Evidence map›Paper›PMID 30208861›Full record

SynthesisBMC pregnancy and childbirth2018

A systematic review of cardiac time intervals utilising non-invasive fetal electrocardiogram in normal fetuses.

Vinayak Smith, Senthuran Arunthavanathan, Amrish Nair, Diane Ansermet, Fabricio da Silva Costa, Euan Morrison Wallace

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Observational
  7. Article
  8. Article
  9. Sodium dichloroacetate stimulates cardiac mitochondrial metabolism and improves cardiac conduction in the ovine fetus during labor.American journal of physiology. Regulatory, integrative and comparative physiology · 2022
    Article
  10. Article
  11. Article
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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

6 authors at 4 institutions in 2 countries.

Vinayak SmithDepartment of Obstetrics and Gynaecology, Monash University, 252 Clayton Road, Melbourne, VIC, 3168, Australia. vinayak.smith@monash.edu.ORCID http://orcid.org/0000-0001-6099-3671
Senthuran ArunthavanathanDepartment of Electrical and Electronic Engineering, University of Melbourne, Parkville Campus, Melbourne, VIC, 3010, Australia.
Amrish NairBiorithm Pte Ltd, 81 Ayer Rajah Crescent 03-53, Singapore, 139967, Singapore.
Diane AnsermetBiorithm Pte Ltd, 81 Ayer Rajah Crescent 03-53, Singapore, 139967, Singapore.
Fabricio da Silva CostaDepartment of Obstetrics and Gynaecology, Monash University, 252 Clayton Road, Melbourne, VIC, 3168, Australia.
Euan Morrison WallaceDepartment of Obstetrics and Gynaecology, Monash University, 252 Clayton Road, Melbourne, VIC, 3168, Australia.
Biotronik (Singapore) · SGMonash University · AUSingapore Immunology Network · SGThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-invasive fetal electrocardiogram (NIFECG) is an evolving technology in fetal surveillance which is attracting increasing research interest. There is however, only limited data outlining the reference ranges for normal cardiac time intervals (CTIs). The objective of our group was to carry out a systematic review to outline normal fetal CTIs using NIFECG.

methodsA systematic review of peer reviewed literature was performed, searching PUBMED,Ovid MEDLINE and EMBASE. The outcomes of interest included fetal CTIs (P wave duration, PR interval, QRS duration and QT interval) and a descriptive summary of relevant studies as well. The outcomes were grouped as early pre-term (≤ 32 weeks), moderate to late pre-term (32-37 weeks) and term (37-41 weeks).

results8 studies were identified as suitable for inclusion. Reference ranges of CTIs were generated. Both PR interval and QRS duration demonstrated a linear correlation with advancing gestation. Several studies also demonstrated a reduction in signal acquisition between 27 and 32 weeks due to the attenuation by vernix caseosa. In this group, both the P wave and T waves were difficult to detect due to signal strength and interference.

conclusionNIFECG demonstrates utility to quantify CTIs in the fetus, particularly at advanced gestations. Larger prospective studies should be directed towards establishing reliable CTIs across various gestations.

Indexed as

ElectrocardiographyFemaleFetal MonitoringGestational AgeHeart Rate, FetalHumansPregnancyReference ValuesCardiac time intervalsFetal electrocardiogramNon-invasive fetal monitoring

Identifiers

PMID30208861
PMCPMC6134593
OpenAlexW2891738258

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.