Evidence map›Paper›PMID 24895163›Full record

Trial reportJournal of the American Heart Association2014

Postextrasystolic blood pressure potentiation predicts poor outcome of cardiac patients.

Daniel Sinnecker, Ralf J Dirschinger, Petra Barthel, Alexander Müller, Adrian Morley-Davies, Alexander Hapfelmeier, Michael Dommasch, Katharina M Huster, Gerd Hasenfuss, Karl-Ludwig Laugwitz and 2 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 12% 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.

NCT00196274 completednot on this map

Autonomic Regulation Trial (ART)

TypeobservationalSponsorDeutsches Herzzentrum MuenchenRan2000Enrolled1,000ConditionsInfarction, Myocardial
NCT03631303 unknown statusnot on this mapstarted 2018, after this paper: background citation

Post-Extrasystolic Potentiation as a Predictor of Ventricular Arrhythmias

TypeobservationalSponsorAmsterdam UMC, location VUmcRan2018 to 2020Enrolled30ConditionsPost-extrasystolic Potentiation (PESP), Ventricular TachycardiaArmsCardiac stimulation through the device leads
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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  4. Polyscore of autonomic parameters for risk stratification of the elderly general population: the Polyscore study.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 · 2021
    Article
  5. Article
  6. Clinical value of different QRS-T angle expressions.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 · 2018
    Article
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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 at 5 institutions in 2 countries.

Daniel SinneckerMedizinische Klinik und Deutsches Herzzentrum, München der Technischen Universität München, Munich, Germany (D.S., R.J.D., P.B., A., M.D., K.M.H., K.L.L., G.S.).
Ralf J DirschingerMedizinische Klinik und Deutsches Herzzentrum, München der Technischen Universität München, Munich, Germany (D.S., R.J.D., P.B., A., M.D., K.M.H., K.L.L., G.S.).
Petra BarthelMedizinische Klinik und Deutsches Herzzentrum, München der Technischen Universität München, Munich, Germany (D.S., R.J.D., P.B., A., M.D., K.M.H., K.L.L., G.S.).
Alexander MüllerMedizinische Klinik und Deutsches Herzzentrum, München der Technischen Universität München, Munich, Germany (D.S., R.J.D., P.B., A., M.D., K.M.H., K.L.L., G.S.).
Adrian Morley-DaviesDepartment of Cardiology, University Hospital of North Staffordshire, NHS Trust, City General Hospital, Staffordshire, UK (A.M.D.).
Alexander HapfelmeierInstitut für Medizinische Statistik und Epidemiologie der Technischen, Universität München, Munich, Germany (A.H.).
Michael DommaschMedizinische Klinik und Deutsches Herzzentrum, München der Technischen Universität München, Munich, Germany (D.S., R.J.D., P.B., A., M.D., K.M.H., K.L.L., G.S.).
Katharina M HusterMedizinische Klinik und Deutsches Herzzentrum, München der Technischen Universität München, Munich, Germany (D.S., R.J.D., P.B., A., M.D., K.M.H., K.L.L., G.S.).
Gerd HasenfussDepartment of Cardiology and Pneumology, Georg-August-University Göttingen, Göttingen, Germany (G.H.).
Karl-Ludwig LaugwitzMedizinische Klinik und Deutsches Herzzentrum, München der Technischen Universität München, Munich, Germany (D.S., R.J.D., P.B., A., M.D., K.M.H., K.L.L., G.S.) DZHK (German Center for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany (K.L.L., G.S.).
Marek MalikSt. Paul's Cardiac Electrophysiology, University of London and Imperial College, London, UK (M.M.).
Georg SchmidtMedizinische Klinik und Deutsches Herzzentrum, München der Technischen Universität München, Munich, Germany (D.S., R.J.D., P.B., A., M.D., K.M.H., K.L.L., G.S.) DZHK (German Center for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany (K.L.L., G.S.).
Deutsches Herzzentrum München · DEGerman Centre for Cardiovascular Research · DEUniversity Hospitals of North Midlands NHS Trust · GBUniversity of Göttingen · DEUniversity of London · GB

Funding

British Heart Foundation PG/12/77/29857British Heart Foundation PG/13/54/30358
6 · The paper itself

Abstract

backgroundPostextrasystolic blood pressure potentiation (PESP), the pulse wave augmentation after an extrasystolic beat, is typically enhanced in heart failure (HF) patients. This study prospectively tested the association of PESP and mortality in cardiac patients. METHODS AND

resultsConsecutive patients (n=941; mean age, 61 years; 19% female) presenting with acute myocardial infarction were enrolled between May 2000 and March 2005 and followed up until August 2010. The main study outcome was 5-year all-cause mortality. Patients underwent noninvasive 30-minute recordings of ECG and continuous blood pressure. PESP presence was based on the ratio between the first postectopic pulse wave amplitude and the mean of the subsequent 9 pulse wave amplitudes. A ratio above 1 was prospectively defined as PESP present. Ventricular premature complexes (VPCs) suitable for PESP quantification were present in recordings of 220 patients. PESP was present in 62 of these patients. Patients without suitable VPCs were classified as PESP absent.During the follow-up, 72 patients died. Among the 220 patients in whom PESP was measurable, 27 died. Under univariable analysis, PESP was a significant predictor of death (P<0.001) as were GRACE score (P<0.001), left ventricular ejection fraction (LVEF) (P<0.001), and the number of recorded VPCs (P<0.001). Under multivariable analysis, PESP (P<0.001), GRACE score (P<0.001), and LVEF (P=0.001) were independently associated with outcome. The combination of PESP presence and LVEF ≤ 35% identified a subgroup of patients with a particularly high mortality of 46.7%. Separate validation reproduced the finding in an unrelated population of 146 HF patients.

conclusionsPESP, which likely reflects abnormalities of myocardial calcium cycling, predicts the mortality risk in postinfarction patients. CLINICAL TRIAL REGISTRATION URL: ClinicalTrials.gov. Unique identifier: NCT00196274.

Indexed as

AgedBlood PressureCardiac Complexes, PrematureElectrocardiographyFemaleHumansMaleMiddle AgedMyocardial InfarctionProspective StudiesRisk FactorsStroke VolumeVentricular Premature Complexescalcium cyclingmyocardial infarctionrisk assessment

Identifiers

PMID24895163
PMCPMC4309081
OpenAlexW2105781433

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.