Evidence map›Paper›PMID 18805113›Full record

ArticleThe American journal of cardiology2008

Risk of cardiac events in patients with asthma and long-QT syndrome treated with beta(2) agonists.

Princy Thottathil, Jay Acharya, Arthur J Moss, Christian Jons, Scott McNitt, Ilan Goldenberg, Wojciech Zareba, Elizabeth Kaufman, Ming Qi, Jennifer L Robinson and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The American journal of cardiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00005176 (Long QT Syndrome-Population Genetics and Cardiac Studies), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.4field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00005176 completednot on this map

Long QT Syndrome-Population Genetics and Cardiac Studies

TypeobservationalSponsorUniversity of RochesterRan1985 to 2013Enrolled2,125ConditionsCardiovascular Diseases, Heart Diseases, Ventricular Arrhythmia, Long QT Syndrome
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Long-QT Syndrome and Therapy for Attention Deficit/Hyperactivity Disorder.Journal of cardiovascular electrophysiology · 2015
    Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Management of Congenital Long-QT Syndrome: Commentary From the Experts.Circulation. Arrhythmia and electrophysiology · 2021
    Review
  7. Asthma and stroke: a narrative review.Asthma research and practice · 2021
    Review
  8. Unmasking Long QT Syndrome in the Emergency Department: A Case Report.Clinical practice and cases in emergency medicine · 2021
    Article
  9. Article
  10. Management of Patients with Long QT Syndrome.Korean circulation journal · 2016
    Review
  11. Review
  12. Asthma management in sickle cell disease.BioMed research international · 2013
    Review
  13. Article
  14. Article
  15. beta-Adrenoceptor inverse agonists in asthma.Current opinion in pharmacology · 2010
    Review
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Princy ThottathilCardiology Division of the Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Jay Acharya
Arthur J Moss
Christian Jons
Scott McNitt
Ilan Goldenberg
Wojciech Zareba
Elizabeth Kaufman
Ming Qi
Jennifer L Robinson
International Long QT Syndrome Investigative Group
University of Rochester · USMetroHealth Medical Center · USNew York Medical College · US

Funding

LONG QT SYNDROME--POPULATION, GENETIC, &CARDIAC STUDIESR01HL033843 · NHLBI · UNIVERSITY OF ROCHESTER · PI MOSS, ARTHUR J. · 1985 to 2011
$5.9M
NHLBI NIH HHS R01 HL033843
6 · The paper itself

Abstract

The clinical course and risk factors associated with beta(2)-agonist therapy for asthma have not been investigated previously in patients with the long-QT syndrome (LQTS). The risk of a first LQTS-related cardiac event due to beta(2)-agonist therapy was examined in 3,287 patients enrolled in the International LQTS Registry with QTc > or = 450 ms. The Cox proportional hazards model was used to assess the independent contribution of clinical factors for first cardiac events (syncope, aborted cardiac arrest, or sudden death) from birth through age 40. Time-dependent beta(2)-agonist therapy for asthma was associated with an increased risk for cardiac events (hazard ratio [HR] = 2.00, 95% confidence interval 1.26 to 3.15, p = 0.003) after adjustment for relevant covariates including time-dependent beta-blocker use, gender, QTc, and history of asthma. This risk was augmented within the first year after the initiation of beta(2)-agonist therapy (HR = 3.53, p = 0.006). The combined use of beta(2)-agonist therapy and anti-inflammatory steroids was associated with an elevated risk for cardiac events (HR = 3.66, p <0.01); beta-blocker therapy was associated with a reduction in cardiac events in those using beta(2) agonists (HR = 0.14, p = 0.05). In conclusion, beta(2)-agonist therapy was associated with an increased risk for cardiac events in patients with asthma with LQTS, and this risk was diminished in patients receiving beta blockers.

Indexed as

Adrenergic beta-AgonistsAdrenergic beta-AntagonistsAdultAsthmaCardiovascular DiseasesElectrocardiographyFemaleHumansLong QT SyndromeMaleProportional Hazards ModelsRegistriesRisk FactorsAdrenergic beta-AgonistsAdrenergic beta-Antagonists

Identifiers

PMID18805113
PMCPMC4005827
OpenAlexW2008672404

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.