Evidence map›Paper›PMID 23541974›Full record

Trial reportJournal of the American College of Cardiology2013

Rapid-rate nonsustained ventricular tachycardia found on implantable cardioverter-defibrillator interrogation: relationship to outcomes in the SCD-HeFT (Sudden Cardiac Death in Heart Failure Trial).

Jay Chen, George Johnson, Anne S Hellkamp, Jill Anderson, Daniel B Mark, Kerry L Lee, Gust H Bardy, Jeanne E Poole

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American College of Cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00000609 (Sudden Cardiac Death in Heart Failure Trial), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT00000609 phase3completednot on this map

Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT)

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran1997 to 2005ConditionsArrhythmia, Cardiovascular Diseases, Death, Sudden, Cardiac, Heart DiseasesArmsamiodarone, defibrillators, implantable
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A systematic review of the association between obstructive sleep apnea and ventricular arrhythmias.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2014
    Pooled it
  2. Effect of supplemented intake of omega-3 fatty acids on arrhythmias in patients with ICD: fish oil therapy may reduce ventricular arrhythmia.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2017
    Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Management of Ventricular Arrhythmias in Heart Failure.Current heart failure reports · 2023
    Review
  10. Article
  11. Distinct spectral dynamics of implanted cardiac defibrillator signals in spontaneous termination of polymorphic ventricular tachycardia and fibrillation in patients with electrical and structural diseases.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Predictive value of rapid-rate non-sustained ventricular tachycardia in the occurrence of appropriate implantable cardioverter-defibrillator therapy.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2020
    Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Jay ChenUniversity of Washington, Seattle, Washington 98195, USA.
George Johnson
Anne S Hellkamp
Jill Anderson
Daniel B Mark
Kerry L Lee
Gust H Bardy
Jeanne E Poole

Funding

DATA COORDINATING CENTER FOR SCD IN HEART FAILURE TRIALU01HL055297 · NHLBI · DUKE UNIVERSITY · PI LEE, KERRY L · 1997 to 2003
$3.2M
SUDDEN CARDIAC DEATH IN HEART FAILURE TRIAL- SCD-HeFTU01HL055766 · NHLBI · UNIVERSITY OF WASHINGTON · PI BARDY, GUST H · 1997 to 2003
$2.0M
ECONOMICS AND QUALITY OF LIFE IN SCD HEFTU01HL055496 · NHLBI · DUKE UNIVERSITY · PI MARK, DANIEL B · 1997 to 2003
$1.7M
NHLBI NIH HHS U01 HL055297NHLBI NIH HHS U01 HL055766NHLBI NIH HHS U01 HL55297NHLBI NIH HHS U01 HL55496NHLBI NIH HHS U01 HL55766
6 · The paper itself

Abstract

objectivesThe aim of this study was to examine rapid-rate nonsustained ventricular tachycardia (RR-NSVT) during routine implantable cardioverter-defibrillator (ICD) evaluation in patients with heart failure and its relationship to outcomes.

backgroundThe clinical implications of RR-NSVT identified during routine ICD interrogation are unclear. In this study, the occurrence of RR-NSVT and its association with ICD shocks and mortality in SCD-HeFT (Sudden Cardiac Death in Heart Failure Trial) were examined.

methodsThe 811 patients who received ICDs in SCD-HeFT constituted the study population. The occurrence of RR-NSVT and its association with ICD shocks and mortality in SCD-HeFT were examined.

resultsRR-NSVT was documented on ICD interrogation in 186 of 811 patients (22.9%). The mean duration of RR-NSVT was 26.4 ± 9.1 beats (7.5 ± 2.6 s), with a mean cycle length of 259 ± 32 ms. Polymorphic RR-NSVT accounted for 56% of episodes. Compared with patients without RR-NSVT, those with RR-NSVT were less likely to be taking beta-blockers, statins, or aspirin at enrollment. After adjusting for other known predictors of mortality in SCD-HeFT, RR-NSVT was independently associated with appropriate ICD shocks (hazard ratio: 4.25; 95% confidence interval: 2.94 to 6.14; p < 0.0001), with all-cause mortality (hazard ratio: 2.40; 95% confidence interval: 1.62 to 3.54; p < 0.0001), and with a composite of all-cause mortality and appropriate ICD shocks (hazard ratio: 3.03; 95% confidence interval: 2.21 to 4.15; p < 0.0001).

conclusionsRR-NSVT identified on routine ICD interrogation should be considered an important clinical event. RR-NSVT during ICD interrogation is associated with appropriate ICD shocks and all-cause mortality. The clinical evaluation of patients with RR-NSVT should include intensification of medical therapy, particularly beta-blockers, or other appropriate clinical interventions. (Sudden Cardiac Death in Heart Failure Trial [SCD-HeFT]; NCT00000609).

Indexed as

Defibrillators, ImplantableSurveys and QuestionnairesAgedCause of DeathConfidence IntervalsDeath, Sudden, CardiacFemaleHeart FailureHumansMaleMiddle AgedPrognosisRisk FactorsSurvival RateTachycardia, VentricularUnited States

Identifiers

PMID23541974
PMCPMC3760407

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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.