Evidence map›Paper›PMID 25994548›Full record

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

The value of electrocardiographic abnormalities in the prognosis of pulmonary embolism: a consensus paper.

Geneviève C Digby, Piotr Kukla, Zhong-Qun Zhan, Carlos A Pastore, Ryszard Piotrowicz, Edgardo Schapachnik, Wojciech Zareba, Antonio Bayés de Luna, Piotr Pruszczyk, Adrian M Baranchuk

Open access · greenAbstract readReviewConsensus Statement
In one paragraph

Review 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 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 3% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Use of fragmented QRS in prognosticating clinical deterioration and mortality in pulmonary embolism: A meta-analysis.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2018
    Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. ECG challenge: beating at the right place at the right time.European heart journal. Case reports · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Electrocardiographic findings associated with early clinical deterioration in acute pulmonary embolism.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
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 8 institutions in 6 countries.

Geneviève C DigbyDepartment of Medicine, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.
Piotr KuklaDepartment of Cardiology and Internal  Medicine, Specialistic Hospital, Gorlice, Poland.
Zhong-Qun ZhanDepartment of Cardiology, Taihe Hospital, Hubei University of Medicine, Shiyan City, China.
Carlos A PastoreClinical Unit of Electrocardiography, Heart Institute (InCor), Clinic Hospital, Faculty of Medicine, Sao Paulo University, Sao Paulo, Brazil.
Ryszard PiotrowiczTelecardiology Center, Institute of Cardiology, Warsaw, Poland.
Edgardo SchapachnikIberoamerican Forum of Arrhythmias in the Internet, (FIAI), Buenos Aires, Argentina.
Wojciech ZarebaThe Heart Research Follow-up Program, Cardiology Unit, University of Rochester Medical Center, Rochester, NY.
Antonio Bayés de LunaICCC-Hospital Sant Pau, Barcelona, Catalunya, Spain.
Piotr PruszczykDepartment of Internal Medicine and Cardiology, Medical University of Warsaw, Warszawa, Poland.
Adrian M BaranchukDepartment of Medicine, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.
Hospital de Sant Pau · ESInstitute of Cardiology · PLKingston General Hospital · CAMedical University of Warsaw · PLQueen's University · CATaihe Hospital · CNUniversidade de São Paulo · BRUniversity of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electrocardiographic (ECG) abnormalities in the setting of acute pulmonary embolism (PE) are being increasingly characterized and mounting evidence suggests that ECG plays a valuable role in prognostication for PE. We review the historical 21-point ECG prognostic score for the severity of PE and examine the updated evidence surrounding the utility of ECG abnormalities in prognostication for severity of acute PE. We performed a literature search of MEDLINE, EMBASE, and PubMed up to February 2015. Article titles and abstracts were screened, and articles were included if they were observational studies that used a surface 12-lead ECG as the instrument for measurement, a diagnosis of PE was confirmed by imaging, arteriography or autopsy, and analysis of prognostic outcomes was performed. Thirty-six articles met our inclusion criteria. We review the prognostic value of ECG abnormalities included in the 21-point ECG score, including new evidence that has arisen since the time of its publication. We also discuss the potential prognostic value of several ECG abnormalities with newly identified prognostic value in the setting of acute PE.

Indexed as

ElectrocardiographyAcute DiseaseHumansPrognosisPulmonary EmbolismSeverity of Illness IndexECGpulmonary embolismrisk score

Identifiers

PMID25994548
PMCPMC6931801
OpenAlexW1600414609

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.