and Center for Metabolic Regulation of Healthy Aging (CMHA), Kumamoto University.
Hideki ShimomuraDepartment of Cardiovascular Medicine, Fukuoka Tokushukai Medical Center.
Takuro YamashitaDivision of Cardiology, Social Insurance Omuta Tenryo Hospital.
Koichi NakaoDivision of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center.
Sunao NakamuraInterventional Cardiology Unit, New Tokyo Hospital.
Masaharu IshiharaDepartment of Cardiovascular and Renal Medicine, Hyogo College of Medicine.
Kunihiko MatsuiDepartment of Community Medicine, Kumamoto University.
Naritsugu SakainoDivision of Cardiology, Amakusa Medical Center.
Takashi MiyazakiDivision of Cardiology, Shin-Beppu Hospital.
Nobuyasu YamamotoDivision of Cardiology, Miyazaki Prefectural Nobeoka Hospital.
Shunichi KoideDivision of Cardiology, Japan Community Health care Organization Kumamoto General Hospital.
Toshiyuki MatsumuraDivision of Cardiology, Japan Labor Health and Welfare Organization Kumamoto Rosai Hospital.
Kazuteru FujimotoDepartment of Cardiology, National Hospital Organization Kumamoto Medical Center.
Ryusuke TsunodaDivision of Cardiology, Japanese Red Cross Kumamoto Hospital.
Yasuhiro MorikamiDivision of Cardiology, Kumamoto City Hospital.
Koushi MatsuyamaDivision of Cardiology, Social Insurance Omuta Tenryo Hospital.
Shuichi OshimaDivision of Cardiology, Kumamoto Central Hospital.
Kenji SakamotoDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences and Center for Metabolic Regulation of Healthy Aging (CMHA), Kumamoto University.
Yasuhiro IzumiyaDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences and Center for Metabolic Regulation of Healthy Aging (CMHA), Kumamoto University.
Koichi KaikitaDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences and Center for Metabolic Regulation of Healthy Aging (CMHA), Kumamoto University.
Seiji HokimotoDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences and Center for Metabolic Regulation of Healthy Aging (CMHA), Kumamoto University.
Hisao OgawaNational Cerebral and Cardiovascular Center.
Kenichi TsujitaDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences and Center for Metabolic Regulation of Healthy Aging (CMHA), Kumamoto University.
Kumamoto University · JPOmuta hospital · JPBeppu Medical Center · JPFukuoka Tokushukai Hospital · JPHyogo Medical University · JPJapan Community Healthcare Organization · JPJapanese Red Cross Kumamoto Hospital · JPJapan Organization of Occupational Health and Safety · JPKumamoto Central Hospital · JPKumamoto City Hospital · JPKumamoto Medical Center · JPMiyazaki Prefectural Hospital · JPNational Cerebral and Cardiovascular Center · JPNew Tokyo Hospital · JPSaiseikai Kumamoto Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimCoronary plaque regression is weak in acute coronary syndrome (ACS) patients with diabetes mellitus (DM). We evaluated whether dual lipid-lowering therapy (DLLT) with ezetimibe and atorvastatin attenuates coronary plaques in ACS patients with DM.

methodsThe prospective, randomized controlled, multicenter PRECISE-IVUS (Plaque Regression with Cholesterol Absorption Inhibitor or Synthesis Inhibitor Evaluated by Intravascular Ultrasound) trial assigned 246 patients undergoing percutaneous coronary intervention to DLLT or atorvastatin monotherapy and evaluated IVUS-derived changes in percent atheroma volume (ΔPAV), at baseline and 9-12-month follow-up, in 126 ACS cases, including 25 DM patients. The atorvastatin dose was up-titrated to achieve low-density lipoprotein cholesterol (LDL-C) <70 mg/dL.

resultsIn DM patients, the monotherapy group (n=13) and the DLLT group (n=12) showed a similar prevalence of coronary risks and baseline lipid profiles. During the study, the change in LDL-C level was similar between DM and non-DM patients. Compared with non-DM patients, DM patients showed weaker regression of ΔPAV by DLLT than those who underwent monotherapy (DM: -2.77±3.47% vs. -0.77±2.51%, P=0.11; non-DM: -2.01±3.36% vs. -0.08±2.66%, P=0.008). The change in LDL-C level was not correlated with ΔPAV in non-DM patients, but there was significant correlation between the change in LDL-C level and ΔPAV in DM patients (r=0.52, P=0.008).

conclusionsACS patients with DM showed weaker coronary plaque regression than their counterparts. A significant correlation between the change in LDL-C level and ΔPAV in DM patients suggested that more intensive lipid-lowering therapy is required in ACS patients with DM.

Indexed as

Acute Coronary SyndromeAtorvastatinEzetimibePlaque, AtheroscleroticAgedAnticholesteremic AgentsCholesterol, LDLCoronary VesselsDiabetes Mellitus, Type 2Drug MonitoringFemaleHumansMaleTreatment OutcomeUltrasonography, InterventionalAnticholesteremic AgentsAtorvastatinCholesterol, LDLEzetimibeAcute coronary syndromeCoronary plaqueDiabetes mellitusEzetimibStatins

Identifiers

PMID32435011
PMCPMC7957031
OpenAlexW3027017808

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC-SA
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.