Evidence mapPaperPMID 37726694Full record

ArticleBMC cardiovascular disorders2023

Factors associated with complications in ST-elevation myocardial infarction: a single-center experience.

Jean-Michel Mavungu Mbuku, Aldophe Mukombola Kasongo, Pascale Goube, Laetitia Miltoni, Aliocha Nkodila Natuhoyila, Jean-Réné M'Buyamba-Kabangu, Benjamin Longo-Mbenza, Bernard Kianu Phanzu

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In one paragraph

Article in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Jean-Michel Mavungu MbukuUnit of cardiology, University of Kinshasa, 58, Avenue Biangala, Righini, Commune Lemba, Kinshasa, Democratic Republic of Congo.
Aldophe Mukombola KasongoCardiology Intensive Care Unit, Hôpital Sud Francilien, Paris, France.
Pascale GoubeCardiology Intensive Care Unit, Hôpital Sud Francilien, Paris, France.
Laetitia MiltoniCardiology Intensive Care Unit, Hôpital Sud Francilien, Paris, France.
Aliocha Nkodila NatuhoyilaDepartment of Biostatistics, Public Health School of Kinshasa, Kinshasa, Democratic Republic of Congo.
Jean-Réné M'Buyamba-KabanguUnit of cardiology, University of Kinshasa, 58, Avenue Biangala, Righini, Commune Lemba, Kinshasa, Democratic Republic of Congo.
Benjamin Longo-MbenzaUnit of cardiology, University of Kinshasa, 58, Avenue Biangala, Righini, Commune Lemba, Kinshasa, Democratic Republic of Congo.
Bernard Kianu PhanzuUnit of cardiology, University of Kinshasa, 58, Avenue Biangala, Righini, Commune Lemba, Kinshasa, Democratic Republic of Congo. doctorkianu@gmail.com.
University of Kinshasa · CDCentre Hospitalier Sud Francilien · FRMinistry of Public Health · CD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundST-elevation myocardial infarction (STEMI) is a major public health problem. This study aimed to determine the prevalence and identify the determinants of STEMI-related complications in the Cardiology Intensive Care Unit of the Sud Francilien Hospital Center (SFHC).

methodsWe retrospectively analyzed the data of 315 patients with STEMI aged ≥ 18 years. Logistic regression was used to identify factors independently associated with the occurrence of complications.

resultsOverall, 315 patients aged 61.7 ± 13.4 years, of whom 261 were men, had STEMI during the study period. The hospital frequency of STEMI was 12.7%. Arrhythmias and acute heart failure were the main complications. Age ≥ 75 years (adjusted odds ratio [aOR], 5.18; 95% confidence interval [CI], 3.92-8.75), hypertension (aOR, 3.38; 95% CI, 1.68-5.82), and cigarette smoking (aOR, 3.52; 95% CI, 1.69-7.33) were independent determinants of acute heart failure. Meanwhile, diabetes mellitus (aOR, 1.74; 95% CI, 1.09-3.37), history of atrial fibrillation (aOR, 2.79; 95% CI, 1.66-4.76), history of stroke or transient ischemic attack (aOR, 1.99; 95% CI, 1.31-2.89), and low high-density lipoprotein-cholesterol (HDL-C) levels (aOR, 3.70; 95% CI, 1.08-6.64) were independent determinants of arrhythmias.

conclusionSTEMI is a frequent condition at SFHC and is often complicated by acute heart failure and arrhythmias. Patients aged ≥ 75 years, those with hypertension or diabetes mellitus, smokers, those with a history of atrial fibrillation or stroke, and those with low HDL-C levels require careful monitoring for the early diagnosis and management of these complications.

Indexed as

Atrial FibrillationHeart FailureHypertensionST Elevation Myocardial InfarctionFemaleHumansMaleRetrospective StudiesComplicationsDeterminantsFrequencySTEMISud Francilien Hospital Center

Identifiers

PMID37726694
PMCPMC10510166
OpenAlexW4386858127

What Socratic holds

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LicenceCC BY
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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.