Evidence map›Paper›PMID 23972554›Full record

ArticleHeart & lung : the journal of critical care

Arrhythmias in patients with acute coronary syndrome in the first 24 hours of hospitalization.

Catherine Winkler, Marjorie Funk, Daniel M Schindler, Jessica Zegre Hemsey, Rachel Lampert, Barbara J Drew

Open access · greenAbstract read
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  13. Cardiac Monitoring in the Emergency Department.Critical care nursing clinics of North America · 2016
    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

6 authors at 4 institutions in 1 country.

Catherine WinklerFairfield University School of Nursing, Fairfield, CT, USA.
Marjorie Funk
Daniel M Schindler
Jessica Zegre Hemsey
Rachel Lampert
Barbara J Drew
University of California, San Francisco · USYale University · USFairfield University · USPalm Springs General Hospital · US

Funding

Research Training: Self and Family ManagementT32NR008346 · NINR · YALE UNIVERSITY · PI GREY, MARGARET · 2003 to 2018
$4.7M
NOVEL METHOD TO DIAGNOSE ACUTE MYOCARDIAL ISCHEMIAR01HL069753 · NHLBI · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI DREW, BARBARA J · 2001 to 2004
$2.3M
NHLBI NIH HHS R01 HL069753NHLBI NIH HHS R01 HL69753NINR NIH HHS T32 NR008346
6 · The paper itself

Abstract

objectivesIn patients with acute coronary syndrome (ACS), we sought to: 1) describe arrhythmias during hospitalization, 2) explore the association between arrhythmias and patient outcomes, and 3) explore predictors of the occurrence of arrhythmias.

methodsIn a prospective sub-study of the IMMEDIATE AIM study, we analyzed electrocardiographic (ECG) data from 278 patients with ACS. On emergency department admission, a Holter recorder was attached for continuous 12-lead ECG monitoring.

resultsApproximately 22% of patients had more than 50 premature ventricular contractions (PVCs) per hour. Non-sustained ventricular tachycardia (VT) occurred in 15% of patients. Very few patients (≤ 1%) had a malignant arrhythmia (sustained VT, asystole, torsade de pointes, or ventricular fibrillation). Only more than 50 PVCs/hour independently predicted an increased length of stay (p < .0001). No arrhythmias predicted mortality. Age greater than 65 years and a final diagnosis of acute myocardial infarction independently predicted more than 50 PVCs per hour (p = .0004).

conclusionsPatients with ACS seem to have fewer serious arrhythmias today, which may have implications for the appropriate use of continuous ECG monitoring.

Indexed as

Acute Coronary SyndromeAgedArrhythmias, CardiacElectrocardiography, AmbulatoryFemaleHospitalizationHumansMaleMiddle AgedProspective StudiesTreatment OutcomeAcute coronary syndromeAcute myocardial infarctionAlarmsArrhythmiaElectrocardiogramOutcomes

Identifiers

PMID23972554
PMCPMC3848954
OpenAlexW2000927333

What OpenQuestion holds

Textmetadata
LicenceTDM
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.