Evidence map›Paper›PMID 40180780›Full record

ReviewAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2025

Trimetazidine in Cardiovascular Disease and Beyond: A Comprehensive Review.

Harsh Goel, Nicholas Roma, Michael Morgan, Riya Arora, Nayanika Sreejith, Deepak Goyal, Sunil Nadar

Abstract readReview
PubMed Publisher
In one paragraph

Review in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Harsh GoelClinical Professor of Medicine, Department of Medicine, St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA, 18015, USA. harsh.goel@sluhn.org.ORCID http://orcid.org/0000-0003-0081-9852
Nicholas RomaClinical Professor of Medicine, Department of Medicine, St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA, 18015, USA.
Michael MorganClinical Professor of Medicine, Department of Medicine, St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA, 18015, USA.
Riya AroraDepartment of Molecular and Cell Biology, University of California, Berkeley, CA, USA.
Nayanika SreejithPeterborough City Hospital, Northwest Anglia Foundation NHS Trust, Peterborough, UK.
Deepak GoyalDepartment of Cardiology, Worcestershire Acute hospitals NHS trust, Charles Hastings Way, Worcester, WR5 1DD, UK.
Sunil NadarDepartment of Cardiology, Dudley Group of Hospitals NHS Trust, Pensnett Road, Dudley, DY12HQ, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trimetazidine is a metabolic modulator that acts as a competitive inhibitor of the terminal enzyme in the β-oxidation pathway to shift energy substrate from free fatty acids to the more oxygen-efficient glucose metabolism. The resulting conservation of cellular adenosine triphosphate generation in the face of ischemia/hypoxia mediates the anti-ischemic efficacy of trimetazidine. Clinically, trimetazidine has been approved as an add-on treatment in patients with symptomatic angina that is poorly controlled with first-line agents or who cannot tolerate the first-line therapy. In addition, trimetazidine has demonstrated antioxidant, cytoprotective, and anti-apoptotic activity with applications beyond angina. The aim of this review was to summarize the mechanism of action and anti-anginal efficacy of trimetazidine and to discuss the putative role of these pleiotropic effects and the evidence behind its application in cardiovascular diseases in general.

Indexed as

Cardiovascular DiseasesTrimetazidineVasodilator AgentsAngina PectorisAnimalsAntioxidantsHumansAntioxidantsTrimetazidineVasodilator Agents

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.