Evidence map›Paper›PMID 34459239›Full record

SynthesisJournal of the American Heart Association2021

Factor V Leiden and the Risk of Bleeding in Patients With Acute Coronary Syndromes Treated With Antiplatelet Therapy: Pooled Analysis of 3 Randomized Clinical Trials.

Bakhtawar K Mahmoodi, Niclas Eriksson, Stephanie Ross, Daniel M F Claassens, Folkert W Asselbergs, Karina Meijer, Agneta Siegbahn, Stefan James, Guillaume Pare, Lars Wallentin and 1 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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, 2 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 6 institutions in 4 countries.

Bakhtawar K MahmoodiDepartment of Cardiology St. Antonius Hospital Nieuwegein the Netherlands.ORCID 0000-0001-6455-473X
Niclas ErikssonUppsala Clinical Research Center Uppsala University Uppsala Sweden.ORCID 0000-0002-2152-4343
Stephanie RossDepartment of Clinical Epidemiology and Biostatistics McMaster University Hamilton Ontario Canada.
Daniel M F ClaassensDepartment of Cardiology St. Antonius Hospital Nieuwegein the Netherlands.ORCID 0000-0001-6338-2569
Folkert W AsselbergsDivision Heart & Lungs Department of Cardiology University Medical Center UtrechtUtrecht University Utrecht the Netherlands.ORCID 0000-0002-1692-8669
Karina MeijerDivision of Hemostasis and Thrombosis Department of Hematology University Medical Center GroningenUniversity of Groningen the Netherlands.
Agneta SiegbahnUppsala Clinical Research Center Uppsala University Uppsala Sweden.
Stefan JamesUppsala Clinical Research Center Uppsala University Uppsala Sweden.ORCID 0000-0003-4413-9736
Guillaume PareDepartment of Pathology and Molecular Medicine McMaster University Hamilton Ontario Canada.ORCID 0000-0002-6795-4760
Lars WallentinUppsala Clinical Research Center Uppsala University Uppsala Sweden.
Jurriën M Ten BergDepartment of Cardiology St. Antonius Hospital Nieuwegein the Netherlands.ORCID 0000-0001-5192-886X
Uppsala University · SESt. Antonius Ziekenhuis · NLUniversity Medical Center Groningen · NLMcMaster University · CAPopulation Health Research Institute · CAUtrecht University · NL

Funding

Department of Health
6 · The paper itself

Abstract

Background Whether factor V Leiden is associated with lower bleeding risk in patients with acute coronary syndromes using (dual) antiplatelet therapy has yet to be investigated. Methods and Results We pooled data from 3 randomized clinical trials, conducted in patients with acute coronary syndromes, with adjudicated bleeding outcomes. Cox regression models were used to obtain overall and cause-specific hazard ratios (HRs) to account for competing risk of atherothrombotic outcomes (ie, composite of ischemic stroke, myocardial infarction, and cardiovascular death) in each study. Estimates from the individual studies were pooled using fixed effect meta-analysis. The 3 studies combined included 17 623 patients of whom 969 (5.5%) were either heterozygous or homozygous (n=23) carriers of factor V Leiden. During 1 year of follow-up, a total of 1289 (7.3%) patients developed major (n=559) or minor bleeding. Factor V Leiden was associated with a lower risk of combined major and minor bleeding (adjusted cause-specific HR, 0.75; 95% CI, 0.56-1.00;

Indexed as

Acute Coronary SyndromeHemorrhageFactor VHumansPlatelet Aggregation InhibitorsRandomized Controlled Trials as TopicFactor Vfactor V LeidenPlatelet Aggregation Inhibitorsacute coronary syndromeantiplatelet therapybleedingfactor V Leiden

Identifiers

PMID34459239
PMCPMC8649290
OpenAlexW3198366962

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.