Evidence mapPaperPMID 39126262Full record

SynthesisAnnals of medicine2024

Benefits of intensive lipid-lowering therapies in patients with acute coronary syndrome: a systematic review and meta-analysis.

Xian-Dan Wu, Xin-Yue Ye, Xuan-Yan Liu, Yue Lin, Xian Lin, Yan-Yan Li, Bin-Hua Ye, Jing-Chao Sun

Registry-linked trialAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Annals of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07290699 (INtensive Cholesterol-Lowering With recatIcimab combiNation in Emergency PCI for Acute Myocardial Infarction), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
field-weighted citation impact
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.

NCT07290699 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

INtensive Cholesterol-Lowering With recatIcimab combiNation in Emergency PCI for Acute Myocardial Infarction: A Randomized Controlled Trial

TypeinterventionalSponsorSecond Affiliated Hospital of Nanchang UniversityRan2026 to 2028Enrolled2,442ConditionsSTEMI - ST Elevation Myocardial Infarction, NSTEMI - Non-ST Segment Elevation Myocardial Infarction (MI)ArmsRecaticimab
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
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.

Xian-Dan WuDepartment of General Medicine, The First people's hospital of Wenling, Taizhou, Zhejiang, China.
Xin-Yue YeShanghai Jiao Tong University, Shanghai, China.
Xuan-Yan LiuDepartment of General Medicine, The First people's hospital of Wenling, Taizhou, Zhejiang, China.
Yue LinDepartment of General Medicine, The First people's hospital of Wenling, Taizhou, Zhejiang, China.
Xian LinDepartment of General Medicine, The First people's hospital of Wenling, Taizhou, Zhejiang, China.
Yan-Yan LiDepartment of General Medicine, The First people's hospital of Wenling, Taizhou, Zhejiang, China.
Bin-Hua YeDepartment of General Medicine, The First people's hospital of Wenling, Taizhou, Zhejiang, China.
Jing-Chao SunDepartment of Cardiology, Taizhou Municipal Hospital, Taizhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious meta-analyses have investigated the efficacy of lipid-lowering therapies for atherosclerotic cardiovascular disease; however, few have focused on patients with acute coronary syndrome (ACS). This meta-analysis aimed to compare the benefits of intensive lipid-lowering therapy with those of background statin therapy in patients with ACS.

methodsSearches were performed on PubMed, Embase, the Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov databases for articles published until April 13, 2023. Randomized controlled trials that compared intensive lipid-lowering therapies and background statin therapies in patients with prior ACS and recorded the outcome of three-point major cardiovascular events (MACE) were included. The risk ratio (RR) with 95% confidence interval (CI) was used as a measure of primary and secondary outcomes.

resultsNine trials involving 38,640 patients with ACS were identified. Pooled results suggested that intensive lipid-lowering therapies are associated with a reduction in the risk of three-point MACE (RR, 0.88; 95% CI, 0.83-0.94;

conclusionsIntensive lipid-lowering therapies may reduce the risk of three-point MACE, recurrent ACS, nonfatal MI, stroke, and hospitalization for unstable angina in patients with ACS undergoing background statin therapy. These results may assist in clinical decision-making for the secondary prevention of cardiovascular events to initiate intensive lipid-lowering therapies immediately after ACS.

Indexed as

Acute Coronary SyndromeHydroxymethylglutaryl-CoA Reductase InhibitorsHospitalizationHumansHypolipidemic AgentsMyocardial InfarctionRandomized Controlled Trials as TopicStrokeTreatment OutcomeHydroxymethylglutaryl-CoA Reductase InhibitorsHypolipidemic Agentsacute coronary syndromecardiovascular riskezetimibeIntensive lipid-loweringPCSK9 inhibitor

Identifiers

PMID39126262
PMCPMC11318487

What Socratic holds

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Registered trials

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.