Evidence map›Paper›PMID 35848895›Full record

ReviewEuropean heart journal. Cardiovascular pharmacotherapy2022

Racial and ethnic differences in pharmacotherapy to prevent coronary artery disease and thrombotic events.

Juan Tamargo, Juan Carlos Kaski, Takeshi Kimura, Jack Charles Barton, Ko Yamamoto, Maki Komiyama, Heinz Drexel, Basil S Lewis, Stefan Agewall, Koji Hasegawa

Open access · bronzeAbstract readReview
In one paragraph

Review in European heart journal. Cardiovascular pharmacotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 6 pooled it
10.0field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 6 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  10. Adjusting Antiplatelet Therapy Using P2YStroke (Hoboken, N.J.) · 2026
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  17. Effects of proton pump inhibitors on gastrointestinal bleeding and cardiovascular outcomes in myocardial infarction patients treated with DAPT.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Observational
  18. Potent P2YCritical care (London, England) · 2025
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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

10 authors at 8 institutions in 6 countries.

Juan TamargoDepartment of Pharmacology and Toxicology, School of Medicine, Instituto De Investigación Sanitaria Gregorio Marañón, Universidad Complutense, 28040 Madrid, Spain.ORCID 0000-0002-7979-7758
Juan Carlos KaskiMolecular and Clinical Sciences Research Institute, St George's, University of London, London SW17 0RE, UK.
Takeshi KimuraDepartment of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8303, Japan.
Jack Charles BartonCritical Care and Perioperative Medicine Research Group, Royal London Hospital, London E1 1FR, UK.
Ko YamamotoDepartment of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8303, Japan.
Maki KomiyamaDivision of Translational Research, National Hospital Organization Kyoto Medical Center, 1-1 Fukakusa Mukaihatacho, Kyoto 612-8555, Japan.
Heinz DrexelDepartment of Internal Medicine & Intensive Care, Academic Teaching Hospital Bregenz, 6900 Bregenz, Austria; Vorarlberg Institute for Vascular Investigation and Treatment (VIVIT), Academic Teaching Hospital Feldkirch, 6800 Feldkirch, Austria.ORCID 0000-0002-4677-9756
Basil S LewisRuth and Bruce Rappaport School of Medicine, Technion-Israel Institute of Technology, Haifa 3200003, Israel.ORCID 0000-0001-5604-6399
Stefan AgewallDepartment of Cardiology, Oslo University Hospital, 0424 Oslo, Norway.ORCID 0000-0002-6942-6312
Koji HasegawaDivision of Translational Research, National Hospital Organization Kyoto Medical Center, 1-1 Fukakusa Mukaihatacho, Kyoto 612-8555, Japan.ORCID 0000-0001-7618-4043
Kyoto Medical Center · JPKyoto University · JPHospital General Universitario Gregorio Marañón · ESIVF Centers Prof. Zech · ATOslo University Hospital · NORoyal London Hospital · GBSt George's, University of London · GBTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Awareness of racial/ethnic disparities represents a key challenge for healthcare systems that attempt to provide effective healthcare and to reduce existing inequalities in the use of and adherence to guideline-recommended cardiovascular drugs to improve clinical outcomes for cardiovascular disease (CVD). In this review, we describe important racial/ethnic differences between and within ethnic groups in the prevalence, risk factors, haemostatic factors, anti-inflammatory and endothelial markers, recurrence, and outcomes of CVD. We discuss important differences in the selection, doses, and response [efficacy and adverse drug reactions (ADRs)] in ethnically diverse patients treated with antithrombotics or lipid-lowering drugs. Differences in drug response are mainly related to racial/ethnic differences in the frequency of polymorphisms in genes encoding drug-metabolizing enzymes (DMEs) and drug transporters. These polymorphisms markedly influence the pharmacokinetics, dose requirements, and safety of warfarin, clopidogrel, and statins. This review aims to support a better understanding of the genetic differences between and among populations to identify patients who may experience an ADR or a lack of drug response, thus optimizing therapy and improving outcomes. The greater the understanding of the differences in the genetic variants of DMEs and transporters that determine the differences in the exposure, efficacy, and safety of cardiovascular drugs between races/ethnicities, the greater the probability that personalized medicine will become a reality.

Indexed as

Cardiovascular AgentsCardiovascular DiseasesCoronary Artery DiseaseHemostaticsHydroxymethylglutaryl-CoA Reductase InhibitorsClopidogrelFibrinolytic AgentsHumansImidazolesLipidsOrganosilicon CompoundsWarfarinCardiovascular AgentsClopidogreldimethylethylsilylimidazoleFibrinolytic AgentsHemostaticsHydroxymethylglutaryl-CoA Reductase InhibitorsImidazolesLipidsOrganosilicon CompoundsWarfarinAdverse drug reactionCardiovascular diseaseDrug-metabolizing enzymesDual antiplatelet therapyRacial/ethnic disparities

Identifiers

PMID35848895
PMCPMC9520447
OpenAlexW4285803991

What Socratic holds

Texttitle and abstract
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.