Evidence map›Paper›PMID 29425569›Full record

Observational studyInternational journal of cardiology2018

Significant impact of electrical storm on mortality in patients with structural heart disease and an implantable cardiac defibrillator.

Takashi Noda, Takashi Kurita, Takashi Nitta, Yasutaka Chiba, Hiroshi Furushima, Naoki Matsumoto, Takeshi Toyoshima, Akihiko Shimizu, Hideo Mitamura, Ken Okumura and 2 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in International journal of cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
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  7. Review
  8. Spotlight on the 2022 ESC guideline management of ventricular arrhythmias and prevention of sudden cardiac death: 10 novel key aspects.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Review
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  16. Prognostic impact of left ventricular ejection fraction in patients with electrical storm.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2019
    Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 12 institutions in 1 country.

Takashi NodaDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan.
Takashi KuritaDepartment of Internal Medicine, Faculty of Medicine, Kindai University, Osaka-Sayama, Japan. Electronic address: kuritat@med.kindai.ac.jp.
Takashi NittaDepartment of Cardiovascular Surgery, Nippon Medical School, Tokyo, Japan.
Yasutaka ChibaClinical Research Center, Kindai University Hospital, Osaka-Sayama, Japan.
Hiroshi FurushimaThe First Department of Internal Medicine, Niigata University School of Medicine, Niigata, Japan.
Naoki MatsumotoDepartment of Pharmacology, St. Marianna University School of Medicine, Kawasaki, Japan.
Takeshi ToyoshimaFaculty of Health and Medical Care, Saitama Medical University, Saitama, Japan.
Akihiko ShimizuFaculty of Health Sciences, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Hideo MitamuraCardiovascular Center, Tachikawa Hospital, Tachikawa, Japan.
Ken OkumuraDepartment of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Tohru OheOkayama City Hospital, Okayama, Japan.
Yoshifusa AizawaDepartment of Research and Development, Tachikawa Medical Center, Niigata, Japan.
Kindai University · JPKindai University Hospital · JPNational Cerebral and Cardiovascular Center · JPNiigata University · JPNippon Medical School · JPOkayama Prefecture · JPSaiseikai Kumamoto Hospital · JPSaitama Medical University · JPSt. Marianna University School of Medicine · JPTachikawa Hospital · JPTachikawa Medical Center · JPYamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectrical storm (E-Storm), defined as multiple episodes of ventricular arrhythmias within a short period of time, is an important clinical problem in patients with an implantable cardiac defibrillator (ICD) including cardiac resynchronization therapy devices capable of defibrillation. The detailed clinical aspects of E-Storm in large populations especially for non-ischemic dilated cardiomyopathy (DCM), however, remain unclear.

objectiveThis study was performed to elucidate the detailed clinical aspects of E-Storm, such as its predictors and prevalence among patients with structural heart disease including DCM.

methodsWe analyzed the data of the Nippon Storm Study, which was a prospective observational study involving 1570 patients enrolled from 48 ICD centers. For the purpose of this study, we evaluated 1274 patients with structural heart disease, including 482 (38%) patients with ischemic heart disease (IHD) and 342 (27%) patients with DCM.

resultsDuring a median follow-up of 28months (interquartile range: 23 to 33months), E-Storm occurred in 84 (6.6%) patients. The incidence of E-Storm was not significantly different between patients with IHD and patients with DCM (log-rank p=0.52). Proportional hazard regression analyses showed that ICD implantation for secondary prevention of sudden cardiac death (p=0.0001) and QRS width (p=0.015) were the independent risk factors for E-storm. In a comparison between patients with and without E-Storm, survival curves after adjustment for clinical characteristics showed a significant difference in mortality.

conclusionE-Storm was associated with subsequent mortality in patients with structural heart disease including DCM.

Indexed as

Defibrillators, ImplantableAgedCardiac Resynchronization TherapyCardiomyopathiesFemaleFollow-Up StudiesHumansMaleMiddle AgedMortalityProspective StudiesRegistriesVentricular FibrillationCardiac resynchronization therapy device capable defibrillation (CRT-D)Electrical stormImplantable cardioverter defibrillator (ICD)Ventricular fibrillationVentricular tachycardia

Identifiers

PMID29425569
OpenAlexW2787221301

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.