Evidence map›Paper›PMID 23909632›Full record

ReviewCurrent cardiology reviews2013

The spatial QRS-T angle: implications in clinical practice.

Christina Voulgari, Stamatina Pagoni, Solomon Tesfaye, Nicholas Tentolouris

Abstract readReview
In one paragraph

Review in Current cardiology reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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.

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

22 citing papers in PubMed.

  1. Article
  2. AI-based prediction of VONPJ microgravity · 2025
    Article
  3. Article
  4. Observational
  5. The Relationship between the Frontal QRS-T Angle on ECG and Physical Activity Level in Young Adults.International journal of environmental research and public health · 2023
    Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Wide QRS-T angles are associated with markers of increased inflammatory activity independently of hypertension and diabetes.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2020
    Article
  12. Review
  13. Article
  14. Article
  15. The association of metabolic syndrome and QRS|T angle in US adults (NHANES III).Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. The Value of Frontal Planar QRS-T Angle in Patients without Angiographically Apparent Atherosclerosis.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2017
    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

4 authors.

Christina VoulgariFirst Department of Propaudeutic Internal Medicine, “Laiko” General Hospital, Athens University Medical School, Greece. c_v_24@yahoo.gr
Stamatina Pagoni
Solomon Tesfaye
Nicholas Tentolouris

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ventricular gradient (VG) as a concept was conceived in the 1930s and its calculation yielded information that was not otherwise obtainable. The VG was not utilized by clinicians at large because it was not easy to understand and its computation time-consuming. The contemporary spatial QRS-T angle is based on the concept of the VG and defined as its mathematical and physiological integral. Its current major clinical use is to assess the cardiac primary repolarization abnormalities in 3-dimensional spatial vectorial plans which are normally untraced in the presence of secondary electrophysiological activity in a 2-dimensional routine electrocardiogram (ECG). Currently the calculation of the spatial QRS-T angle can be easily computed on the basis of a classical ECG and contributes to localization of arrhythmogenic areas in the heart by assessing overall and local heterogeneity of the myocardial ventricular action potention duration. Recent population-based studies suggest that the spatial QRS-T angle is a dominant ECG predictor of future cardiovascular events and death and it is superior to more conventional ECG parameters. Its assessment warrants consideration for intensified primary and secondary cardiovascular prevention efforts and should be included in everyday clinical practice. This review addresses the nature and diagnostic potential of the spatial QRS-T angle. The main focus is its role in ECG assessment of dispersion of repolarization, a key factor in arrythmogeneity.

Indexed as

Arrhythmias, CardiacCausalityComorbidityCoronary Artery DiseaseDiabetes ComplicationsDiabetes MellitusElectrocardiographyHeart Conduction SystemHeart VentriclesHumansHypertensionHypertrophy, Left VentricularImaging, Three-DimensionalObesityPractice Patterns, Physicians'Prognosis

Identifiers

PMID23909632
PMCPMC3780345

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Registered trials

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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.