Evidence map›Paper›PMID 26475296›Full record

ArticleJournal of the American Heart Association2015

Arrhythmogenic Phenotype in Dilated Cardiomyopathy: Natural History and Predictors of Life-Threatening Arrhythmias.

Anita Spezzacatene, Gianfranco Sinagra, Marco Merlo, Giulia Barbati, Sharon L Graw, Francesca Brun, Dobromir Slavov, Andrea Di Lenarda, Ernesto E Salcedo, Jeffrey A Towbin and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 pooled it
6.4field-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

68 citing papers in PubMed, 2 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Cardiac phenotypes in LMNA mutations.Current opinion in cardiology · 2025
    Review
  13. Article
  14. Genomics of pediatric cardiomyopathy.Pediatric research · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. New perspectives in diagnosis and risk stratification of non-ischaemic dilated cardiomyopathy.European heart journal supplements : journal of the European Society of Cardiology · 2023
    Article

8 more citing papers are in PubMed but not listed here.

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

16 authors at 6 institutions in 2 countries.

Anita SpezzacateneCardiovascular Institute and Adult Medical Genetics, University of Colorado, Aurora, CO (A.S., S.L.G., D.S., E.E.S., M.G.T., L.M.) Cardiovascular Department "Ospedali Riuniti", Hospital and University of Trieste, Italy (A.S., G.S., M.M., G.B., F.B.).
Gianfranco SinagraCardiovascular Department "Ospedali Riuniti", Hospital and University of Trieste, Italy (A.S., G.S., M.M., G.B., F.B.).
Marco MerloCardiovascular Department "Ospedali Riuniti", Hospital and University of Trieste, Italy (A.S., G.S., M.M., G.B., F.B.).
Giulia BarbatiCardiovascular Department "Ospedali Riuniti", Hospital and University of Trieste, Italy (A.S., G.S., M.M., G.B., F.B.) Cardiovascular Center, Trieste, Italy (G.B., A.D.L.).
Sharon L GrawCardiovascular Institute and Adult Medical Genetics, University of Colorado, Aurora, CO (A.S., S.L.G., D.S., E.E.S., M.G.T., L.M.).
Francesca BrunCardiovascular Department "Ospedali Riuniti", Hospital and University of Trieste, Italy (A.S., G.S., M.M., G.B., F.B.).
Dobromir SlavovCardiovascular Institute and Adult Medical Genetics, University of Colorado, Aurora, CO (A.S., S.L.G., D.S., E.E.S., M.G.T., L.M.).
Andrea Di LenardaCardiovascular Center, Trieste, Italy (G.B., A.D.L.).
Ernesto E SalcedoCardiovascular Institute and Adult Medical Genetics, University of Colorado, Aurora, CO (A.S., S.L.G., D.S., E.E.S., M.G.T., L.M.).
Jeffrey A TowbinCincinnati Children's Hospital, Cincinnati, OH (J.A.T.).
Jeffrey E SaffitzBeth Israel Deaconess Medical Center, Boston, MA (J.E.S.).
Frank I MarcusUniversity of Arizona Medical Center, Tucson, AZ (F.I.M.).
Wojciech ZarebaUniversity of Rochester Medical Center, Rochester, NY (W.Z.).
Matthew R G TaylorCardiovascular Institute and Adult Medical Genetics, University of Colorado, Aurora, CO (A.S., S.L.G., D.S., E.E.S., M.G.T., L.M.).
Luisa MestroniCardiovascular Institute and Adult Medical Genetics, University of Colorado, Aurora, CO (A.S., S.L.G., D.S., E.E.S., M.G.T., L.M.).
Familial Cardiomyopathy Registry
University of Colorado Anschutz Medical Campus · USUniversity of Trieste · ITBanner - University Medical Center Tucson · USBeth Israel Deaconess Medical Center · USCincinnati Children's Hospital Medical Center · USUniversity of Rochester Medical Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
ZOPOLRESTAT PHARMACOKINETICS IN DIABETICS WITH VARYING RENAL FUNCTIONM01RR000051 · NCRR · UNIVERSITY OF COLORADO DENVER · PI ALBERT, RICHARD K · 1985 to 2008
$52.6M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Genetics, Mechanisms and Clinical Phenotypes of Arrhythmogenic CardiomyopathyR01HL116906 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI MARCUS, FRANK I, MESTRONI, LUISA · 2013 to 2016
$9.2M
Molecular Epidemiology of Dilated CardiomyopathR01HL069071 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MESTRONI, LUISA · 2002 to 2005
$2.3M
Whole genome DNA sequencing to identify novel genes in dilated cardiomyopathyR01HL109209 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI TAYLOR, MATTHEW R · 2012 to 2016
$2.1M
Cardiomyocyte phenotype and mechanotransduction in Filamin C gene variants causing arrhythmogenic cardiomyopathyR01HL147064 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MESTRONI, LUISA, TAYLOR, MATTHEW R · 2020 to 2023
$2.1M
NCATS NIH HHS UL1 TR001082NCRR NIH HHS M01 RR000051NCRR NIH HHS UL1 RR025780NHLBI NIH HHS 1R01HL109209-01A1NHLBI NIH HHS 1R01HL116906NHLBI NIH HHS R01 HL069071NHLBI NIH HHS R01 HL109209NHLBI NIH HHS R01 HL116906NHLBI NIH HHS R01 HL147064NHLBI NIH HHS R01 HL69071
6 · The paper itself

Abstract

backgroundPatients with dilated cardiomyopathy (DCM) may present with ventricular arrhythmias early in the disease course, unrelated to the severity of left ventricular dysfunction. These patients may be classified as having an arrhythmogenic DCM (AR-DCM). We investigated the phenotype and natural history of patients with AR-DCM. METHODS AND

resultsTwo hundred eighty-five patients with a recent diagnosis of DCM (median duration of the disease 1 month, range 0 to 7 months) and who had Holter monitoring at baseline were comprehensively evaluated and followed for 107 months (range 29 to 170 months). AR-DCM was defined by the presence of ≥1 of the following: unexplained syncope, rapid nonsustained ventricular tachycardia (≥5 beats, ≥150 bpm), ≥1000 premature ventricular contractions/24 hours, and ≥50 ventricular couplets/24 hours, in the absence of overt heart failure. The primary end points were sudden cardiac death (SCD), sustained ventricular tachycardia (SVT), or ventricular fibrillation (VF). The secondary end points were death from congestive heart failure or heart transplantation. Of the 285 patients, 109 (38.2%) met criteria for AR-DCM phenotype. AR-DCM subjects had a higher incidence of SCD/SVT/VF compared with non-AR-DCM patients (30.3% vs 17.6%, P=0.022), with no difference in the secondary end points. A family history of SCD/SVT/VF and the AR-DCM phenotype were statistically significant and cumulative predictors of SCD/SVT/VF.

conclusionsOne-third of DCM patients may have an arrhythmogenic phenotype associated with increased risk of arrhythmias during follow-up. A family history of ventricular arrhythmias in DCM predicts a poor prognosis and increased risk of SCD.

Indexed as

AdultArrhythmias, CardiacCardiomyopathy, DilatedCause of DeathDeath, Sudden, CardiacDisease-Free SurvivalDisease ProgressionElectrocardiography, AmbulatoryFemaleHeart TransplantationHumansKaplan-Meier EstimateMaleMiddle AgedPhenotypePrevalencearrhythmiacardiomyopathyprognosissudden death

Identifiers

PMID26475296
PMCPMC4845125
OpenAlexW2175990513

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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.