Evidence map›Paper›PMID 26631594›Full record

ReviewProgress in biophysics and molecular biology2016

The link between abnormal calcium handling and electrical instability in acquired long QT syndrome--Does calcium precipitate arrhythmic storms?

Jan Němec, Jong J Kim, Guy Salama

Abstract readReview
In one paragraph

Review in Progress in biophysics and molecular biology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

29 citing papers in PubMed, 41 citations in OpenAlex.

  1. DENND3-p.R534S disrupts dyadic microdomain architecture to drive potentially pro-arrhythmic calcium and electrophysiologic instability.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 · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Myocardial SERCA2 Protects Against Cardiac Damage and Dysfunction Caused by Inhaled Bromine.The Journal of pharmacology and experimental therapeutics · 2024
    Article
  9. Primary Electrical Heart Disease-Principles of Pathophysiology and Genetics.International journal of molecular sciences · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Cardiomyocyte NaBasic research in cardiology · 2021
    Article
  17. Genetic and Molecular Aspects of Drug-Induced QT Interval Prolongation.International journal of molecular sciences · 2021
    Review
  18. Article
  19. Article
  20. 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

3 authors at 1 institution in 1 country.

Jan NěmecDepartment of Medicine, Heart and Vascular Institute, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Jong J KimDepartment of Medicine, Heart and Vascular Institute, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Guy SalamaDepartment of Medicine, Heart and Vascular Institute, University of Pittsburgh, Pittsburgh, PA 15261, USA. Electronic address: gsalama@pitt.edu.
University of Pittsburgh · US

Funding

High-Speed, Depth-Resolved Images of Cardiac physiologyR01HL069097 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SALAMA, GUY · 2003 to 2007
$2.3M
Effects of K+ Accumulation/Depletion in the HeartR01HL093074 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SALAMA, GUY · 2010 to 2013
$1.9M
Gender-Differences in Cardiac Repolarization/ArrhythmiasR01HL070722 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SALAMA, GUY · 2002 to 2005
$1.7M
Factors that Initiate Arrhythmias in lung QT SyndromeR01HL057929 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SALAMA, GUY · 1998 to 2006
$1.5M
NHLBI NIH HHS HL-093074NHLBI NIH HHS HL-70722NHLBI NIH HHS R01 HL057929NHLBI NIH HHS R01 HL069097NHLBI NIH HHS R01 HL070722NHLBI NIH HHS R01 HL093074
6 · The paper itself

Abstract

Release of Ca(2+) ions from sarcoplasmic reticulum (SR) into myocyte cytoplasm and their binding to troponin C is the final signal form myocardial contraction. Synchronous contraction of ventricular myocytes is necessary for efficient cardiac pumping function. This requires both shuttling of Ca(2+) between SR and cytoplasm in individual myocytes, and organ-level synchronization of this process by means of electrical coupling among ventricular myocytes. Abnormal Ca(2+) release from SR causes arrhythmias in the setting of CPVT (catecholaminergic polymorphic ventricular tachycardia) and digoxin toxicity. Recent optical mapping data indicate that abnormal Ca(2+) handling causes arrhythmias in models of both repolarization impairment and profound bradycardia. The mechanisms involve dynamic spatial heterogeneity of myocardial Ca(2+) handling preceding arrhythmia onset, cell-synchronous systolic secondary Ca(2+) elevation (SSCE), as well as more complex abnormalities of intracellular Ca(2+) handling detected by subcellular optical mapping in Langendorff-perfused hearts. The regional heterogeneities in Ca(2+) handling cause action potential (AP) heterogeneities through sodium-calcium exchange (NCX) activation and eventually overwhelm electrical coupling of the tissue. Divergent Ca(2+) dynamics among different myocardial regions leads to temporal instability of AP duration and - on the patient level - in T wave lability. Although T-wave alternans has been linked to cardiac arrhythmias, non-alternans lability is observed in pre-clinical models of the long QT syndrome (LQTS) and CPVT, and in LQTS patients. Analysis of T wave lability may provide a real-time window on the abnormal Ca(2+) dynamics causing specific arrhythmias such as Torsade de Pointes (TdP).

Indexed as

Electrophysiological PhenomenaAnimalsCalciumHumansIntracellular SpaceLong QT SyndromeSex CharacteristicsCalciumAction potential, APAP duration, APDDelayed afterdepolarization, DADEarly afterdepolarization, EADLong QT syndrome, LQTSLong QT type 2, LQT2Simultaneous mapping of voltage and intracellular free Ca(2+)Subcellular voltage and Ca(2+) imagingSystolic secondary Ca(2+) release, SSCRTriggered activity, TA

Identifiers

PMID26631594
PMCPMC4808372
OpenAlexW2177491097

What OpenQuestion holds

Textmetadata
LicenceTDM
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.