Evidence map›Paper›PMID 28526702›Full record

ArticleJournal of the American Heart Association2017

T-Wave Morphology Restitution Predicts Sudden Cardiac Death in Patients With Chronic Heart Failure.

Julia Ramírez, Michele Orini, Ana Mincholé, Violeta Monasterio, Iwona Cygankiewicz, Antonio Bayés de Luna, Juan Pablo Martínez, Esther Pueyo, Pablo Laguna

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
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  8. Review
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  11. Prediction of sudden death in elderly patients with heart failure.Journal of geriatric cardiology : JGC · 2018
    Review
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  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Julia RamírezBiomedical Signal Interpretation and Computational Simulation (BSICoS) Group, Aragón Institute of Engineering Research, IIS Aragón University of Zaragoza, Spain julia.ramirez@unizar.es.
Michele OriniInstitute of Cardiovascular Science, University College London, London, United Kingdom.
Ana MincholéDepartment of Computer Science, University of Oxford, Oxford, United Kingdom.
Violeta MonasterioUniversidad San Jorge, Villanueva de Gallego, Spain.
Iwona CygankiewiczDepartment of Electrocardiology, Medical University of Lodz, Lodz, Poland.
Antonio Bayés de LunaCatalan Institute of Cardiovascular Sciences, Santa Creu I Sant Pau Hospital, Barcelona, Spain.
Juan Pablo MartínezBiomedical Signal Interpretation and Computational Simulation (BSICoS) Group, Aragón Institute of Engineering Research, IIS Aragón University of Zaragoza, Spain.
Esther PueyoBiomedical Signal Interpretation and Computational Simulation (BSICoS) Group, Aragón Institute of Engineering Research, IIS Aragón University of Zaragoza, Spain.
Pablo LagunaBiomedical Signal Interpretation and Computational Simulation (BSICoS) Group, Aragón Institute of Engineering Research, IIS Aragón University of Zaragoza, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with chronic heart failure are at high risk of sudden cardiac death (SCD). Increased dispersion of repolarization restitution has been associated with SCD, and we hypothesize that this should be reflected in the morphology of the T-wave and its variations with heart rate. The aim of this study is to propose an electrocardiogram (ECG)-based index characterizing T-wave morphology restitution (TMR), and to assess its association with SCD risk in a population of chronic heart failure patients. METHODS AND

resultsHolter ECGs from 651 ambulatory patients with chronic heart failure from the MUSIC (MUerte Súbita en Insuficiencia Cardiaca) study were available for the analysis. TMR was quantified by measuring the morphological variation of the T-wave per RR increment using time-warping metrics, and its predictive power was compared to that of clinical variables such as the left ventricular ejection fraction and other ECG-derived indices, such as T-wave alternans and heart rate variability. TMR was significantly higher in SCD victims than in the rest of patients (median 0.046 versus 0.039,

conclusionsThis study shows that TMR is specifically associated with SCD in a population of chronic heart failure patients, and it is a better predictor than clinical and ECG-derived variables.

Indexed as

ElectrocardiographyRisk AssessmentAdolescentAdultAgedAged, 80 and overDeath, Sudden, CardiacDisease ProgressionEuropeFemaleFollow-Up StudiesHeart FailureHeart RateHumansMaleMiddle Agedchronic heart failuredispersion of repolarizationrepolarization restitutionsudden cardiac deathT‐wave morphology

Identifiers

PMID28526702
PMCPMC5524085

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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.