Evidence map›Paper›PMID 25664419›Full record

Observational studyAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2015

A Predictive Study of the Dynamic Development of the P-Wave Terminal Force in Lead V1 in the Electrocardiogram in Relation to Long-Term Prognosis in Non-ST-Segment Elevation Acute Coronary Syndrome Patients during Hospitalization.

Qiao Li, Li-Dan Gu, Chen Zhang, Wei Liu, Yong Peng, Hua Chai, Yuan-Ning Xu, Jia-Fu Wei, Mao Chen, De-Jia Huang

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Electrocardiographic left atrial abnormality in patients presenting with ischemic stroke.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020
    Article
  4. Observational
  5. P Wave Peak Time for Predicting an Increased Left Atrial Volume Index in Hemodialysis Patients.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2020
    Article
  6. Article
  7. Variations of electrocardiographic parameters during hospitalization predict long-term outcomes in patients with non-ST-segment elevation myocardial infarction.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2019
    Article
  8. Abnormal P-Wave Terminal Force in Lead V1 Predicts Left Main and/or Three-Vessel Disease in Patients with Non-ST-Segment Elevation Myocardial Infarction P-Wave Abnormality and Extensive Coronary Artery Disease.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Qiao LiDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Li-Dan GuDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Chen ZhangDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Wei LiuDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Yong PengDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Hua ChaiDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Yuan-Ning XuDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Jia-Fu WeiDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Mao ChenDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
De-Jia HuangDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
West China Hospital of Sichuan University · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChanges in the ECG indicator PtfV1 reflect left atrial pressure and left ventricular diastolic function in NSTE-ACS patients during hospitalization. The value of PtfV1 in the evaluation of long-term prognosis in NSTE-ACS is still not clear. The purpose of this study was to investigate the relationship between the dynamic changes in P-wave terminal force in lead V1(PtfV1) in the ECG of non-ST-segment elevation acute coronary syndrome (NSTE-ACS) patients during hospitalization and the long-term major adverse cardiovascular events (MACEs) of patients.

methodsA total of 595 patients who received coronary angiography and were confirmed as NSTE-ACS in the coronary heart disease database of Department of Cardiology of West China Hospital were continuously included. The PtfV1 and other clinical data at admission and discharge were collected and dynamically observed. The end events of follow-up observation were MACEs.

resultsFollow-up was performed on 595 patients for 24.71 ± 1.95 months. There were 127 PtfV1(+) and 468 PtfV1(-) at admission, and the incidences of MACEs were 14.2% and 11.1%, respectively (P = 0.731). Compared with patients with persistent PtfV1(-) ECG at admission and discharge, 53 patients with persistent PtfV1(+) ECG at admission and discharge had increased risk for MACEs (HR: 2.221, 95% CI: 1.072-4.601, P = 0.032); 94 patients with new PtfV1(+) ECG at discharge also had significantly increased risk for MACEs (HR: 2.993, 95% CI: 1.660-5.397, P = 0.000).

conclusionsNSTE-ACS patients with persistent PtfV1(+) ECG indicators at admission and discharge and new PtfV1(+) at discharge had significantly increased risk of MACEs.

Indexed as

ElectrocardiographyAcute Coronary SyndromeAgedCardiovascular DiseasesFemaleHospitalizationHumansMaleMiddle AgedPrognosisProspective Studieselectrocardiogrammajor adverse cardiac eventsnon-ST-segment elevation acute coronary syndromeP-wave terminal force in lead V1

Identifiers

PMID25664419
PMCPMC6931673
OpenAlexW1833030714

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Registered trials

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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.