Evidence map›Paper›PMID 40840987›Full record

Observational studyBMJ open2025

Association between adjusted atherogenic index of plasma and major adverse cardiovascular events after percutaneous coronary intervention in patients with STEMI: a prospective observational study in China.

Dong Wu, Xiaowu Wang, Zhenfeng Yang, Xiaoying Wang, Zhen M A, Yongkai Ma, Ya Li, Guangli Li, Xiaojuan Wang

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 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

9 authors.

Dong Wu *Department of Pharmacy, Fuyang People's Hospital, Fuyang, China.ORCID http://orcid.org/0009-0005-4029-4693
Xiaowu Wang *Department of Clinical Laboratory, The Second People's Hospital of Fuyang, Fuyang Clinical College of Infectious Diseases, Anhui Medical University, Fuyang, China.ORCID http://orcid.org/0000-0001-6954-598X
Zhenfeng YangDepartment of Pharmacy, Fuyang People's Hospital, Fuyang, China.ORCID http://orcid.org/0009-0002-8945-916X
Xiaoying WangDepartment of Pharmacy, Fuyang People's Hospital, Fuyang, China.ORCID http://orcid.org/0009-0002-4230-2042
Zhen M ADepartment of Cardiovascular Medicine, Fuyang People's Hospital, Fuyang, China.ORCID http://orcid.org/0009-0007-1797-4791
Yongkai MaDepartment of Cardiovascular Medicine, Fuyang People's Hospital, Fuyang, China.ORCID http://orcid.org/0009-0001-6951-059X
Ya LiDepartment of Pharmacy, Fuyang People's Hospital, Fuyang, China.ORCID http://orcid.org/0009-0005-1666-0307
Guangli LiDepartment of Pharmacy, Fuyang People's Hospital, Fuyang, China.ORCID http://orcid.org/0009-0008-2986-9259
Xiaojuan WangDepartment of Academic Affairs, Fuyang People's Hospital, Fuyang, China wxj0037@163.com.ORCID http://orcid.org/0000-0002-9215-5733

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe atherogenic index of plasma (AIP) has been reported as a biomarker for cardiovascular disease risks and clinical outcomes. However, few studies have investigated the relationship between the AIP and major adverse cardiovascular events (MACEs) after percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI).

designProspective observational study.

settingData were collected from consecutive patients with STEMI who received PCI at Fuyang People's Hospital from January 2023 to March 2024. PATIENTS: A total of 334 patients with STEMI who underwent PCI. The adjusted AIP (aAIP) was calculated using the following formula: aAIP=log ((triglyceride/high-density lipoprotein cholesterol × 100). The patient population was divided into four groups based on the aAIP quartiles. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was MACEs, and the secondary outcomes included all-cause mortality, all-cause readmission and unplanned readmission as individual endpoints.

resultsAmong 334 eligible patients, 68 (20.36%) experienced MACEs during a median follow-up of 8.70 months. After adjusting for confounders, continuous aAIP was positively correlated with MACEs in all three models. Patients in Q3 and Q4 had significantly higher MACE risks than Q1 (p<0.001 for each model), but no difference was observed between Q1 and Q2 (p>0.05 for each model). Compared with Q1, Q4 had significantly increased all-cause mortality risk (Model 2: HR=12.72, 95% CI 1.39 to 76.44 and Model 3: HR=16.18, 95% CI 1.66 to 117.50). All-cause readmission risk was also higher in Q3 and Q4 (Model 3: Q3: HR=2.242, 95% CI 1.043 to 4.818, p=0.039 and Q4: HR=5.378, 95% CI 2.557 to 11.314, p<0.001). Kaplan-Meier curves showed that higher aAIP was associated with increased risks of MACEs, all-cause readmission and unplanned readmission (all log-rank p<0.0001), but not all-cause mortality (log-rank p=0.1534). No significant interactions between subgroups and the aAIP were observed (p>0.05 for interaction).

conclusionsHigher aAIP was significantly associated with increased risks of MACEs, all-cause readmission and unplanned readmission.

Indexed as

AtherosclerosisCholesterol, HDLPercutaneous Coronary InterventionST Elevation Myocardial InfarctionTriglyceridesAgedBiomarkersChinaFemaleHumansMaleMiddle AgedPatient ReadmissionProspective StudiesRisk FactorsBiomarkersCholesterol, HDLTriglyceridesCoronary interventionDeath, Sudden, CardiacMyocardial infarction

Identifiers

PMID40840987
PMCPMC12374678

What Socratic holds

Textmetadata
LicenceCC BY-NC
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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.