A Novel Method in the Stratification of Post-Myocardial-Infarction Patients Based on Pathophysiology
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{"title"=>"A novel method in the stratification of post-myocardial-infarction patients based on pathophysiology", "type"=>"journal", "authors"=>[{"first_name"=>"Ben", "last_name"=>"He", "scopus_author_id"=>"7402047884"}, {"first_name"=>"Heng", "last_name"=>"Ge", "scopus_author_id"=>"14627245900"}, {"first_name"=>"Fan", "last_name"=>"Yang", "scopus_author_id"=>"55798478200"}, {"first_name"=>"Yujun", "last_name"=>"Sun", "scopus_author_id"=>"57191648538"}, {"first_name"=>"Zheng", "last_name"=>"Li", "scopus_author_id"=>"57016185600"}, {"first_name"=>"Meng", "last_name"=>"Jiang", "scopus_author_id"=>"22979483300"}, {"first_name"=>"Yiting", "last_name"=>"Fan", "scopus_author_id"=>"55227027500"}, {"first_name"=>"Jun", "last_name"=>"Pu", "scopus_author_id"=>"7102908974"}, {"first_name"=>"Xuedong", "last_name"=>"Shen", "scopus_author_id"=>"8950314100"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"605586061", "pmid"=>"26090807", "doi"=>"10.1371/journal.pone.0130158", "issn"=>"19326203", "scopus"=>"2-s2.0-84939123676", "sgr"=>"84939123676", "isbn"=>"1241070830"}, "id"=>"fe347dfb-2ea5-3cc8-b4e4-766031a1a6a7", "abstract"=>"Objectives: We proposed that the severity of ST-segment elevation myocardial infarction (STEMI) could be classified based on pathophysiological changes. Methods: First-STEMI patients were classified within hospitalization. Grade 0: no detectable myocardial necrosis; Grade 1: myocardial necrosis without functional and morphological abnormalities; Grade 2: myocardial necrosis with reduced LVEF; Grade 3: reduced LVEF on the basis of cardiac remodeling; Grade 4: mitral regurgitation additional to the Grade-3 criteria. Results: Of 180 patients, 1.7, 43.9, 26.1, 23.9 and 4.4% patients were classified as Grade 0 to 4, respectively. The classification is an independent predicator of 90-day MACEs (any death, resuscitated cardiac arrest, acute heart failure and stroke): the rate was 0, 5.1, 8.5, 48.8 and 75% from Grade 0 to 4 (p<0.001), respectively. The Grade-2 patients were more likely to have recovered left ventricular ejection fraction than the Grade-3/4 patients did after 90 days (48.9% vs. 19.1%, p<0.001). Avoiding complicated quantification, the classification served as a good reflection of infarction size as measured by cardiac magnetic resonance imaging (0+/-0, 15.68+/-8.48, 23.68+/-9.32, 36.12+/-11.35 and 40.66+/-14.33% of the left ventricular mass by Grade 0 to 4, P<0.001), and with a comparable prognostic value (AUC 0.819 vs. 0.813 for infarction size, p = 0.876 by C-statistics) for MACEs. Conclusions: The new classification represents an easy and objective method to scale the cardiac detriments for STEMI patients.", "link"=>"http://www.mendeley.com/research/novel-method-stratification-postmyocardialinfarction-patients-based-pathophysiology", "reader_count"=>13, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>1, "Researcher"=>1, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>2, "Other"=>1, "Student > Master"=>2, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>1, "Researcher"=>1, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>2, "Other"=>1, "Student > Master"=>2, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>7, "Computer Science"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>7}, "Computer Science"=>{"Computer Science"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>4}}, "group_count"=>0}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/2126827"], "description"=>"<p>The pathophysiological classification demonstrates comparable prognostic values as infarction size by C-statistics in the prediction of 90-day MACEs.</p>", "links"=>[], "tags"=>["Grade 0", "lvef", "stemi", "infarction size", "mace", "AUC 0.819 vs"], "article_id"=>1454912, "categories"=>["Biological Sciences"], "users"=>["Ben He", "Heng Ge", "Fan Yang", "Yujun Sun", "Zheng Li", "Meng Jiang", "Yiting Fan", "Jun Pu", "Xuedong Shen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130158.g007", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_pathophysiological_classification_demonstrates_comparable_prognostic_values_as_infarction_size_by_C_statistics_in_the_prediction_of_90_day_MACEs_/1454912", "title"=>"The pathophysiological classification demonstrates comparable prognostic values as infarction size by C-statistics in the prediction of 90-day MACEs.