Evidence map›Paper›PMID 29321796›Full record

ArticleJournal of geriatric cardiology : JGC2017

Heart rate variability: a new tool to predict complications in adult cardiac surgery.

Antonio Nenna, Mario Lusini, Cristiano Spadaccio, Francesco Nappi, Salvatore Matteo Greco, Raffaele Barbato, Elvio Covino, Massimo Chello

Abstract read
In one paragraph

Article in Journal of geriatric cardiology : JGC, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Predictors of atrial fibrillation on implantable cardiac monitoring for cryptogenic stroke.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2022
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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

8 authors.

Antonio NennaDepartment of Cardiovascular Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.
Mario LusiniDepartment of Cardiovascular Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.
Cristiano SpadaccioDepartment of Cardiac Surgery, Golden Jubilee National Hospital, Glasgow, UK.
Francesco NappiDepartment of Cardiac Surgery, Centre Cardiologique du Nord de Saint-Denis, Paris, France.
Salvatore Matteo GrecoDepartment of Cardiovascular Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.
Raffaele BarbatoDepartment of Cardiovascular Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.
Elvio CovinoDepartment of Cardiovascular Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.
Massimo ChelloDepartment of Cardiovascular Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart rate variability (HRV) refers to the variations between consecutive heartbeats, which depend on the continuous modulation of the sympathetic and parasympathetic branches of the autonomic nervous system. HRV has been shown to be effective as a predictor of risk after myocardial infarction and an early warning sign of diabetic neuropathy, and in the cardiology setting is now recognized to be a useful tool for risk-stratification after hospital admission and after discharge. Recent evidences suggest that HRV analysis might predict complications even in patients undergoing cardiac surgery, and the present review summarizes the importance of HRV analysis in adult cardiac surgery and the perspectives for HRV use in current clinical practice. Although future larger studies are warranted before HRV can be included into daily clinical practice in adult cardiac surgery, HRV is a novel tool which might detect autonomic instability in the early postoperative phase and during hospital stay, thus predicting or prompt-diagnosing many of the post-operative complications.

Indexed as

Cardiac surgeryComplicationsHeart rate variabilityPredictive values

Identifiers

PMID29321796
PMCPMC5756739

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.