Evidence mapPaperPMID 40217803Full record

ReviewJournal of clinical medicine2025

Intersections and Challenges in the Management of Acute Coronary Syndrome and Stroke: Pathophysiology, Treatment Dilemmas, and Integrated Prevention Strategies.

Maria Cristina Carella, Eugenio Carulli, Francesco Loizzi, Simona Quarta, Alessandra Freda, Paolo Basile, Fabio Amati, Marco Maria Dicorato, Michele Davide Latorre, Maria Ludovica Naccarati and 7 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Building bridges in migraine management: consensus pathways on best practices across primary and specialist care in Italy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  3. Article
  4. 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

17 authors.

Maria Cristina CarellaCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0000-0002-5094-2237
Eugenio CarulliCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.
Francesco LoizziCardiology Unit, SS Annunziata Hospital, 74100 Taranto, Italy.ORCID 0000-0002-6556-5227
Simona QuartaCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0009-0000-2097-2032
Alessandra FredaCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.
Paolo BasileCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0000-0002-2327-7585
Fabio AmatiNeurology Unit, Ospedale della Murgia "Fabio Perinei", 70022 Altamura, Italy.
Marco Maria DicoratoCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0009-0008-4865-2522
Michele Davide LatorreCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.
Maria Ludovica NaccaratiCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.
Cosimo Daniele LenociCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.
Sebastiano CiccoUnit of Internal Medicine "Guido Baccelli" and Unit of Hypertension "A.M. Pirrelli", Department of Precision and Regenerative Medicine and Ionian Area-(DiMePRe-J), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0000-0002-1980-5728
Gianluca PontoneCentro Cardiologico Monzino IRCCS, 20138 Milan, Italy.ORCID 0000-0002-1339-6679
Cinzia ForleoCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0000-0002-9452-4037
Andrea Igoren GuaricciCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0000-0001-7133-4401
Marco Matteo CicconeCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.
Vincenzo Ezio SantobuonoCardiology Unit, Interdisciplinary Department of Medicine (DIM), University of Bari "Aldo Moro", University Hospital Consortium Polyclinic of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0000-0002-8746-729X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute coronary syndrome (ACS) and stroke are interconnected conditions that often share risk factors such as atherosclerosis, thrombosis, and systemic inflammation. When these events occur simultaneously, they present unique diagnostic and therapeutic challenges. This review explores the pathophysiological mechanisms linking ACS and stroke, including common pathways like plaque instability, cardioembolism, and endothelial dysfunction, while highlighting the distinct features of ischemic and hemorrhagic strokes. The manuscript provides an overview of diagnostic strategies, emphasizing the role of biomarkers, advanced neuroimaging, and risk stratification tools in guiding acute management. Furthermore, the review delves into treatment approach, emphasizing the need to balance reperfusion therapies for ACS with thrombolysis or thrombectomy for ischemic stroke while carefully managing the challenges posed by anticoagulation in cases complicated by bleeding. Long-term strategies for secondary prevention are examined, including antithrombotic regimens tailored to the dual risk of thrombosis and bleeding, as well as lipid-lowering and blood pressure management. Future perspectives highlight the potential of novel pharmacological agents, neuroprotective therapies, and AI-driven tools to enhance patient outcomes. This review underscores the importance of integrated, multidisciplinary care and identifies key areas for future research to optimize the management of these high-risk patients.

Indexed as

acute coronary syndromeanticoagulation therapydual antiplatelet therapyintracerebral hemorrhagemyocardial infarctionpercutaneous coronary interventionstroke

Identifiers

PMID40217803
PMCPMC11989927

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.