Evidence map›Paper›PMID 25583153›Full record

ArticleHeart rhythm2015

Magnetic resonance estimates of the extent and heterogeneity of scar tissue in ICD patients with ischemic cardiomyopathy predict ventricular arrhythmia.

Tawfiq Zeidan-Shwiri, Yuesong Yang, Ilan Lashevsky, Ehud Kadmon, Darren Kagal, Alexander Dick, Avishag Laish Farkash, Gideon Paul, Donsheng Gao, Mohammed Shurrab and 3 more

Abstract read
In one paragraph

Article in Heart rhythm, 2015. 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
3.5field-weighted citation impact, top 8% 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, 36 citations in OpenAlex.

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  10. Sudden cardiac death in ischaemic heart disease: coronary thrombosis or myocardial fibrosis?European heart journal supplements : journal of the European Society of Cardiology · 2023
    Article
  11. Greyzone myocardial fibrosis and ventricular arrhythmias in patients with a left ventricular ejection fraction >35.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 · 2022
    Article
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  18. Life-Threatening Ventricular Arrhythmias: Current Role of Imaging in Diagnosis and Risk Assessment.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016
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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

13 authors at 2 institutions in 1 country.

Tawfiq Zeidan-ShwiriArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada. Electronic address: Dr.Tawfiq.ZeidanShwiri@horizonnb.ca.
Yuesong YangArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Ilan LashevskyArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Ehud KadmonArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Darren KagalArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Alexander DickArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Avishag Laish FarkashArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Gideon PaulArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Donsheng GaoArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Mohammed ShurrabArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
David NewmanArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Graham WrightArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Eugene CrystalArrhythmia Services, Schulich Heart Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Health Sciences Centre · CASunnybrook Health Science Centre · CA

Funding

CIHR 93531-1
6 · The paper itself

Abstract

backgroundThe majority of patients receiving implantable cardioverter-defibrillator (ICD) implantation under current guidelines never develop sustained ventricular arrhythmia; therefore, better markers of risk for sustained ventricular tachycardia and/or ventricular fibrillation are needed.

objectiveThe purpose of this study was to identify cardiac magnetic resonance arrhythmic risk predictors of ischemic cardiomyopathy before ICD implantation.

methodsForty-three subjects (mean age, 64.5 ± 11.9 years) with previous myocardial infarction who were referred for ICD implantation were evaluated by cardiac magnetic resonance imaging (MRI). The MRI protocol included left ventricular functional parameter assessment using steady-state free precession and late gadolinium enhancement MRI using inversion recovery fast gradient echo. Left ventricular functional parameters were measured using cardiac magnetic resonance software. Subjects were followed up for 6-46 months, and the events of appropriate ICD treatments (shocks and antitachycardia pacing) were recorded.

resultsTwenty-eight patients experienced 46 spontaneous episodes during a median follow-up duration of 30 months. The total myocardial infarct (MI) size (18.05 ± 11.44 g vs 38.83 ± 19.87 g; P = .0006), MI core (11.63 ± 7.14 g vs 24.12 ± 12.73 g; P = .0002), and infarct gray zone (6.43 ± 4.64 g vs 14.71 ± 7.65 g; P = .0004) were significantly larger in subjects who received appropriate ICD therapy than in those who did not experience an episode of ventricular tachycardia and/or ventricular fibrillation. Multivariate regression analyses for the infarct gray zone and MI core adjusted for New York Heart Association class, diabetes, and etiology (primary or secondary prevention) revealed that the gray zone and MI core were predictors of appropriate ICD therapies (P = .0018 and P = .007, respectively).

conclusionThe extent of MI scar may predict which patients would benefit most from ICD implantation.

Indexed as

CardiomyopathiesCicatrixDefibrillators, ImplantableTachycardia, VentricularAgedCanadaDeath, Sudden, CardiacFemaleFollow-Up StudiesHumansImage Processing, Computer-AssistedMagnetic Resonance Imaging, CineMaleMiddle AgedMyocardial InfarctionMyocardiumCardiac magnetic resonance imagingGray zoneImplantable cardioverter-defibrillatorInfarct coreVentricular fibrillationVentricular tachycardia

Identifiers

PMID25583153
PMCPMC5774997
OpenAlexW2003013219

What OpenQuestion holds

Textmetadata
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.