Ontology type: schema:ScholarlyArticle Open Access: True
2022-04-19
AUTHORSDoyeon Hwang, Jiesuck Park, Han-Mo Yang, Seokhun Yang, Jeehoon Kang, Jung-Kyu Han, Kyung Woo Park, Hyun-Jae Kang, Bon-Kwon Koo, Hyo-Soo Kim
ABSTRACTBackgroundConsidering the nature of diabetes mellitus (DM) in coronary artery disease, it is unclear whether complete revascularization is beneficial or not in patients with DM. We investigated the clinical impact of angiographic complete revascularization in patients with DM.MethodsA total of 5516 consecutive patients (2003 patients with DM) who underwent coronary stenting with 2nd generation drug-eluting stent were analyzed. Angiographic complete revascularization was defined as a residual SYNTAX (SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery) score of 0. The patient-oriented composite outcome (POCO, including all-cause death, any myocardial infarction, and any revascularization) and target lesion failure (TLF) at three years were analyzed.ResultsComplete revascularization was associated with a reduced risk of POCO in DM population [adjusted hazard ratio (HR) 0.70, 95% confidence interval (CI) 0.52–0.93, p = 0.016], but not in non-DM population (adjusted HR 0.90, 95% CI 0.69–1.17, p = 0.423). The risk of TLF was comparable between the complete and incomplete revascularization groups in both DM (adjusted HR 0.75, 95% CI 0.49–1.16, p = 0.195) and non-DM populations (adjusted HR 1.11, 95% CI 0.75–1.63, p = 0.611). The independent predictors of POCO were incomplete revascularization, multivessel disease, left main disease and low ejection fraction in the DM population, and old age, peripheral vessel disease, and low ejection fraction in the non-DM population.ConclusionsThe clinical benefit of angiographic complete revascularization is more prominent in patients with DM than those without DM after three years of follow-up. Relieving residual disease might be more critical in the DM population than the non-DM population.Trial registration The Grand Drug-Eluting Stent registry NCT03507205. More... »
PAGES56
http://scigraph.springernature.com/pub.10.1186/s12933-022-01488-7
DOIhttp://dx.doi.org/10.1186/s12933-022-01488-7
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1147218940
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/35439958
JSON-LD is the canonical representation for SciGraph data.
TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT
[
{
"@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json",
"about": [
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Medical and Health Sciences",
"type": "DefinedTerm"
},
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1102",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Cardiorespiratory Medicine and Haematology",
"type": "DefinedTerm"
},
{
"id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103",
"inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/",
"name": "Clinical Sciences",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Coronary Artery Disease",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Diabetes Mellitus",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Drug-Eluting Stents",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Humans",
"type": "DefinedTerm"
},
{
"inDefinedTermSet": "https://www.nlm.nih.gov/mesh/",
"name": "Percutaneous Coronary Intervention",
"type": "DefinedTerm"
}
],
"author": [
{
"affiliation": {
"alternateName": "Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea",
"id": "http://www.grid.ac/institutes/grid.412484.f",
"name": [
"Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea"
],
"type": "Organization"
},
"familyName": "Hwang",
"givenName": "Doyeon",
"id": "sg:person.01004242037.73",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01004242037.73"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea",
"id": "http://www.grid.ac/institutes/grid.412484.f",
"name": [
"Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea"
],
"type": "Organization"
},
"familyName": "Park",
"givenName": "Jiesuck",
"id": "sg:person.013766212551.66",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013766212551.66"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea",
"id": "http://www.grid.ac/institutes/grid.412484.f",
"name": [
"Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea"
],
"type": "Organization"
},
"familyName": "Yang",
"givenName": "Han-Mo",
"id": "sg:person.01101257615.50",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01101257615.50"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea",
"id": "http://www.grid.ac/institutes/grid.412484.f",
"name": [
"Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea"
],
"type": "Organization"
},
"familyName": "Yang",
"givenName": "Seokhun",
"id": "sg:person.011443025434.80",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011443025434.80"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea",
"id": "http://www.grid.ac/institutes/grid.412484.f",
"name": [
"Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea"
],
"type": "Organization"
},
"familyName": "Kang",
"givenName": "Jeehoon",
"id": "sg:person.01025305045.32",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01025305045.32"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea",
"id": "http://www.grid.ac/institutes/grid.412484.f",
"name": [
"Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea"
],
"type": "Organization"
},
"familyName": "Han",
"givenName": "Jung-Kyu",
"id": "sg:person.0736414461.04",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0736414461.04"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea",
"id": "http://www.grid.ac/institutes/grid.412484.f",
"name": [
"Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea"
],
"type": "Organization"
},
"familyName": "Park",
"givenName": "Kyung Woo",
"id": "sg:person.0755760133.30",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0755760133.30"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea",
"id": "http://www.grid.ac/institutes/grid.412484.f",
"name": [
"Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea"
],
"type": "Organization"
},
"familyName": "Kang",
"givenName": "Hyun-Jae",
"id": "sg:person.01254550333.69",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01254550333.69"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea",
"id": "http://www.grid.ac/institutes/grid.412484.f",
