Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12188/34739
Title: The Paradox of SMURF-less Outcomes and its Implication for Diabetes
Authors: Cenko, Edina
Manfrini, Olivia
Yoon, Jinsung
Bergami, Maria
Vasiljevic, Zorana
Mendieta, Guiomar
Zdravkovic, Marija
Vavlukis, Marija 
Kedev, Sashko 
Miličić, Davor
Ottani, Filippo
Badimon, Lina
Bugiardini, Raffaele
Keywords: acute coronary syndromes
coronary heart disease
mortality
outcomes
standardized modifiable risk factors
Issue Date: 28-Jan-2026
Publisher: Oxford University Press (OUP)
Source: Cenko E, Manfrini O, Yoon J, Bergami M, Vasiljevic Z, Mendieta G, Zdravkovic M, Vavlukis M, Kedev S, Miličić D, Ottani F, Badimon L, Bugiardini R. The Paradox of SMURF-less Outcomes and its Implication for Diabetes. Eur Heart J Qual Care Clin Outcomes. 2026 Jan 28:qcag012. doi: 10.1093/ehjqcco/qcag012. Epub ahead of print. PMID: 41606783.
Project: the International Survey of Acute Coronary Syndromes (ISACS) Archives (NCT04008173) registry
Journal: European Heart Journal - Quality of Care and Clinical Outcomes
Abstract: Individuals without standardized modifiable risk factors (SMuRF), which implicitly include those with diabetes, have been paradoxically reported to experience higher mortality following acute coronary syndromes (ACS). We aim to clarify the independent impact of diabetes on 30-day mortality after ACS and explore how grouping it with other SMuRF might obscure its true effect.
URI: http://hdl.handle.net/20.500.12188/34739
DOI: 10.1093/ehjqcco/qcag012
Appears in Collections:Faculty of Medicine: Journal Articles

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