Evidence map›Paper›PMID 28252842›Full record

Trial reportStem cells translational medicine2017

Effects of Transendocardial Stem Cell Injection on Ventricular Proarrhythmia in Patients with Ischemic Cardiomyopathy: Results from the POSEIDON and TAC-HFT Trials.

Archana Ramireddy, Chad R Brodt, Adam M Mendizabal, Darcy L DiFede, Chris Healy, Vishal Goyal, Yahya Alansari, James O Coffey, Juan F Viles-Gonzalez, Alan W Heldman and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Stem cells translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Stem cell therapy for dilated cardiomyopathy.The Cochrane database of systematic reviews · 2021
    Pooled it
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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

14 authors.

Archana RamireddyCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Chad R BrodtCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Adam M MendizabalEMMES Corporation, Rockland, MD, USA.
Darcy L DiFedeInterdisciplinary Stem Cell Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Chris HealyCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Vishal GoyalCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Yahya AlansariCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
James O CoffeyCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Juan F Viles-GonzalezCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Alan W HeldmanCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Jeffrey J GoldbergerCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Robert J MyerburgCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Joshua M HareInterdisciplinary Stem Cell Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Raul D MitraniCardiovascular Division, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.

Funding

Mesenchymal Stem Cell CardiomyoplastyU54HL081028 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI MARBAN, EDUARDO · 2005 to 2009
$12.1M
NHLBI NIH HHS U54 HL081028
6 · The paper itself

Abstract

Transendocardial stem cell injection in patients with ischemic cardiomyopathy (ICM) improves left ventricular function and structure but has ill-defined effects on ventricular arrhythmias. We hypothesized that mesenchymal stem cell (MSC) implantation is not proarrhythmic. Post hoc analyses were performed on ambulatory ECGs collected from the POSEIDON and TAC-HFT trials. Eighty-eight subjects (mean age 61 ± 10 years) with ICM (mean EF 32.2% ± 9.8%) received treatment with MSC (n = 48), Placebo (n = 21), or bone marrow mononuclear cells (BMC) (n = 19). Heart rate variability (HRV) and ventricular ectopy (VE) were evaluated over 12 months. VE did not change in any group following MSC implantation. However, in patients with ≥ 1 VE run (defined as ≥ 3 consecutive premature ventricular complexes in 24 hours) at baseline, there was a decrease in VE runs at 12 months in the MSC group (p = .01), but not in the placebo group (p = .07; intergroup comparison: p = .18). In a subset of the MSC group, HRV measures of standard deviation of normal intervals was 75 ± 30 msec at baseline and increased to 87 ± 32 msec (p =.02) at 12 months, and root mean square of intervals between successive complexes was 36 ± 30 msec and increased to 58.2 ± 50 msec (p = .01) at 12 months. In patients receiving MSCs, there was no evidence for ventricular proarrhythmia, manifested by sustained or nonsustained ventricular ectopy or worsened HRV. Signals of improvement in ventricular arrhythmias and HRV in the MSC group suggest a need for further studies of the antiarrhythmic potential of MSCs. Stem Cells Translational Medicine 2017;6:1366-1372.

Indexed as

AgedArrhythmias, CardiacCardiomyopathiesFemaleHeart FailureHeart RateHumansMaleMiddle AgedStem CellsTachycardia, VentricularCardiac arrhythmiasCardiomyopathyHeart failureStem cellsVentricular tachycardia

Identifiers

PMID28252842
PMCPMC5442721

What OpenQuestion holds

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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.