Evidence map›Paper›PMID 37584013›Full record

ArticleJACC. Advances2023

Assessment and Management of Older Adults Undergoing PCI, Part 1: A

Michael G Nanna, Nadia R Sutton, Ajar Kochar, Jennifer A Rymer, Angela M Lowenstern, Grace Gackenbach, Scott L Hummel, Parag Goyal, Michael W Rich, James N Kirkpatrick and 6 more

Open access · diamondAbstract read
In one paragraph

Article in JACC. Advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
7.9field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  14. Re-evaluating stress testing paradigms in older adults.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2025
    Article
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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

16 authors at 13 institutions in 1 country.

Michael G NannaYale University School of Medicine, New Haven, Connecticut, USA.
Nadia R SuttonDepartment of Internal Medicine, Division of Cardiovascular Medicine, Michigan Medicine, Ann Arbor, Michigan, USA.
Ajar KocharBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Jennifer A RymerDuke University School of Medicine, Durham, North Carolina, USA.
Angela M LowensternVanderbilt University Medical Center, Nashville, Tennessee, USA.
Grace GackenbachUniversity of Michigan School of Medicine, Ann Arbor, Michigan, USA.
Scott L HummelUniversity of Michigan School of Medicine and VA Ann Arbor Health System, Ann Arbor, Michigan, USA.
Parag GoyalDepartment of Medicine, Weill Cornell Medicine, New York, New York, USA.
Michael W RichDivision of Cardiology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
James N KirkpatrickDivision of Cardiology, Department of Bioethics and Humanities, University of Washington School of Medicine, Seattle, Washington, USA.
Ashok KrishnaswamiDivision of Cardiology, Kaiser Permanente San Jose Medical Center, San Jose, California, USA.
Karen P AlexanderDuke University School of Medicine, Durham, North Carolina, USA.
Daniel E FormanDivisions of Geriatrics and Cardiology, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Anna E BortnickMontefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
Wayne BatchelorInova Center of Outcomes Research, Fairfax, Virginia, USA.
Abdulla A DamlujiInova Center of Outcomes Research, Fairfax, Virginia, USA.
Duke University · USUniversity of Michigan · USAlbert Einstein College of Medicine · USBrigham and Women's Hospital · USCornell University · USJohns Hopkins University · USKaiser Permanente San Jose Medical Center · USMichigan Medicine · USUniversity of Pittsburgh · USUniversity of Washington · USVanderbilt University Medical Center · USWashington University in St. Louis · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody, RAYMOND L YUNG · 2004 to 2026
$29.2M
Ectonucleotidase modulation of age-dependent vascular calcification and stiffnessK76AG064426 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SUTTON, NADIA RAZAQ · 2020 to 2024
$1.2M
Frailty and Resiliency in Older Adults with Acute Myocardial InfarctionK23HL153771 · NHLBI · INOVA HEALTH CARE SERVICES · PI DAMLUJI, ABDULLA AL · 2020 to 2024
$916k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL153771NIA NIH HHS K76 AG064426NIA NIH HHS P30 AG024824
6 · The paper itself

Abstract

As the population ages, older adults represent an increasing proportion of patients referred to the cardiac catheterization laboratory. Older adults are the highest-risk group for morbidity and mortality, particularly after complex, high-risk percutaneous coronary interventions. Structured risk assessment plays a key role in differentiating patients who are likely to derive net benefit vs those who have disproportionate risks for harm. Conventional risk assessment tools from national cardiovascular societies typically rely on 3 pillars: 1) cardiovascular risk; 2) physiologic and hemodynamic risk; and 3) anatomic and procedural risks. We propose adding a fourth pillar: geriatric syndromes, as geriatric domains can supersede all other aspects of risk.

Indexed as

acute coronary syndromecardiac catheterizationcardiovascular diseasegeriatric assessmentmultimorbidityolder adultspercutaneous coronary interventionpolypharmacy

Identifiers

PMID37584013
PMCPMC10426754
OpenAlexW4382751902

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.