Evidence map›Paper›PMID 24896160›Full record

ArticleRevista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular

Cardiac resynchronization therapy in patients with chronic Chagas cardiomyopathy: long-term follow up.

Edgard Ferreira de Araújo, Eduardo Gregório Chamlian, Alexey Pomares Peroni, Wilson Lopes Pereira, Sylvio Matheus de Aquino Gandra, Luiz Antonio Rivetti

Open access · diamondAbstract read
In one paragraph

Article in Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
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.

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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Chagas Cardiomyopathy in Latin America Review.Current cardiology reports · 2019
    Review
  6. Article
  7. Developments in the management of Chagas cardiomyopathy.Expert review of cardiovascular therapy · 2015
    Review
  8. Review
  9. Cardiac resynchronization therapy for patients with chronic systolic heart failure secondary to Chagas cardiomyopathy in the 21st century.Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular
    Article
  10. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Edgard Ferreira de AraújoCentro Cardiológico de Salinas, Salinas, MG, Brasil.
Eduardo Gregório ChamlianFaculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brasil.
Alexey Pomares PeroniFaculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brasil.
Wilson Lopes PereiraFaculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brasil.
Sylvio Matheus de Aquino GandraFaculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brasil.
Luiz Antonio RivettiFaculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brasil.
Faculdade de Ciências Médicas da Santa Casa de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChagas disease is a major cause of cardiomyopathy and sudden death in our country. It has a high mortality when their patients develop New York Heart Association (NYHA) class IV.

objectiveThe objective of this study is to analyze the clinical outcome of patients with Chagas' cardiomyopathy with congestive heart failure with optimized pharmacological therapy, undergoing cardiac resynchronization therapy.

methodsBetween January 2004 and February 2009, 72 patients with Chagas' cardiomyopathy in NYHA class III and IV underwent cardiac resynchronization therapy and were monitored to assess their clinical evolution. We used the t test or the Wilcoxon test to compare the same variable in two different times. A P value < 0.05 was established as statistically significant.

resultsThe average clinical follow-up was 46.6 months (range 4-79 months). At the end of the evaluation, 87.4% of patients were in NYHA class I or II (P<0.001). There was response to therapy in 65.3% of patients (P<0.001), with an overall mortality of 34.7%.

conclusionIn patients with chronic Chagas cardiomyopathy undergoing cardiac resynchronization therapy, we found the following statistically significant changes: improvement in NYHA class and increase of left ventricle ejection fraction, a decrease of the systolic final diameter and systolic final left ventricle volume and improvement of patient survival.

Indexed as

Cardiac Resynchronization TherapyCardiac Resynchronization Therapy DevicesChagas CardiomyopathyChronic DiseaseDeath, Sudden, CardiacEchocardiography, DopplerElectrocardiographyFollow-Up StudiesHeart FailureHumansStatistics, NonparametricStroke VolumeTime FactorsTreatment OutcomeVentricular Function, Left

Identifiers

PMID24896160
PMCPMC4389487
OpenAlexW3171756792

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.