Evidence map›Paper›PMID 26279999›Full record

ArticleEuropean thyroid journal2015

Nonthyroidal Illness Syndrome in Cardiac Illness Involves Elevated Concentrations of 3,5-Diiodothyronine and Correlates with Atrial Remodeling.

Johannes W Dietrich, Patrick Müller, Fabian Schiedat, Markus Schlömicher, Justus Strauch, Apostolos Chatzitomaris, Harald H Klein, Andreas Mügge, Josef Köhrle, Eddy Rijntjes and 1 more

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in European thyroid journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
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.

NCT00591032 unknown statusnot on this map

Development of Rational and Standardized Diagnostics and Staging for a Differentiated Risk Stratification of Non-thyroidal Illness Syndrome

TypeobservationalSponsorRuhr University of BochumRan2007 to 2020Enrolled590ConditionsEuthyroid Sick Syndromes, Non-thyroidal Illness Syndrome, Low T3 Syndrome, TACITUS
NCT04392258 unknown statusnot on this mapstarted 2021, after this paper: background citation

Observational and Diagnostical Study on Transient Allostatic Responses of Thyroid Function After Cardiopulmonary Resuscitation

TypeobservationalSponsorRuhr University of BochumRan2021 to 2022Enrolled200ConditionsHeart Arrest, Ventricular Fibrillation, Ventricular Flutter, Ventricular TachycardiaArmsTSH determination, FT4 determination, FT3 determination, SPINA-GT, SPINA-GD
NCT04879147 unknown statusnot on this mapstarted 2021, after this paper: background citation

Observational and Diagnostical Study on Transient Allostatic Responses of Thyroid Function After Syncopation and Seizure (Thyro-Syncope)

TypeobservationalSponsorRuhr University of BochumRan2021 to 2024Enrolled350ConditionsSyncope, SeizuresArmsEvalution of thyroid function
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 65 citations in OpenAlex.

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  16. Novel thyroid hormones.Endocrine · 2019
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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

11 authors at 4 institutions in 1 country.

Johannes W DietrichDepartment of Endocrinology and Diabetes, Medical Hospital I, Berlin, Germany.
Patrick MüllerDepartment of Cardiology and Angiology, Medical Hospital II, Berlin, Germany ; Heart Center Bad Neustadt, Clinic for Interventional Electrophysiology, Bad Neustadt an der Saale, Berlin, Germany.
Fabian SchiedatDepartment of Cardiology and Angiology, Medical Hospital II, Berlin, Germany.
Markus SchlömicherDepartment of Cardiac Surgery, Bergmannsheil University Hospitals, Ruhr University of Bochum, Bochum, Berlin, Germany.
Justus StrauchDepartment of Cardiac Surgery, Bergmannsheil University Hospitals, Ruhr University of Bochum, Bochum, Berlin, Germany.
Apostolos ChatzitomarisDepartment of Endocrinology and Diabetes, Medical Hospital I, Berlin, Germany.
Harald H KleinDepartment of Endocrinology and Diabetes, Medical Hospital I, Berlin, Germany.
Andreas MüggeDepartment of Cardiology and Angiology, Medical Hospital II, Berlin, Germany.
Josef KöhrleInstitut für Experimentelle Endokrinologie, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Eddy RijntjesInstitut für Experimentelle Endokrinologie, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Ina LehmphulInstitut für Experimentelle Endokrinologie, Charité-Universitätsmedizin Berlin, Berlin, Germany.
MSB Medical School Berlin · DECharité - Universitätsmedizin Berlin · DEBG University Hospital Bergmannsheil Bochum · DERhön-Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough hyperthyroidism predisposes to atrial fibrillation, previous trials have suggested decreased triiodothyronine (T3) concentrations to be associated with postoperative atrial fibrillation (POAF). Therapy with thyroid hormones (TH), however, did not reduce the risk of POAF. This study reevaluates the relation between thyroid hormone status, atrial electromechanical function and POAF.

methodsThirty-nine patients with sinus rhythm and no history of atrial fibrillation or thyroid disease undergoing cardiac surgery were prospectively enrolled. Serum concentrations of thyrotropin, free (F) and total (T) thyroxine (T4) and T3, reverse (r)T3, 3-iodothyronamine (3-T1AM) and 3,5-diiodothyronine (3,5-T2) were measured preoperatively, complemented by evaluation of echocardiographic and electrophysiological parameters of cardiac function. Holter-ECG and telemetry were used to screen for POAF for 10 days following cardiac surgery.

resultsSeven of 17 patients who developed POAF demonstrated nonthyroidal illness syndrome (NTIS; defined as low T3 and/or low T4 syndrome), compared to 2 of 22 (p < 0.05) patients who maintained sinus rhythm. In patients with POAF, serum FT3 concentrations were significantly decreased, but still within their reference ranges. 3,5-T2 concentrations directly correlated with rT3 concentrations and inversely correlated with FT3 concentrations. Furthermore, 3,5-T2 concentrations were significantly elevated in patients with NTIS and in subjects who eventually developed POAF. In multivariable logistic regression FT3, 3,5-T2, total atrial conduction time, left atrial volume index and Fas ligand were independent predictors of POAF.

conclusionThis study confirms reduced FT3 concentrations in patients with POAF and is the first to report on elevated 3,5-T2 concentrations in cardiac NTIS. The pathogenesis of NTIS therefore seems to involve more differentiated allostatic mechanisms.

Indexed as

3,5-DiiodothyronineAtrial fibrillationNonthyroidal illness syndromeReverse triiodothyronineTACITUSThyroid hormone

Identifiers

PMID26279999
PMCPMC4521060
OpenAlexW1602307529

What OpenQuestion holds

Textmetadata
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.