Evidence map›Paper›PMID 42235147›Full record

ArticleJACC. Basic to translational science2026

Prolonged Inflammation Associates With Greater Infarct Size and Poor Outcome After ST-Segment Elevation Myocardial Infarction.

Christian Graesser, Johannes Krefting, Marius Schwab, Hendrik Scheidhauer, Sophie Novacek, Nicolás López Armbruster, Julia Hinterdobler, Svenja Rapelius, Amos Romer, Philipp M Rumpf and 17 more

Abstract read
In one paragraph

Article in JACC. Basic to translational science, 2026. 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

27 authors.

Christian GraesserGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany; German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany; Department of Internal Medicine III - Cardiology and Angiology, Saarland University Medical Center, Homburg/Saar, Germany.
Johannes KreftingGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany; German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany.
Marius SchwabGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Hendrik ScheidhauerGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Sophie NovacekGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Nicolás López ArmbrusterGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Julia HinterdoblerGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Svenja RapeliusGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Amos RomerGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Philipp M RumpfGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Ferdinand RoskiGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Tobias LenzGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Felix VollGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Baiba VilneBioinformatics Group, Rīga Stradiņš University, Rīga, Latvia.
Teresa TrenkwalderGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Moritz von ScheidtGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany; German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany.
Erion XhepaGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Michael JonerGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany; German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany.
Salvatore CasseseGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Sabine SteffensGerman Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany; Institute for Cardiovascular Prevention, Ludwig Maximilians University Munich, Munich, Germany; Institute for Diabetes and Cancer, Helmholtz Zentrum Munich, Neuherberg, Germany.
Christian WeberGerman Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany; Institute for Cardiovascular Prevention, Ludwig Maximilians University Munich, Munich, Germany; Munich Cluster for Systems Neurology (SyNergy), Munich, Germany; Department of Biochemistry, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, the Netherlands.
Heribert SchunkertGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany; German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany.
Gjin NdrepepaGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Adnan KastratiGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany; German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany.
Thorsten KesslerGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany; German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany; Department of Internal Medicine III - Cardiology and Angiology, Saarland University Medical Center, Homburg/Saar, Germany.
Aldo MoggioGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany.
Hendrik B SagerGerman Heart Centre Munich, Department of Cardiology, TUM University Hospital, Technical University of Munich, Munich, Germany; German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany. Electronic address: hendrik.sager@tum.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAcute myocardial infarction (MI) induces a systemic inflammatory response that usually resolves within days, but the prognostic impact of persistent inflammation is uncertain. We assessed whether sustained leukocytosis after ST-segment elevation myocardial infarction (STEMI) relates to infarct size, left ventricular function, and clinical outcomes. METHODS AND

resultsIn >1,700 STEMI patients treated with primary percutaneous coronary intervention, leukocytes peaked on admission and typically normalized by day 3. Patients were stratified by leukocyte tertiles at admission and day 3. High day 3 leukocyte counts were associated with larger infarct size (scintigraphy; peak creatine kinase-myocardial band and troponin T), worse left ventricular function in hospital and at 6 months, and higher 1- and 5-year mortality. Patients whose leukocyte counts declined had better recovery, whereas persistent leukocytosis marked the poorest outcomes. Monocyte RNA sequencing showed post-MI transcriptomic reprogramming, and murine MI models recapitulated a similar systemic immune response.

conclusionsPersistent inflammation, particularly elevated leukocyte counts at day 3 post-MI, is associated with adverse remodeling and increased mortality after STEMI, identifying unresolved inflammation as a negative prognostic marker and potential therapeutic target.

Indexed as

inflammationleukocytesresolution of inflammationrisk stratificationSTEMI

Identifiers

PMID42235147
PMCPMC13254960

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.