Evidence map›Paper›PMID 37762875›Full record

ReviewJournal of clinical medicine2023

Microvascular Obstruction in Acute Myocardial Infarction, a Potential Therapeutic Target.

Mina Ghobrial, Bilal Bawamia, Timothy Cartlidge, Ioakim Spyridopoulos, Vijay Kunadian, Azfar Zaman, Mohaned Egred, Adam McDiarmid, Matthew Williams, Mohamed Farag and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 7% 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, 14 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

11 authors at 1 institution in 1 country.

Mina GhobrialCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.ORCID 0000-0002-3174-653X
Bilal BawamiaCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.
Timothy CartlidgeCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.
Ioakim SpyridopoulosCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.ORCID 0000-0002-2750-2444
Vijay KunadianCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.
Azfar ZamanCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.ORCID 0000-0003-4891-8892
Mohaned EgredCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.ORCID 0000-0003-3642-318X
Adam McDiarmidCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.
Matthew WilliamsCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.ORCID 0000-0001-9604-4339
Mohamed FaragCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.ORCID 0000-0003-0811-7679
Mohammad AlkhalilCardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.ORCID 0000-0002-3088-8878
Freeman Hospital · GB

Funding

British Heart Foundation FS/12/31/29533British Heart Foundation FS/15/77/31823
6 · The paper itself

Abstract

Microvascular obstruction (MVO) is a recognised phenomenon following mechanical reperfusion in patients presenting with ST-segment elevation myocardial infarction (STEMI). Invasive and non-invasive modalities to detect and measure the extent of MVO vary in their accuracy, suggesting that this phenomenon may reflect a spectrum of pathophysiological changes at the level of coronary microcirculation. The importance of detecting MVO lies in the observation that its presence adds incremental risk to patients following STEMI treatment. This increased risk is associated with adverse cardiac remodelling seen on cardiac imaging, increased infarct size, and worse patient outcomes. This review provides an outline of the pathophysiology, clinical implications, and prognosis of MVO in STEMI. It describes historic and novel pharmacological and non-pharmacological therapies to address this phenomenon in conjunction with primary PCI.

Indexed as

acute myocardial infarctionmicrovascular obstruction

Identifiers

PMID37762875
PMCPMC10532390
OpenAlexW4386713116

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.