Evidence map›Paper›PMID 29881800›Full record

ArticleEpilepsia open2018

Myocardial remodeling and susceptibility to ventricular tachycardia in a model of chronic epilepsy.

Yi-Chen Lai, Na Li, William Lawrence, Sufen Wang, Amber Levine, Daniela M Burchhardt, Robia G Pautler, Miguel Valderrábano, Xander H Wehrens, Anne E Anderson

Open access · goldAbstract read
In one paragraph

Article in Epilepsia open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
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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

10 authors at 1 institution in 1 country.

Yi-Chen LaiDepartment of Pediatrics Baylor College of Medicine Houston Texas U.S.A.
Na LiDepartment of Molecular Physiology and Biophysics Baylor College of Medicine Houston Texas U.S.A.
William LawrenceDepartment of Molecular Physiology and Biophysics Baylor College of Medicine Houston Texas U.S.A.
Sufen WangDeBakey Heart and Vascular Center Methodist Hospital Research Institute Houston Texas U.S.A.
Amber LevineDepartment of Neuroscience Baylor College of Medicine Houston Texas U.S.A.
Daniela M BurchhardtDepartment of Pediatrics Baylor College of Medicine Houston Texas U.S.A.
Robia G PautlerDepartment of Molecular Physiology and Biophysics Baylor College of Medicine Houston Texas U.S.A.
Miguel ValderrábanoDeBakey Heart and Vascular Center Methodist Hospital Research Institute Houston Texas U.S.A.
Xander H WehrensDepartment of Molecular Physiology and Biophysics Baylor College of Medicine Houston Texas U.S.A.
Anne E AndersonDepartment of Pediatrics Baylor College of Medicine Houston Texas U.S.A.
Baylor College of Medicine · US

Funding

The MAPK Cascade in EpilepsyR01NS039943 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI ANDERSON, ANNE E · 2001 to 2011
$2.9M
Signaling pathway dysregulation in epilepsyR01NS081053 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI ANDERSON, ANNE E · 2013 to 2016
$1.4M
PARP-1 activation in seizures and status epilepticusK08NS063117 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI LAI, YI-CHEN · 2009 to 2013
$861k
Cardiac dysfunction in epilepsy: a candidate mechanism in sudden unexpected deathR21NS077028 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI ANDERSON, ANNE E · 2011 to 2012
$446k
NINDS NIH HHS K08 NS063117NINDS NIH HHS R01 NS039943NINDS NIH HHS R01 NS081053NINDS NIH HHS R21 NS077028
6 · The paper itself

Abstract

objectiveSympathetic predominance and ventricular repolarization abnormalities represent epilepsy-associated cardiac alterations and may underlie seizure-induced ventricular arrhythmias. Myocardial ion channel and electrical remodeling have been described early in epilepsy development and may contribute to ventricular repolarization abnormalities and excitability. Using the pilocarpine-induced acquired epilepsy model we sought to examine whether altered myocardial ion channel levels and electrophysiological changes also occur in animals with long-standing epilepsy.

methodsWe examined myocardial adrenergic receptor and ion channel protein levels of epileptic and age-matched sham rats (9-20 months old) using western blotting. Cardiac electrical properties were examined using optical mapping ex vivo and electrophysiology in vivo. We investigated the propensity for ventricular tachycardia (VT) and the effects of β-adrenergic blockade on ventricular electrical properties and excitability in vivo.

resultsIn animals with long-standing epilepsy, we observed decreased myocardial voltage-gated K SIGNIFICANCE: Our findings demonstrate that myocardial ion channel remodeling and sympathetic predominance, risk factors for increased ventricular excitability and arrhythmias, persist in chronic epilepsy. The beneficial effects of β-adrenergic antagonist treatment late in the course of epilepsy suggest that attenuating elevated sympathetic tone may represent a therapeutic target for ameliorating epilepsy-associated cardiac morbidity.

Indexed as

Cardiac remodelingEpilepsyKv4.2Ventricular tachycardiaβ‐Adrenergic blockade

Identifiers

PMID29881800
PMCPMC5983128
OpenAlexW2793337480

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.