"name": [
"Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea"
],
"type": "Organization"
},
"familyName": "Koo",
"givenName": "Bon-Kwon",
"id": "sg:person.01031167354.17",
"sameAs": [
"https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01031167354.17"
],
"type": "Person"
},
{
"affiliation": {
"alternateName": "Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea",
"id": "http://www.grid.ac/institutes/grid.412484.f",
"name": [
"Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, 101 Daehak-ro, Jongro-gu, 03080, Seoul, Republic of Korea"
],
"type": "Organization"
},
"familyName": "Kim",
"givenName": "Hyo-Soo",
"type": "Person"
}
],
"citation": [
{
"id": "sg:pub.10.1186/s12933-017-0635-2",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1093095805",
"https://doi.org/10.1186/s12933-017-0635-2"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1186/s12933-021-01405-4",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1142277542",
"https://doi.org/10.1186/s12933-021-01405-4"
],
"type": "CreativeWork"
},
{
"id": "sg:pub.10.1186/s12933-020-01193-3",
"sameAs": [
"https://app.dimensions.ai/details/publication/pub.1134490837",
"https://doi.org/10.1186/s12933-020-01193-3"
],
"type": "CreativeWork"
}
],
"datePublished": "2022-04-19",
"datePublishedReg": "2022-04-19",
"description": "BackgroundConsidering the nature of diabetes mellitus (DM) in coronary artery disease, it is unclear whether complete revascularization is beneficial or not in patients with DM. We investigated the clinical impact of angiographic complete revascularization in patients with DM.MethodsA total of 5516 consecutive patients (2003 patients with DM) who underwent coronary stenting with 2nd generation drug-eluting stent were analyzed. Angiographic complete revascularization was defined as a residual SYNTAX (SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery) score of 0. The patient-oriented composite outcome (POCO, including all-cause death, any myocardial infarction, and any revascularization) and target lesion failure (TLF) at three years were analyzed.ResultsComplete revascularization was associated with a reduced risk of POCO in DM population [adjusted hazard ratio (HR) 0.70, 95% confidence interval (CI) 0.52\u20130.93, p\u2009=\u20090.016], but not in non-DM population (adjusted HR 0.90, 95% CI 0.69\u20131.17, p\u2009=\u20090.423). The risk of TLF was comparable between the complete and incomplete revascularization groups in both DM (adjusted HR 0.75, 95% CI 0.49\u20131.16, p\u2009=\u20090.195) and non-DM populations (adjusted HR 1.11, 95% CI 0.75\u20131.63, p\u2009=\u20090.611). The independent predictors of POCO were incomplete revascularization, multivessel disease, left main disease and low ejection fraction in the DM population, and old age, peripheral vessel disease, and low ejection fraction in the non-DM population.ConclusionsThe clinical benefit of angiographic complete revascularization is more prominent in patients with DM than those without DM after three years of follow-up. Relieving residual disease might be more critical in the DM population than the non-DM population.Trial registration The Grand Drug-Eluting Stent registry NCT03507205.",
"genre": "article",
"id": "sg:pub.10.1186/s12933-022-01488-7",
"inLanguage": "en",
"isAccessibleForFree": true,
"isPartOf": [
{
"id": "sg:journal.1031021",
"issn": [
"1475-2840"
],
"name": "Cardiovascular Diabetology",
"publisher": "Springer Nature",
"type": "Periodical"
},
{
"issueNumber": "1",
"type": "PublicationIssue"
},
{
"type": "PublicationVolume",
"volumeNumber": "21"
}
],
"keywords": [
"angiographic complete revascularization",
"non-DM population",
"low ejection fraction",
"diabetes mellitus",
"complete revascularization",
"incomplete revascularization",
"ejection fraction",
"DM population",
"patient-oriented composite outcome",
"residual SYNTAX score",
"risk of TLF",
"incomplete revascularization group",
"peripheral vessel disease",
"generation drug-eluting stents",
"coronary artery disease",
"drug-eluting stents",
"multivessel disease",
"SYNTAX score",
"lesion failure",
"revascularization group",
"composite outcome",
"artery disease",
"consecutive patients",
"independent predictors",
"vessel disease",
"clinical benefit",
"residual disease",
"TRIAL REGISTRATION",
"revascularization",
"clinical impact",
"patients",
"older age",
"disease",
"main disease",
"mellitus",
"risk",
"population",
"years",
"stents",
"drugs",
"BackgroundConsidering",
"outcomes",
"age",
"total",
"scores",
"predictors",
"failure",
"group",
"TLF",
"fraction",
"benefits",
"registration",
"POCO",
"impact",
"nature"
],
"name": "Angiographic complete revascularization versus incomplete revascularization in patients with diabetes mellitus",
"pagination": "56",
"productId": [
{
"name": "dimensions_id",
"type": "PropertyValue",
"value": [
"pub.1147218940"
]
},
{
"name": "doi",
"type": "PropertyValue",
"value": [
"10.1186/s12933-022-01488-7"
]
},
{
"name": "pubmed_id",
"type": "PropertyValue",
"value": [
"35439958"
]
}
],
"sameAs": [
"https://doi.org/10.1186/s12933-022-01488-7",
"https://app.dimensions.ai/details/publication/pub.1147218940"
],
"sdDataset": "articles",
"sdDatePublished": "2022-06-01T22:23",
"sdLicense": "https://scigraph.springernature.com/explorer/license/",
"sdPublisher": {
"name": "Springer Nature - SN SciGraph project",
"type": "Organization"
},
"sdSource": "s3://com-springernature-scigraph/baseset/20220601/entities/gbq_results/article/article_938.jsonl",
"type": "ScholarlyArticle",
"url": "https://doi.org/10.1186/s12933-022-01488-7"
}
]
Download the RDF metadata as: json-ld nt turtle xml License info
JSON-LD is a popular format for linked data which is fully compatible with JSON.
curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12933-022-01488-7'
N-Triples is a line-based linked data format ideal for batch operations.
curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12933-022-01488-7'
Turtle is a human-readable linked data format.
curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12933-022-01488-7'
RDF/XML is a standard XML format for linked data.
curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12933-022-01488-7'
This table displays all metadata directly associated to this object as RDF triples.
214 TRIPLES
22 PREDICATES
90 URIs
78 LITERALS
12 BLANK NODES