Evidence map›Paper›PMID 30353108›Full record

ArticleScientific reports2018

Smoking aggravates ventricular arrhythmic events in non-ischemic dilated cardiomyopathy associated with a late gadolinium enhancement in cardiac MRI.

Junbeom Park, Hye-Jeong Lee, Sook Kyoung Kim, Jeong-Eun Yi, Dong Geum Shin, Jung Myung Lee, Yookyung Kim, Young-Jin Kim, Boyoung Joung

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Prediction of ventricular arrhythmias and sudden cardiac death by quantification and location of late gadolinium enhancement on cardiac magnetic resonance: a systematic review and meta-analysis.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 · 2025
    Pooled it
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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

9 authors at 5 institutions in 1 country.

Junbeom ParkDepartment of Cardiology, College of Medicine, Ewha Womans University, Seoul, Korea.
Hye-Jeong LeeDepartment of Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul, Korea.
Sook Kyoung KimDepartment of Cardiology, College of Medicine, Ewha Womans University, Seoul, Korea.
Jeong-Eun YiDepartment of Cardiology, College of Medicine, Ewha Womans University, Seoul, Korea.
Dong Geum ShinDivision of Cardiology, Department of Internal Medicine, Gangneung Asan Hospital, Gangneung, Republic of Korea.
Jung Myung LeeDepartment of Medicine, Graduate School, Kyung Hee University, Seoul, Korea.
Yookyung KimDepartment of Radiology, College of Medicine, Ewha Womans University, Seoul, Korea.
Young-Jin KimDepartment of Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul, Korea.
Boyoung JoungDepartment of Cardiology, Internal medicine, Yonsei University Health System, Seoul, Korea. cby6908@yuhs.ac.ORCID http://orcid.org/0000-0001-9036-7225
Ewha Womans University · KRGangneung Asan Hospital · KRKyung Hee University · KRYonsei University · KRYonsei University Health System · KR

Funding

Ministry of Health and Welfare (Ministry of Health, Welfare and Family Affairs) HI15C1200Ministry of Health and Welfare (Ministry of Health, Welfare and Family Affairs) HI16C0058National Research Foundation of Korea (NRF) NRF-2014R1A1A1003699National Research Foundation of Korea (NRF) NRF-2015R1C1A1A02037085National Research Foundation of Korea (NRF) NRF-2017R1A2B3003303
6 · The paper itself

Abstract

Smoking is known to increase cardiovascular events, but the association and mechanisms between smoking and ventricular arrhythmic events in dilated cardiomyopathy (DCMP) are unknown. The purpose of this study is to investigate the hypothesis that smoking is associated with sudden cardiac death (SCD) and ventricular arrhythmia in DCMP patients. We enrolled 378 patients who underwent cardiovascular magnetic resonance imaging (cMRI) and were diagnosed with DCMP at two general hospitals in Korea. The clinical data and left ventricular late-gadolinium enhancement (LV-LGE) of all patients were analyzed according to being never-smokers or smokers. Smokers were more likely to be male than never-smokers, but there was no other clinical difference between them. Smokers had a greater LV-LGE ratio, and multi-segment involvement of LV-LGEs. Smoking and a low left ventricular (LV) ejection fraction were significant predictors of the presence of LV-LGEs even after adjusting for optimal medical therapy. In addition, smokers had a higher fatal ventricular arrhythmic (FVA; sustained ventricular tachycardia, and ventricular fibrillation) and FVA + SCD, and ex-smokers had a similar FVA to never-smokers during 44.3 ± 36.4 months of follow-up. Finally, smoking independently increased the FVA + SCD even after adjusting for the clinical variables and LV-LGE. Smoking is associated with a multi-segmental involvement of LV-LGE and increased FVA + SCD in DCMP patients when compared to never-smokers.

Indexed as

Arrhythmias, CardiacCardiomyopathy, DilatedContrast MediaDeath, Sudden, CardiacFemaleGadoliniumHeart VentriclesHumansMagnetic Resonance ImagingMaleMiddle AgedMyocardiumPredictive Value of TestsRepublic of KoreaRisk FactorsSmokingContrast MediaGadolinium

Identifiers

PMID30353108
PMCPMC6199322
OpenAlexW2897889863

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.