Evidence map›Paper›PMID 28862961›Full record

Observational studyJournal of the American Heart Association2017

Sudden Cardiac Death in Women With Suspected Ischemic Heart Disease, Preserved Ejection Fraction, and No Obstructive Coronary Artery Disease: A Report From the Women's Ischemia Syndrome Evaluation Study.

Puja K Mehta, B Delia Johnson, Tanya S Kenkre, Wafia Eteiba, Barry Sharaf, Carl J Pepine, Steven E Reis, William J Rogers, Sheryl F Kelsey, Diane V Thompson and 4 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study 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. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Resting Heart Rate Alone May Not Fully Capture Electrocardiographic Risk in Women With INOCA.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026
    Article
  3. Electrocardiographic Predictors of Major Adverse Cardiovascular Events in Women With Suspected Ischemia and no Obstructive Coronary Artery Disease: Results of the Women's Ischemia Syndrome Evaluation.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Is physiology of coronary blood flow different in men and women?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  12. Review
  13. 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

14 authors at 7 institutions in 1 country.

Puja K MehtaEmory University School of Medicine, Atlanta, GA puja.kiran.mehta@emory.edu.
B Delia JohnsonGraduate School of Public Health, University of Pittsburgh, PA.
Tanya S KenkreGraduate School of Public Health, University of Pittsburgh, PA.
Wafia EteibaGraduate School of Public Health, University of Pittsburgh, PA.
Barry SharafRhode Island Hospital, Providence, RI.
Carl J PepineUniversity of Florida, Gainesville, FL.
Steven E ReisUniversity of Pittsburgh Medical Center, Pittsburgh, PA.
William J RogersUniversity of Alabama at Birmingham, AL.
Sheryl F KelseyGraduate School of Public Health, University of Pittsburgh, PA.
Diane V ThompsonAllegheny General Hospital, Pittsburgh, PA.
Vera BittnerUniversity of Alabama at Birmingham, AL.
George SopkoAllegheny General Hospital, Pittsburgh, PA.
Leslee J ShawEmory University School of Medicine, Atlanta, GA.
C Noel Bairey MerzEmory University School of Medicine, Atlanta, GA.
University of Pittsburgh · USEmory University · USNational Institutes of Health · USUniversity of Alabama at Birmingham · USRhode Island Hospital · USUniversity of Florida · USUniversity of Pittsburgh Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSudden cardiac death (SCD) is often the first presentation of ischemic heart disease; however, there is limited information on SCD among women with and without obstructive coronary artery disease (CAD). We evaluated SCD incidence in the WISE (Women's Ischemia Syndrome Evaluation) study. METHODS AND

resultsOverall, 904 women with suspected ischemic heart disease with preserved ejection fraction and core laboratory coronary angiography were followed for outcomes. In case of death, a death certificate and/or a physician or family narrative of the circumstances of death was obtained. A clinical events committee rated all deaths as cardiovascular or noncardiovascular and as SCD or non-SCD. In total, 96 women (11%) died over a median of 6 years (maximum: 8 years). Among 65 cardiovascular deaths, 42% were SCD. Mortality per 1000 person-hours increased linearly with CAD severity (no CAD: 5.8; minimal: 15.9; obstructive: 38.6;

conclusionsSCD contributes substantially to mortality in women with and without obstructive CAD. Corrected QT interval is the single independent SCD risk factor in women without obstructive CAD. In addition to management of traditional risk factors, these data indicate that further investigation should address mechanistic understanding and interventions targeting depression and corrected QT interval in women.

Indexed as

Stroke VolumeVentricular Function, LeftAction PotentialsAgedCause of DeathCoronary Artery DiseaseDeath, Sudden, CardiacDisease-Free SurvivalFemaleHeart RateHumansIncidenceKaplan-Meier EstimateMiddle AgedMyocardial IschemiaProportional Hazards Modelscoronary atherosclerosisischemic heart diseasesudden cardiac deathwomen

Identifiers

PMID28862961
PMCPMC5586417
OpenAlexW2747983319

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.