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-19 03:09:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/2126828"], "description"=>"<p>Values are presented as number (%) and/or Mean ± SD. HTN: Hypertension; DM: Diabetes mellitus; LAD: left anterior descending coronary artery; LCX: left circumflex coronary artery; RCA: right coronary artery; CMR: cardiac magnetic resonance imaging; y: year; d: day. LV: left ventricle; CPK: Creatine Phosphate Kinase; LVEF: left ventricular ejection fraction.</p><p>Baseline characteristics of differently graded patients.</p>", "links"=>[], "tags"=>["Grade 0", "lvef", "stemi", "infarction size", "mace", "AUC 0.819 vs"], "article_id"=>1454914, "categories"=>["Biological Sciences"], "users"=>["Ben He", "Heng Ge", "Fan Yang", "Yujun Sun", "Zheng Li", "Meng Jiang", "Yiting Fan", "Jun Pu", "Xuedong Shen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130158.t001", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Baseline_characteristics_of_differently_graded_patients_/1454914", "title"=>"Baseline characteristics of differently graded patients.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-06-19 03:09:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/2126830"], "description"=>"<p>HTN: Hypertension; DM: Diabetes mellitus; LVEF: left ventricular ejection fraction</p><p>Logistic regression analysis for the predictor of 90-day MACEs.</p>", "links"=>[], "tags"=>["Grade 0", "lvef", "stemi", "infarction size", "mace", "AUC 0.819 vs"], "article_id"=>1454915, "categories"=>["Biological Sciences"], "users"=>["Ben He", "Heng Ge", "Fan Yang", "Yujun Sun", "Zheng Li", "Meng Jiang", "Yiting Fan", "Jun Pu", "Xuedong Shen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130158.t002", "stats"=>{"downloads"=>3, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Logistic_regression_analysis_for_the_predictor_of_90_day_MACEs_/1454915", "title"=>"Logistic regression analysis for the predictor of 90-day MACEs.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-06-19 03:09:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/2126820"], "description"=>"<p>Post-STEMI patients is stratified based on graded pathophysiological criteria.</p>", "links"=>[], "tags"=>["Grade 0", "lvef", "stemi", "infarction size", "mace", "AUC 0.819 vs"], "article_id"=>1454905, "categories"=>["Biological Sciences"], "users"=>["Ben He", "Heng Ge", "Fan Yang", "Yujun Sun", "Zheng Li", "Meng Jiang", "Yiting Fan", "Jun Pu", "Xuedong Shen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130158.g001", "stats"=>{"downloads"=>0, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Post_STEMI_patients_is_stratified_based_on_graded_pathophysiological_criteria_/1454905", "title"=>"Post-STEMI patients is stratified based on graded pathophysiological criteria.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-19 03:09:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/2126821"], "description"=>"<p>The absence of detectable myocardial necrosis (red arrow head) is a key criterion for Grade-0 patients, for whom, myocardial edema (yellow arrow head) can be the only finding in the acute phase. Cardiac remodeling is defined as an expanded left ventricle (blue arrow head). Apparent mitral regurgitation (green arrow head) on the basis of cardiac remodeling is indicative of Grade 4.</p>", "links"=>[], "tags"=>["Grade 0", "lvef", "stemi", "infarction size", "mace", "AUC 0.819 vs"], "article_id"=>1454906, "categories"=>["Biological Sciences"], "users"=>["Ben He", "Heng Ge", "Fan Yang", "Yujun Sun", "Zheng Li", "Meng Jiang", "Yiting Fan", "Jun Pu", "Xuedong Shen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130158.g002", "stats"=>{"downloads"=>0, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Examples_for_CMR_findings_of_myocardial_edema_necrosis_cardiac_remodeling_and_echocardiography_finding_of_severe_mitral_regurgitation_from_left_to_right_/1454906", "title"=>"Examples for CMR findings of myocardial edema, necrosis, cardiac remodeling and echocardiography finding of severe mitral regurgitation (from left to right).