Evidence map›Paper›PMID 27403291›Full record

ArticleArrhythmia & electrophysiology review2016

Periodic Repolarisation Dynamics: A Natural Probe of the Ventricular Response to Sympathetic Activation.

Konstantinos D Rizas, Wolfgang Hamm, Stefan Kääb, Georg Schmidt, Axel Bauer

2 registry-linked trialsAbstract read
In one paragraph

Article in Arrhythmia & electrophysiology review, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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.

NCT02594488 nacompletednot on this map

Implantable Cardiac Monitors in High-risk Post-infarction Patients With Cardiac Autonomic Dysfunction and Moderately Reduced Left Ventricular Ejection Fraction

TypeinterventionalSponsorLMU KlinikumRan2016 to 2021Enrolled400ConditionsMyocardial Infarction, Autonomic Nervous System DiseasesArmsMedtronic Reveal LINQ implantable cardiac monitor
NCT03892226 unknown statusnot on this mapstarted 2019, after this paper: background citation

Cardiomyocyte Injury Following Acute Ischemic Stroke

TypeobservationalSponsorCharite University, Berlin, GermanyRan2019 to 2024Enrolled300ConditionsStroke, Ischemic, Cardiac Complication
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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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

5 authors.

Konstantinos D RizasMunich University Clinic, Munich, Germany; Deutsches Zentrum für Herzkreislaufforschung (DZHK), Munich, Germany.
Wolfgang HammMunich University Clinic, Munich, Germany; Deutsches Zentrum für Herzkreislaufforschung (DZHK), Munich, Germany.
Stefan KääbMunich University Clinic, Munich, Germany; Deutsches Zentrum für Herzkreislaufforschung (DZHK), Munich, Germany.
Georg SchmidtDeutsches Zentrum für Herzkreislaufforschung (DZHK), Munich, Germany; Technical University of Munich, Munich, Germany.
Axel BauerMunich University Clinic, Munich, Germany; Deutsches Zentrum für Herzkreislaufforschung (DZHK), Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Periodic repolarisation dynamics (PRD) refers to low-frequency (≤0.1Hz) modulations of cardiac repolarisation instability. Spontaneous PRD can be assessed non-invasively from 3D high-resolution resting ECGs. Physiological and experimental studies have indicated that PRD correlates with efferent sympathetic nerve activity, which clusters in low-frequency bursts. PRD is increased by physiological provocations that lead to an enhancement of sympathetic activity, whereas it is suppressed by pharmacological β-blockade. Electrophysiological studies revealed that PRD occurs independently from heart rate variability. Increased PRD under resting conditions is a strong predictor of mortality in post-myocardial infarction (post-MI) patients, yielding independent prognostic value from left-ventricular ejection fraction (LVEF), heart rate variability, the Global Registry of Acute Coronary Events score and other established risk markers. The predictive value of PRD is particularly strong in post-MI patients with preserved LVEF (>35 %) in whom it identifies a new high-risk group of patients. The upcoming Implantable Cardiac Monitors in High-Risk Post-Infarction Patients with Cardiac Autonomic Dysfunction and Moderately Reduced Left Ventricular Ejection Fraction (SMART-MI) trial will test prophylactic strategies in high-risk post-MI patients with LVEF 36-50 % identified by PRD and deceleration capacity of heart rate (NCT02594488).

Indexed as

myocardial infarctionperiodic repolarisation dynamicsrisk stratificationspatial dispersion of repolarisationsudden deathsympathetic nervous system

Identifiers

PMID27403291
PMCPMC4939306

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.