Evidence map›Paper›PMID 30237702›Full record

Observational studyClinical interventions in aging2018

Possible predictive role of electrical risk score on transcatheter aortic valve replacement outcomes in older patients: preliminary data.

Gianfranco Piccirillo, Federica Moscucci, Fabiola Mastropietri, Claudia Di Iorio, Marco Valerio Mariani, Marcella Fabietti, Gaetana M Stricchiola, Ilaria Parrotta, Gennaro Sardella, Massimo Mancone and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Clinical interventions in aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. A Longer TJournal of clinical medicine · 2023
    Review
  8. Article
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

11 authors.

Gianfranco PiccirilloDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic, and Geriatric Sciences, Policlinico Umberto I, "La Sapienza" University of Rome, Rome, Italy, gianfranco.piccirillo@uniroma1.it.
Federica MoscucciDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic, and Geriatric Sciences, Policlinico Umberto I, "La Sapienza" University of Rome, Rome, Italy, gianfranco.piccirillo@uniroma1.it.
Fabiola MastropietriDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic, and Geriatric Sciences, Policlinico Umberto I, "La Sapienza" University of Rome, Rome, Italy, gianfranco.piccirillo@uniroma1.it.
Claudia Di IorioDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic, and Geriatric Sciences, Policlinico Umberto I, "La Sapienza" University of Rome, Rome, Italy, gianfranco.piccirillo@uniroma1.it.
Marco Valerio MarianiDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic, and Geriatric Sciences, Policlinico Umberto I, "La Sapienza" University of Rome, Rome, Italy, gianfranco.piccirillo@uniroma1.it.
Marcella FabiettiDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic, and Geriatric Sciences, Policlinico Umberto I, "La Sapienza" University of Rome, Rome, Italy, gianfranco.piccirillo@uniroma1.it.
Gaetana M StricchiolaDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic, and Geriatric Sciences, Policlinico Umberto I, "La Sapienza" University of Rome, Rome, Italy, gianfranco.piccirillo@uniroma1.it.
Ilaria ParrottaDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic, and Geriatric Sciences, Policlinico Umberto I, "La Sapienza" University of Rome, Rome, Italy, gianfranco.piccirillo@uniroma1.it.
Gennaro SardellaDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic, and Geriatric Sciences, Policlinico Umberto I, "La Sapienza" University of Rome, Rome, Italy, gianfranco.piccirillo@uniroma1.it.
Massimo ManconeDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiologic, and Geriatric Sciences, Policlinico Umberto I, "La Sapienza" University of Rome, Rome, Italy, gianfranco.piccirillo@uniroma1.it.
Damiano MagrìDepartment of Molecular and Clinical Medicine, S. Andrea Hospital, "Sapienza" University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the predicative power of the electrical risk score (ERS), a noninvasive and inexpensive test obtained by means of a standard 12-lead electrocardiogram (ECG), in a cohort of elderly patients who had undergone transcatheter aortic valve replacement (TAVR).

methodsSurvivors and non-survivors after TAVR at 1-year follow-up were compared in respect to the pre-procedural ERS as well as a number of other clinical and instrumental variables. ERS is composed of seven simple ECG markers: heart rate (>75 bpm); QRS duration (>110 ms); left ventricular hypertrophy (Sokolow-Lyon criteria); delayed QRS transition zone (≥ V4); frontal QRS-T angle (>90°); long QT

resultsA total of 40 patients were evaluated. During the follow-up, the all-cause mortality rate was 25% (ten patients) with 15% of cardiovascular death (six patients). The ERS was the strongest predictor of all-cause (odds ratio 3.73, 95% CI: 1.44-9.66,

conclusionERS seems to be a useful noninvasive tool able to stratify the risk of mortality in 1-year follow-up of TAVR patients. These findings, however, require larger trials to be confirmed.

Indexed as

Aortic Valve StenosisElectrocardiographyRisk AssessmentTranscatheter Aortic Valve ReplacementAgedAged, 80 and overCause of DeathFemaleFollow-Up StudiesGeriatric AssessmentHumansMaleMortalityPostoperative ComplicationsPredictive Value of TestsResearch Designaortic stenosiselectrical risk scorefrontal QRS-T anglemortalityQTcTpeak–Tendtransaortic valve replacement

Identifiers

PMID30237702
PMCPMC6138964

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Registered trials

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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.