Evidence map›Paper›PMID 40021272›Full record

ReviewJACC. Advances2025

Reperfused Myocardial Infarction: The Road to CCS Classification of Acute MI and Beyond.

Rohan Dharmakumar, Robert A Kloner, Michael Fishbein, Gerd Heusch, Keyur P Vora, Robert Gropler, Timothy Henry, Shing Fai Chan, Dhirendra Singh, Nithya Jambunathan and 8 more

Abstract readReview
In one paragraph

Review in JACC. Advances, 2025. 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
–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

12 citing papers in PubMed.

  1. Article
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  7. Article
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  9. Observational
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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

18 authors.

Rohan DharmakumarKrannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA. Electronic address: rdkumar@iu.edu.
Robert A KlonerHuntington Medical Research Institute, Pasadena, California, USA; Department of Medicine, Keck School of Medicine at University of Southern California, Los Angeles, California, USA.
Michael FishbeinDepartment of Pathology, David Geffen School of Medicine, University of California, Los Angeles, California, USA.
Gerd HeuschDepartment of Pathophysiology, University of Essen, Essen, Germany.
Keyur P VoraKrannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Robert GroplerDepartment of Radiological Sciences, Washington University School of Medicine at St. Louis, St. Louis, Missouri, USA.
Timothy HenryCarl and Edyth Lindner Center for Research, The Christ Hospital, Cincinnati, Ohio, USA.
Shing Fai ChanKrannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Dhirendra SinghKrannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Nithya JambunathanKrannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Ramesh SubramanianKrannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Rolf P KreutzKrannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Grant W ReedDivision of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Richard J KovacsKrannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Edward FryAscension St. Vincent Heart Center, Indianapolis, Indiana, USA.
Ankur KalraKrannert Cardiovascular Research Center, Indiana University School of Medicine, Indianapolis, Indiana, USA; Department of Cardiology, Franciscan Health, Lafayette, Indiana, USA.
Andreas KumarClinical Sciences Division, Northern Ontario School of Medicine, University and Health Sciences, Sudbury, Ontario, Canada.
Subha V RamanHeart and Vascular Division, OhioHealth, Columbus, Ohio, USA.

Funding

Developing a MRI-guided Disease-Modifying Therapy for Post Infarction Chronic Heart FailureR01HL133407 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Rohan Dharmakumar · 2017 to 2026
$4.9M
Mechanistic Insights to A Translatable Therapy for Acute Reperfused Hemorrhagic Myocardial InfarctionsR01HL147133 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI DHARMAKUMAR, ROHAN, FRANCIS, JOSEPH · 2020 to 2023
$3.2M
NHLBI NIH HHS R01 HL133407NHLBI NIH HHS R01 HL147133
6 · The paper itself

Abstract

The Canadian Cardiovascular Society recently put forth a new classification of acute reperfused myocardial infarction (MI) based on stages of myocardial injury. Backed by more than 5 decades of intense investigation in the field, the key message of this new classification is that not all MIs are the same and that the type and extent of myocardial injury should be considered in diagnosing and treating MI. We review the literature with the goal of highlighting the progressive advances that enabled the synthesis of the Canadian Cardiovascular Society classification into 4 distinct stages of tissue injury. We emphasize the major breakthroughs from insights gained from experimental, translational, and clinical studies to date. We also identify current gaps in knowledge and critical research directions that need to be pursued to improve patient care and reduce post-MI complications such as chronic heart failure and malignant arrhythmias, whose risk is linked to stage and extent of myocardial injury.

Indexed as

CCS stages of myocardial tissue injuryintramyocardial hemorrhagemyocardial infarctionreperfusion injuryreperfusion therapy

Identifiers

PMID40021272
PMCPMC11905164

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.