Evidence map›Paper›PMID 24406207›Full record

Trial reportJournal of electrocardiology

Determinants of developing widened spatial QRS-T angle in HIV-infected individuals: results from the Strategies for Management of Antiretroviral Therapy [SMART] Study.

Farah Z Dawood, Mollie P Roediger, Greg Grandits, Dery Miller, Martin Fisher, Zhu-Ming Zhang, Sally Hodder, Jennifer F Hoy, Jens D Lundgren, James D Neaton and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of electrocardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Changes of Virtual Planar QRS and T Vectors Derived from Holter in the Populations with and without Diabetes Mellitus.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2016
    Article
  3. 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

12 authors.

Farah Z DawoodDepartment of Internal Medicine, Secion on Cardiology, Wake Forest School of Medicine, Winston Salem, NC, USA.
Mollie P RoedigerDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Greg GranditsDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Dery MillerSchool of Medicine, Wake Forest Health Sciences, Winston Salem, NC, USA.
Martin FisherBrighton and Sussex University Hospitals NHS Trust, Brighton, UK.
Zhu-Ming ZhangEpidemiological Cardiology Research Center (EPICARE), Wake Forest School of Medicine, Winston Salem, NC, USA.
Sally HodderDepartment of Medicine, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ, USA.
Jennifer F HoyInfectious Diseases Department, The Alfred Hospital and Monash University, Melbourne, Australia.
Jens D LundgrenCopenhagen HIV Program (CHIP), State University Hospital and University of Copenhagen, Copenhagen, Denmark.
James D NeatonDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Elsayed Z SolimanDepartment of Internal Medicine, Secion on Cardiology, Wake Forest School of Medicine, Winston Salem, NC, USA; Epidemiological Cardiology Research Center (EPICARE), Wake Forest School of Medicine, Winston Salem, NC, USA. Electronic address: esoliman@wakehealth.edu.
INSIGHT SMART Study Group

Funding

International Network for Strategic Initiatives in Global HIV Trials (INSIGHT)U01AI068641 · NIAID · UNIVERSITY OF MINNESOTA · PI NEATON, JAMES DENNIS · 2006 to 2010
$120.1M
International Network for Strategic Initiatives in Global HIV Trials (INSIGHT)UM1AI068641 · NIAID · UNIVERSITY OF MINNESOTA · PI NEATON, JAMES DENNIS · 2011 to 2014
$83.5M
COMMUNITY PROGRAMS FOR CLINICAL RESEARCH ON AIDSU01AI046362 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI GORDIN, FRED M · 2000 to 2006
$75.9M
TERRY BEIRN COMMUNITY PROGRAMS FOR CLINICAL RESEARCH ONU01AI042170 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI NEATON, JAMES DENNIS · 1997 to 2006
$23.2M
Medical Research Council MC_U122886352Medical Research Council MC_UU_12023/16NIAID NIH HHS U01 AI042170NIAID NIH HHS U01AI042170NIAID NIH HHS U01 AI046362NIAID NIH HHS U01AI046362NIAID NIH HHS U01 AI068641NIAID NIH HHS U01AI068641NIAID NIH HHS UM1 AI068641
6 · The paper itself

Abstract

backgroundA widened electrocardiographic spatial QRS-T angle has been shown to be predictive of cardiovascular disease in HIV-infected individuals. However, determinants and risk factors of developing widened QRS-T angle over time in this population remain unknown. METHODS AND

resultsSpatial QRS-T angle was automatically measured from standard electrocardiogram of 1444 HIV-infected individuals without baseline widened spatial QRS-T angle from the Strategies for Management of Antiretroviral Therapy [SMART], a clinical trial comparing two antiretroviral treatment strategies [Drug Conservation (DC) vs. Viral Suppression (VS)]. Conditional logistic regression analysis was used to examine the association between baseline characteristics and incident widened spatial QRS-T angle (a new angle>93° in males and>74° in females). During 2544 person-years of follow-up, 199 participants developed widened angle at a rate of 7.8 per 100 person-years. In unadjusted models, female sex, black race (vs. white), DC treatment strategy, current and past smokers (vs. never), history of alcohol abuse, greater body mass index, history of diabetes and higher levels of hs-C-reactive protein were associated with incident widened spatial QRS-T angle. When these variables were entered together in the same model with adjustment for demographics and treatment strategy, DC treatment strategy [OR (95% CI): 1.50 (1.09, 2.07)], female gender [1.69 (1.17, 2.45)], current and past smoking (vs. never) [2.49 (1.63, 3.81) and 1.93 (1.21, 3.09), respectively], and diabetes [2.28 (1.33, 3.91)] predicted incident widened spatial QRS-T angle.

conclusionsDrug conservation treatment strategy, female gender, smoking, and diabetes are independently predictive of incident widened spatial QRS-T angle in HIV-infected individuals.

Indexed as

ElectrocardiographyAdultAnti-HIV AgentsArrhythmias, CardiacC-Reactive ProteinFemaleHeart Conduction SystemHIV InfectionsHumansMaleRisk FactorsSex FactorsSmokingAnti-HIV AgentsC-Reactive ProteinCardiovascular diseaseElectrocardiogramHIV/AIDSSpatial QRS-T angle

Identifiers

PMID24406207
PMCPMC3951578

What OpenQuestion holds

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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.