Evidence mapPaperPMID 34713704Full record

Trial reportJournal of the American Heart Association2021

Implications of Myocardial Infarction on Management and Outcome in Cardiogenic Shock.

Richard G Jung, Pietro Di Santo, Rebecca Mathew, Omar Abdel-Razek, Simon Parlow, Trevor Simard, Jeffrey A Marbach, Taylor Gillmore, Brennan Mao, Jordan Bernick and 7 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Milrinone versus dobutamine in acute myocardial infarction-related cardiogenic shock; a propensity score matched analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. 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

17 authors at 3 institutions in 2 countries.

Richard G JungCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.ORCID 0000-0002-8570-6736
Pietro Di SantoCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.
Rebecca MathewCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.
Omar Abdel-RazekCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.
Simon ParlowCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.ORCID 0000-0001-9294-4268
Trevor SimardCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.
Jeffrey A MarbachCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.
Taylor GillmoreFaculty of Medicine University of Ottawa Ontario Canada.
Brennan MaoFaculty of Medicine University of Ottawa Ontario Canada.
Jordan BernickCardiovascular Research Methods Centre University of Ottawa Heart Institute Ottawa Canada.
Pascal Theriault-LauzierCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.ORCID 0000-0002-6931-2673
Angel FuCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.
Lawrence LauCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.
Pouya MotazedianUniversity of Calgary Alberta Canada.
Juan J RussoCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.
Marino LabinazCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.
Benjamin HibbertCAPITAL Research Group Division of Cardiology University of Ottawa Heart Institute Ottawa Ontario Canada.ORCID 0000-0003-0906-1363
University of Ottawa · CATufts Medical Center · USUniversity of Calgary · CA

Funding

CIHR
6 · The paper itself

Abstract

Background The randomized DOREMI (Dobutamine Compared to Milrinone) clinical trial evaluated the efficacy and safety of milrinone and dobutamine in patients with cardiogenic shock. Whether the results remain consistent when stratified by acute myocardial infarction remains unknown. In this substudy, we sought to evaluate differences in clinical management and outcomes of acute myocardial infarction complicated by cardiogenic shock (AMICS) versus non-AMICS. Methods and Results Patients in cardiogenic shock (n=192) were randomized 1:1 to dobutamine or milrinone. The primary composite end point in this subgroup analysis was all-cause in-hospital mortality, cardiac arrest, non-fatal myocardial infarction, cerebrovascular accident, the need for mechanical circulatory support, or initiation of renal replacement therapy (RRT) at 30-days. Outcomes were evaluated in patients with (n=65) and without (n=127) AMICS. The primary composite end point was significantly higher in AMICS versus non-AMICS (hazard ratio [HR], 2.21; 95% CI, 1.47-3.30;

Indexed as

Heart ArrestMyocardial InfarctionDobutamineHumansMilrinonePercutaneous Coronary InterventionShock, CardiogenicStrokeTreatment OutcomeDobutamineMilrinoneacute myocardial infarctioncardiogenic shockinotropemechanical circulatory supportrenal replacement therapyrevascularization

Identifiers

PMID34713704
PMCPMC8751815
OpenAlexW3208894360

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.