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Supplemental oxygen therapy does not affect the systemic inflammatory response to acute myocardial infarction

Overview of attention for article published in Journal of Internal Medicine, December 2017
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Title
Supplemental oxygen therapy does not affect the systemic inflammatory response to acute myocardial infarction
Published in
Journal of Internal Medicine, December 2017
DOI 10.1111/joim.12716
Pubmed ID
Authors

R. Hofmann, P. Tornvall, N. Witt, J. Alfredsson, L. Svensson, L. Jonasson, L. Nilsson

Abstract

Oxygen therapy has been used routinely in normoxemic patients with suspected acute myocardial infarction (AMI) despite limited evidence supporting a beneficial effect. AMI is associated with a systemic inflammation. Here, we hypothesized that the inflammatory response to AMI is potentiated by oxygen therapy. The DETermination of the role of Oxygen in suspected Acute Myocardial Infarction (DETO2X-AMI) multicentre trial randomized patients with suspected AMI to receive oxygen at 6 L min-1 for 6-12 h or ambient air. For this prespecified subgroup analysis, we recruited patients with confirmed AMI from two sites for evaluation of inflammatory biomarkers at randomization and 5-7 h later. Ninety-two inflammatory biomarkers were analysed using proximity extension assay technology, to evaluate the effect of oxygen on the systemic inflammatory response to AMI. Plasma from 144 AMI patients was analysed whereof 76 (53%) were randomized to oxygen and 68 (47%) to air. Eight biomarkers showed a significant increase, whereas 13 were decreased 5-7 h after randomization. The inflammatory response did not differ between the two treatment groups neither did plasma troponin T levels. After adjustment for increase in troponin T over time, age and sex, the release of inflammation-related biomarkers was still similar in the groups. In a randomized controlled setting of normoxemic patients with AMI, the use of supplemental oxygen did not have any significant impact on the early release of systemic inflammatory markers.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 40 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 40 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 13%
Student > Bachelor 4 10%
Student > Master 3 8%
Other 2 5%
Student > Ph. D. Student 2 5%
Other 4 10%
Unknown 20 50%
Readers by discipline Count As %
Medicine and Dentistry 8 20%
Nursing and Health Professions 7 18%
Agricultural and Biological Sciences 2 5%
Chemistry 1 3%
Materials Science 1 3%
Other 0 0%
Unknown 21 53%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 December 2017.
All research outputs
#21,885,607
of 24,417,958 outputs
Outputs from Journal of Internal Medicine
#2,900
of 3,042 outputs
Outputs of similar age
#385,107
of 448,772 outputs
Outputs of similar age from Journal of Internal Medicine
#24
of 27 outputs
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