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-19 03:09:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/2126823"], "description"=>"<p>Rates of 90-day MACEs (defined as any death, resuscitated cardiac arrest, acute heart failure or stroke) were incremental with higher grades.</p>", "links"=>[], "tags"=>["Grade 0", "lvef", "stemi", "infarction size", "mace", "AUC 0.819 vs"], "article_id"=>1454908, "categories"=>["Biological Sciences"], "users"=>["Ben He", "Heng Ge", "Fan Yang", "Yujun Sun", "Zheng Li", "Meng Jiang", "Yiting Fan", "Jun Pu", "Xuedong Shen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130158.g003", "stats"=>{"downloads"=>1, "page_views"=>28, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Rates_of_90_day_MACEs_defined_as_any_death_resuscitated_cardiac_arrest_acute_heart_failure_or_stroke_were_incremental_with_higher_grades_/1454908", "title"=>"Rates of 90-day MACEs (defined as any death, resuscitated cardiac arrest, acute heart failure or stroke) were incremental with higher grades.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-19 03:09:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/2126824"], "description"=>"<p>Nearly half of the Grade-2 patients had LVEF recovered to normal (≥55%), while much fewer patients had improved LVEF in both Grade-3 and Grade-4 groups.</p>", "links"=>[], "tags"=>["Grade 0", "lvef", "stemi", "infarction size", "mace", "AUC 0.819 vs"], "article_id"=>1454909, "categories"=>["Biological Sciences"], "users"=>["Ben He", "Heng Ge", "Fan Yang", "Yujun Sun", "Zheng Li", "Meng Jiang", "Yiting Fan", "Jun Pu", "Xuedong Shen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130158.g004", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Echocardiographic_follow_up_at_90_days_/1454909", "title"=>"Echocardiographic follow-up at 90 days.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-19 03:09:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/2126825"], "description"=>"<p>Infarction sizes (expressed as percentage of myocardial necrosis to left ventricular mass) increased remarkably in patients with higher grades.</p>", "links"=>[], "tags"=>["Grade 0", "lvef", "stemi", "infarction size", "mace", "AUC 0.819 vs"], "article_id"=>1454910, "categories"=>["Biological Sciences"], "users"=>["Ben He", "Heng Ge", "Fan Yang", "Yujun Sun", "Zheng Li", "Meng Jiang", "Yiting Fan", "Jun Pu", "Xuedong Shen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130158.g005", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Infarction_sizes_expressed_as_percentage_of_myocardial_necrosis_to_left_ventricular_mass_increased_remarkably_in_patients_with_higher_grades_/1454910", "title"=>"Infarction sizes (expressed as percentage of myocardial necrosis to left ventricular mass) increased remarkably in patients with higher grades.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-19 03:09:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/2126826"], "description"=>"<p>Left: Mean infarction sizes were compared between patients with or without LVEF reduction, cardiac remodeling and decompensated mitral regurgitation, respectively. Larger infarction size provoked the occurrence of all the detriments. LVEF: left ventricular ejection fraction, MR: mitral regurgitation. Right: Infarction sizes were stratified by every 10% increment of left ventricular myocardial volume. Larger infarction sizes were accompanied by significantly higher risks of both LVEF reduction and cardiac remodeling.</p>", "links"=>[], "tags"=>["Grade 0", "lvef", "stemi", "infarction size", "mace", "AUC 0.819 vs"], "article_id"=>1454911, "categories"=>["Biological Sciences"], "users"=>["Ben He", "Heng Ge", "Fan Yang", "Yujun Sun", "Zheng Li", "Meng Jiang", "Yiting Fan", "Jun Pu", "Xuedong Shen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0130158.g006", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Infarction_size_is_a_key_determinant_of_pathophysiological_detriments_/1454911", "title"=>"Infarction size is a key determinant of pathophysiological detriments.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-19 03:09:06"}

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Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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