Evidence map›Paper›PMID 33916362›Full record

ReviewJournal of clinical medicine2021

Inhibitors of Protein Convertase Subtilisin/Kexin 9 (PCSK9) and Acute Coronary Syndrome (ACS): The State-of-the-Art.

Gabriella Iannuzzo, Marco Gentile, Alessandro Bresciani, Vania Mallardo, Anna Di Lorenzo, Pasquale Merone, Gianluigi Cuomo, Mario Pacileo, Filippo M Sarullo, Elio Venturini and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
4.0field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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  15. Dyslipidemia in Transplant Patients: Which Therapy?Journal of clinical medicine · 2022
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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

13 authors at 5 institutions in 1 country.

Gabriella IannuzzoDepartment of Clinical Medicine and Surgery, "Federico II" University, 80131 Naples, Italy.ORCID 0000-0002-7392-5544
Marco GentileDepartment of Clinical Medicine and Surgery, "Federico II" University, 80131 Naples, Italy.ORCID 0000-0003-3744-6375
Alessandro BrescianiDepartment of Medicine and Medical Specialties, A. Cardarelli Hospital, 80131 Naples, Italy.
Vania MallardoDepartment of Clinical Medicine and Surgery, "Federico II" University, 80131 Naples, Italy.
Anna Di LorenzoDepartment of Translational Medical Sciences, "Federico II" University of Naples, Via S. Pansini 5, 80131 Naples, Italy.
Pasquale MeroneDepartment of Translational Medical Sciences, "Federico II" University of Naples, Via S. Pansini 5, 80131 Naples, Italy.
Gianluigi CuomoDepartment of Translational Medical Sciences, "Federico II" University of Naples, Via S. Pansini 5, 80131 Naples, Italy.
Mario PacileoUnit of Cardiology and Intensive Care, "Umberto I" Hospital, Viale San Francesco, 84014 Nocera Inferiore, Italy.ORCID 0000-0002-6330-1738
Filippo M SarulloCardiovascular Rehabilitation Unit, Buccheri La Ferla Fatebenefratelli Hospital, 90123 Palermo, Italy.ORCID 0000-0003-2046-8316
Elio VenturiniCardiac Rehabilitation Unit, Azienda USL Toscana Nord-Ovest, Cecina Civil Hospital, 57023 Cecina, Italy.ORCID 0000-0001-7223-7574
Antonello D'AndreaUnit of Cardiology and Intensive Care, "Umberto I" Hospital, Viale San Francesco, 84014 Nocera Inferiore, Italy.ORCID 0000-0002-9698-9145
Carlo VigoritoDepartment of Translational Medical Sciences, "Federico II" University of Naples, Via S. Pansini 5, 80131 Naples, Italy.
Francesco GiallauriaDepartment of Translational Medical Sciences, "Federico II" University of Naples, Via S. Pansini 5, 80131 Naples, Italy.ORCID 0000-0003-4119-9397
University of Naples Federico II · ITFederico II University Hospital · ITPoliclinico Umberto I · ITAzienda Usl Toscana Centro · ITFatebenefratelli Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute Coronary Syndrome (ACS) remains one of the most frequent causes of morbidity and mortality in the world. Although the age- and gender-adjusted incidence of ACS is decreasing, the mortality associated with this condition remains high, especially 1-year after the acute event. Several studies demonstrated that PCSK9 inhibitors therapy determine a significant reduction of major adverse cardiovascular events (MACE) in post-ACS patients, through a process of plaque modification, by intervening in lipid metabolism and platelet aggregation and finally determining an improvement in endothelial function. In the EVACS (Evolocumab in Acute Coronary Syndrome) study, evolocumab allows >90% of patients to achieve LDL-C < 55 mg/dL according to ESC/EAS guidelines compared to 11% of patients who only receive statins. In the EVOPACS (EVOlocumab for Early Reduction of low-density lipoprotein (LDL)-cholesterol Levels in Patients With Acute Coronary Syndromes) study, evolocumab determined LDL levels reduction of 40.7% (95% CI: 45.2 to 36.2;

Indexed as

acute coronary syndromecardiovascular riskPCSK9 inhibitors

Identifiers

PMID33916362
PMCPMC8038577
OpenAlexW3140974984

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.