Evidence map›Paper›PMID 22572483›Full record

ArticleIndian heart journal

Effect of spironolactone on ventricular arrhythmias in patients with left ventricular systolic dysfunction and implantable cardioverter defibrillators.

Abdul Wase, Naga Garikipati, Omar Mufti, Zulfiqar Mirza, Aparna Innaparthy, Anwarul Kabir, Mohammed B Quraishi, Ronald Markert

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 82% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

8 authors at 6 institutions in 1 country.

Abdul WaseGood Samaritan Heart and Vascular Hospital, Dayton, OH, USA. abdul.wase@wright.edu
Naga Garikipati
Omar Mufti
Zulfiqar Mirza
Aparna Innaparthy
Anwarul Kabir
Mohammed B Quraishi
Ronald Markert
Wright State University · USGood Samaritan Hospital · USGood Samaritan Hospital · USKettering Medical Center · USProMedica Toledo Hospital · USReid Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

objectivesPatients with implantable cardioverter defibrillators (ICD) often receive an adjunctive anti-arrhythmic therapy. We propose that an addition of spironolactone will reduce the number of clinically significant ventricular arrhythmias and ICD-related therapies. METHODS AND

resultsIn a multicentre retrospective study, 64 patients with ischaemic and non-ischaemic dilated cardiomyopathy whose left ventricular ejection fraction (LVEF) was <35% and with ICD were selected. Amongst these patients, 28 patients were on spironolactone and 36 were not taking spironolactone. The ICD interrogation data were analysed for a maximum of 12 months. Wilcoxon Rank Sum test was used to compare the study and control groups. The outcomes were: (1) the number of shocks/anti-tachycardia pacing (ATP) episodes and (2) the number of episodes of ventricular tachycardia (VT) requiring ATP, non-sustained VT (NSVT), and ventricular fibrillation (VF) over the study period. The spironolactone group had fewer monthly, VTs (P=0.027) (requiring ATP). The two groups did not differ in the number of NSVT or VF per month.

conclusionAddition of spironolactone as an adjunct to ICD therapy in patients with congestive heart failure (CHF) reduces VT requiring ATP, but does not affect NSVT or VF per month.

Indexed as

Defibrillators, ImplantableAgedArrhythmias, CardiacFemaleHeart FailureHumansMaleMiddle AgedMineralocorticoid Receptor AntagonistsRetrospective StudiesSpironolactoneVentricular Dysfunction, LeftMineralocorticoid Receptor AntagonistsSpironolactone

Identifiers

PMID22572483
PMCPMC3860972
OpenAlexW2143062253

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.