Evidence map›Paper›PMID 36171852›Full record

ReviewCureus2022

An Examination of Clopidogrel in the Treatment of Coronary Microvascular Disease.

Nicholas P Iskandar, Akshay J Reddy, Allen Dang, Muhammad S Ghauri, Mildred Min, Mark Bachir, Alex Bachir, Himanshu Wagh, Nathaniel Tak, Hetal Brahmbhatt

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 81% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 5 institutions in 1 country.

Nicholas P IskandarMedicine, Campbell University School of Osteopathic Medicine, Lillington, USA.
Akshay J ReddyMedicine, California University of Science and Medicine, Colton, USA.
Allen DangAnaesthesia, California Northstate University College of Medicine, Elk Grove, USA.
Muhammad S GhauriNeurosurgery, California University of Science and Medicine, Colton, USA.
Mildred MinDermatology, California Northstate University College of Medicine, Elk Grove, USA.
Mark BachirHealth Sciences, California Northstate University, Rancho Cordova, USA.
Alex BachirMedicine, Geisinger Commonwealth School of Medicine, Scranton, USA.
Himanshu WaghMedicine, California Northstate University College of Medicine, Elk Grove, USA.
Nathaniel TakMedicine, Midwestern University Arizona College of Osteopathic Medicine, Glendale, USA.
Hetal BrahmbhattPsychiatry, Mercy General Hospital, Sacramento, USA.
California Northstate University · USCampbell University · USCommonwealth Medical College · USMercy General Hospital · USMidwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ability of clopidogrel (Plavix) to work in tandem with aspirin in a dual therapy strategy to boost the anti-platelet therapeutic impact and diminish platelet aggregation induced by platelet receptor inhibition is one of its many key advantages. The researchers discovered that the average reduction in risk of adverse cardiovascular events related to Plavix much outweighed any potential systemic effects. The analysis also revealed that, even though treatment results for diabetic patients with coronary microvascular disease (CMD) are poorer, the dosage and administration of clopidogrel for dual therapy are not modified to address this issue. Although it has been established that the current standard of care for microvascular disease decreases damage, more study is necessary to ensure that this standard is enhanced. It may become more usual in the future to include patient groups in trials who do not have diabetes as a criterion. Patients with diabetes often have higher low-density lipoprotein (LDL) cholesterol levels than the general population, therefore, it is possible that the research findings are flawed. To confirm or reject this assumption, further research is necessary.

Indexed as

blood clottingcholesterolcoronary microvascular diseasedual antiplatelet therapyplavix

Identifiers

PMID36171852
PMCPMC9509004
OpenAlexW4293057344

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.