Evidence map›Paper›PMID 29150491›Full record

ArticleJournal of the American Heart Association2017

Hypothermia Modulates Arrhythmia Substrates During Different Phases of Resuscitation From Ischemic Cardiac Arrest.

Joseph S Piktel, Aurelia Cheng, Matthew McCauley, Zack Dale, Michelle Nassal, Danielle Maleski, Gary Pawlowski, Kenneth R Laurita, Lance D Wilson

Open access · goldAbstract read
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. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Joseph S PiktelHeart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, OH jpiktel@metrohealth.org.
Aurelia ChengHeart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, OH.
Matthew McCauleyHeart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, OH.
Zack DaleHeart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, OH.
Michelle NassalHeart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, OH.
Danielle MaleskiHeart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, OH.
Gary PawlowskiHeart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, OH.
Kenneth R LauritaHeart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, OH.
Lance D WilsonHeart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, OH.
Case Western Reserve University · USMetroHealth Medical Center · USMetroHealth · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe designed an innovative porcine model of ischemia-induced arrest to determine dynamic arrhythmia substrates during focal infarct, global ischemia from ventricular tachycardia or fibrillation (VT/VF) and then reperfusion to determine the effect of therapeutic hypothermia (TH) on dynamic arrhythmia substrates and resuscitation outcomes. METHODS AND

resultsAnesthetized adult pigs underwent thoracotomy and regional plunge electrode placement in the left ventricle. Subjects were then maintained at either control (CT; 37°C, n=9) or TH (33°C, n=8). The left anterior descending artery (LAD) was occluded and ventricular fibrillation occurred spontaneously or was induced after 30 minutes. Advanced cardiac life support was started after 8 minutes, and LAD reperfusion occurred 60 minutes after occlusion. Incidences of VF/VT and survival were compared with ventricular ectopy, cardiac alternans, global dispersion of repolarization during LAD occlusion, and LAD reperfusion. There was no difference in incidence of VT/VF between groups during LAD occlusion (44% in CT versus 50% in TH;

conclusionsTH alters arrhythmia substrates in a porcine translational model of resuscitation from ischemic cardiac arrest during the complex phases of resuscitation. TH worsens cardiac alternans, which was associated with an increase in spontaneous VT/VF during reperfusion.

Indexed as

AnimalsArrhythmias, CardiacDisease Models, AnimalHeart ArrestHypothermia, InducedMyocardial Reperfusion InjuryResuscitationSwinearrhythmiahypothermiamyocardial infarctionresuscitationventricular fibrillation

Identifiers

PMID29150491
PMCPMC5721747
OpenAlexW2770696252

What OpenQuestion holds

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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.