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Acute Myocardial Infarction after Laboratory-Confirmed Influenza Infection.

Abstract Acute myocardial infarction can be triggered by acute respiratory infections. Previous studies have suggested an association between influenza and acute myocardial infarction, but those studies used nonspecific measures of influenza infection or study designs that were susceptible to bias. We evaluated the association between laboratory-confirmed influenza infection and acute myocardial infarction.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title the new england journal of medicine
Publication Year Start




PMID- 29365305
OWN - NLM
STAT- MEDLINE
DCOM- 20180208
LR  - 20180208
IS  - 1533-4406 (Electronic)
IS  - 0028-4793 (Linking)
VI  - 378
IP  - 4
DP  - 2018 Jan 25
TI  - Acute Myocardial Infarction after Laboratory-Confirmed Influenza Infection.
PG  - 345-353
LID - 10.1056/NEJMoa1702090 [doi]
AB  - BACKGROUND: Acute myocardial infarction can be triggered by acute respiratory
      infections. Previous studies have suggested an association between influenza and 
      acute myocardial infarction, but those studies used nonspecific measures of
      influenza infection or study designs that were susceptible to bias. We evaluated 
      the association between laboratory-confirmed influenza infection and acute
      myocardial infarction. METHODS: We used the self-controlled case-series design to
      evaluate the association between laboratory-confirmed influenza infection and
      hospitalization for acute myocardial infarction. We used various high-specificity
      laboratory methods to confirm influenza infection in respiratory specimens, and
      we ascertained hospitalization for acute myocardial infarction from
      administrative data. We defined the "risk interval" as the first 7 days after
      respiratory specimen collection and the "control interval" as 1 year before and 1
      year after the risk interval. RESULTS: We identified 364 hospitalizations for
      acute myocardial infarction that occurred within 1 year before and 1 year after a
      positive test result for influenza. Of these, 20 (20.0 admissions per week)
      occurred during the risk interval and 344 (3.3 admissions per week) occurred
      during the control interval. The incidence ratio of an admission for acute
      myocardial infarction during the risk interval as compared with the control
      interval was 6.05 (95% confidence interval [CI], 3.86 to 9.50). No increased
      incidence was observed after day 7. Incidence ratios for acute myocardial
      infarction within 7 days after detection of influenza B, influenza A, respiratory
      syncytial virus, and other viruses were 10.11 (95% CI, 4.37 to 23.38), 5.17 (95% 
      CI, 3.02 to 8.84), 3.51 (95% CI, 1.11 to 11.12), and 2.77 (95% CI, 1.23 to 6.24),
      respectively. CONCLUSIONS: We found a significant association between respiratory
      infections, especially influenza, and acute myocardial infarction. (Funded by the
      Canadian Institutes of Health Research and others.).
FAU - Kwong, Jeffrey C
AU  - Kwong JC
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Schwartz, Kevin L
AU  - Schwartz KL
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Campitelli, Michael A
AU  - Campitelli MA
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Chung, Hannah
AU  - Chung H
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Crowcroft, Natasha S
AU  - Crowcroft NS
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Karnauchow, Timothy
AU  - Karnauchow T
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Katz, Kevin
AU  - Katz K
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Ko, Dennis T
AU  - Ko DT
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - McGeer, Allison J
AU  - McGeer AJ
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - McNally, Dayre
AU  - McNally D
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Richardson, David C
AU  - Richardson DC
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Rosella, Laura C
AU  - Rosella LC
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Simor, Andrew
AU  - Simor A
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Smieja, Marek
AU  - Smieja M
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Zahariadis, George
AU  - Zahariadis G
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
FAU - Gubbay, Jonathan B
AU  - Gubbay JB
AD  - From the Institute for Clinical Evaluative Sciences (J.C.K., K.L.S., M.A.C.,
      H.C., D.T.K., L.C.R.), Public Health Ontario (J.C.K., K.L.S., N.S.C., L.C.R.,
      J.B.G.), Dalla Lana School of Public Health (J.C.K., K.L.S., N.S.C., A.J.M.,
      L.C.R.), and the Departments of Family and Community Medicine (J.C.K.) and
      Laboratory Medicine and Pathobiology (N.S.C., K.K., A.J.M., A.S., J.B.G.),
      University of Toronto, University Health Network (J.C.K.), North York General
      Hospital (K.K.), Sunnybrook Health Sciences Centre (D.T.K., A.S.), Sinai Health
      System (A.J.M.), and the Hospital for Sick Children (J.B.G.), Toronto, Children's
      Hospital of Eastern Ontario (T.K., D.M.) and the Department of Pathology and
      Laboratory Medicine, University of Ottawa (T.K.), Ottawa, William Osler Health
      System, Brampton, ON (D.C.R.), McMaster University, Hamilton, ON (M.S.), London
      Health Sciences Centre, London, ON (G.Z.), and the Newfoundland and Labrador
      Public Health Laboratory, St. John's (G.Z.) - all in Canada.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - N Engl J Med
JT  - The New England journal of medicine
JID - 0255562
SB  - AIM
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Incidence
MH  - Influenza A virus/isolation & purification
MH  - Influenza B virus/isolation & purification
MH  - Influenza, Human/*complications/diagnosis
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/epidemiology/*etiology
MH  - Ontario/epidemiology
MH  - Risk
EDAT- 2018/01/25 06:00
MHDA- 2018/02/09 06:00
CRDT- 2018/01/25 06:00
PHST- 2018/01/25 06:00 [entrez]
PHST- 2018/01/25 06:00 [pubmed]
PHST- 2018/02/09 06:00 [medline]
AID - 10.1056/NEJMoa1702090 [doi]
PST - ppublish
SO  - N Engl J Med. 2018 Jan 25;378(4):345-353. doi: 10.1056/NEJMoa1702090.