Evidence map›Paper›PMID 39436436›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2025

Remote ischemic periconditioning suppresses cardiac sympathetic activation in acute myocardial infarction: a randomized controlled trial.

Takumi Kondo, Masahiro Seo, Tetsuya Watanabe, Takahisa Yamada, Takashi Morita, Masato Kawasaki, Atsushi Kikuchi, Tsutomu Kawai, Yuji Nishimoto, Jun Nakamura and 5 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. 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

15 authors.

Takumi Kondo *Division of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan. takumikondou2000@yahoo.co.jp.ORCID 0000-0001-8475-6240
Masahiro Seo *Division of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Tetsuya WatanabeDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Takahisa YamadaDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Takashi MoritaDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Masato KawasakiDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Atsushi KikuchiDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Tsutomu KawaiDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Yuji NishimotoDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Jun NakamuraDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Takeshi FujitaDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Masanao TanichiDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Yongchol ChangDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.
Yasushi SakataDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, 565-0871, Japan.
Masatake FukunamiDivision of Cardiology, Osaka General Medical Center, Osaka, 558-8558, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRemote ischemic periconditioning (RIPC) has demonstrated cardioprotective effects and improved clinical outcomes as an adjunct to emergent percutaneous coronary intervention (PCI) in patients with ST-elevation myocardial infarction (STEMI). However, whether RIPC affects the cardiac sympathetic nerve activity in patients with STEMI remains unclear. This study investigated the effects of RIPC on cardiac sympathetic nerve activity in patients with STEMI.

methodsWe prospectively assigned patients with STEMI who underwent emergent PCI to receive RIPC or no procedure (control group) upon arrival at the cardiac catheterization laboratory. The primary endpoint was cardiac sympathetic nerve activity assessed through the washout rate (WR) in cardiac

resultsPatients in the RIPC (n = 62) and control (n = 60) groups had similar demographic and clinical characteristics at baseline. Multivariable linear regression models revealed that the culprit lesion of the left anterior descending artery and hemoglobin level were significantly and independently associated with WR at discharge. WRs of the groups differed insignificantly at discharge. However, the RIPC group (n = 49) showed significantly lower WR than the control group (n = 47) at 1 year after discharge (p = 0.027). In the single-photon emission computed tomography analysis at 1 year after discharge, the RIPC group demonstrated significantly higher late uptake (p = 0.021) and lower WR (p = 0.013) in the nonculprit lesion, with a non-significant decrease in WR for the culprit lesion.

conclusionRIPC can suppress augmented cardiac sympathetic nerve activity in patients with STEMI, particularly in nonculprit lesions.

Indexed as

HeartMyocardial InfarctionST Elevation Myocardial InfarctionSympathetic Nervous System3-IodobenzylguanidineAgedFemaleHumansMaleMiddle AgedPercutaneous Coronary Intervention3-IodobenzylguanidineCardiac 123I-MIBG imagingCardiac sympathetic nerve activityRemote ischemic periconditioningST-elevation myocardial infarctionWashout rate

Identifiers

What Socratic holds

Textmetadata
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.