Evidence map›Paper›PMID 24770373›Full record

ArticlePloS one2014

Inflammation and prolonged QT time: results from the Cardiovascular Disease, Living and Ageing in Halle (CARLA) study.

Daniel Medenwald, Jan A Kors, Harald Loppnow, Joachim Thiery, Alexander Kluttig, Sebastian Nuding, Daniel Tiller, Karin H Greiser, Karl Werdan, Johannes Haerting

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Observational
  3. Obesity Arrhythmias: Role of IL-6 Trans-Signaling.International journal of molecular sciences · 2024
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Neurological Disorders and Risk of Arrhythmia.International journal of molecular sciences · 2020
    Review
  13. Relation of total bilirubin and QT interval prolongation (from the Third National Health and Nutrition Examination Survey).Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2020
    Article
  14. Review
  15. Review
  16. Article
  17. Observational
  18. Long QT Syndrome: An Emerging Role for Inflammation and Immunity.Frontiers in cardiovascular medicine · 2015
    Review
  19. Sex differences in inflammation during atherosclerosis.Clinical Medicine Insights. Cardiology · 2014
    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

10 authors at 4 institutions in 2 countries.

Daniel MedenwaldInstitute of Medical Epidemiology, Biostatistics and Informatics, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany.
Jan A KorsDepartment of Medical Informatics, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands.
Harald LoppnowDepartment of Medicine III, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany.
Joachim ThieryInstitute of Laboratory Medicine, Clinical Chemistry and Molecular Diagnostics, University of Leipzig, Leipzig, Germany.
Alexander KluttigInstitute of Medical Epidemiology, Biostatistics and Informatics, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany.
Sebastian NudingDepartment of Medical Informatics, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands.
Daniel TillerInstitute of Medical Epidemiology, Biostatistics and Informatics, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany.
Karin H GreiserGerman Cancer Research Centre, Division of Cancer Epidemiology, Heidelberg, Germany.
Karl WerdanDepartment of Medical Informatics, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands.
Johannes HaertingInstitute of Medical Epidemiology, Biostatistics and Informatics, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany.
Martin Luther University Halle-Wittenberg · DEErasmus MC · NLGerman Cancer Research Center · DELeipzig University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research found an association of CRP with QT time in population based samples. Even more, there is evidence of a substantial involvement of the tumor necrosis factor-alpha system in the pathophysiology of cardiac arrhythmia, while the role of Interleukin 6 remains inconclusive.

objectiveTo determine the association between inflammation with an abnormally prolonged QT-time (APQT) in men and women of the elderly general population.

methodsData descend from the baseline examination of the prospective, population-based Cardiovascular Disease, Living and Ageing in Halle (CARLA) Study. After exclusion of subjects with atrial fibrillation and missing ECG recording the final study cohort consisted of 919 men and 797 women. Blood parameters of inflammation were the soluble TNF-Receptor 1 (sTNF-R1), the high-sensitive C-reactive protein (hsCRP), and Interleukin 6 (IL-6). In accordance with major cardiologic societies we defined an APQT above a QT time of 460 ms in women and 450 ms in men. Effect sizes and the corresponding 95% confidence intervals (CI) were estimated by performing multiple linear and logistic regression analyses including the analysis of sex differences by interaction terms.

resultsAfter covariate adjustment we found an odds ratio (OR) of 1.89 (95% CI: 1.13, 3.17) per 1000 pg/mL increase of sTNF-R1 in women, and 0.74 (95% CI: 0.48, 1.15) in men. In the covariate adjusted linear regression sTNF-R1 was again positively associated with QT time in women (5.75 ms per 1000 pg/mL, 95% CI: 1.32, 10.18), but not in men. Taking possible confounders into account IL-6 and hsCRP were not significantly related to APQT in both sexes.

conclusionOur findings from cross-sectional analyses give evidence for an involvement of TNF-alpha in the pathology of APQT in women.

Indexed as

AgedAged, 80 and overAgingArrhythmias, CardiacBrugada SyndromeCardiac Conduction System DiseaseCross-Sectional StudiesFemaleGermanyHeart Conduction SystemHeart RateHumansInflammation MediatorsInterleukin-6Linear ModelsMaleIL6 protein, humanInflammation MediatorsInterleukin-6Receptors, Tumor Necrosis Factor, Type ITNF protein, humanTumor Necrosis Factor-alpha

Identifiers

PMID24770373
PMCPMC4000193
OpenAlexW2082738187

What OpenQuestion holds

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LicenceCC BY
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.