Evidence map›Paper›PMID 28229241›Full record

ReviewJournal of anesthesia2017

Acquired prolongation of QT interval as a risk factor for torsade de pointes ventricular tachycardia: a narrative review for the anesthesiologist and intensivist.

Arsen Uvelin, Jasmina Pejaković, Vesna Mijatović

Abstract readReview
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In one paragraph

Review in Journal of anesthesia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

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

14 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Observational
  12. Article
  13. Prolonged QTc in HIV-Infected Patients: A Need for Routine ECG Screening.Journal of the International Association of Providers of AIDS Care
    Article
  14. Review
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.

Arsen UvelinDepartment of Anesthesia and Intensive care, Emergency Center, Clinical Center of Vojvodina, Hajduk Veljkova 1-10, Novi Sad, 21000, Serbia. arsenuvelin@gmail.com.
Jasmina PejakovićDepartment of Anesthesia and Intensive care, Emergency Center, Clinical Center of Vojvodina, Hajduk Veljkova 1-10, Novi Sad, 21000, Serbia.
Vesna MijatovićDepartment of Pharmacology, Toxicology and Clinical Pharmacology, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, Novi Sad, 21000, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

More than 70% of intensive care unit (ICU) patients experience heart rhythm disturbances, and these patients have correspondingly higher mortality rates. Consequently, one of the standards of care in ICUs is continuous electrocardiography monitoring. One of the potentially preventable dysrhythmic events is the occurrence of torsade de pointes ventricular tachycardia in the setting of acquired prolonged QT interval. This type of ventricular tachycardia can be malignant because it often progresses to ventricular fibrillation. Many factors predispose to lengthening of the QT interval, the most important of which are electrolyte abnormalities and the administration of specific medications. In this review, we discuss the pathophysiology of acquired long QT interval, stressing the medication-induced acquired long QT-interval and factors present in ICU patients that promote prolongation of the QT interval. We also propose guidelines to avoid the occurrence of torsade de pointes ventricular tachycardia.

Indexed as

AnesthesiologistsArrhythmias, CardiacElectrocardiographyHumansLong QT SyndromeRisk FactorsTachycardia, VentricularTorsades de PointesVentricular FibrillationAcquiredCritically ill patientsMedication-induced QT interval prolongationQT interval prolongationTorsade de pointes ventricular tachycardia

Identifiers

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Registered trials

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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.