Evidence map›Paper›PMID 30376733›Full record

ArticleCirculation. Arrhythmia and electrophysiology2018

Critical Volume of Human Myocardium Necessary to Maintain Ventricular Fibrillation.

Kedar K Aras, Ndeye Rokhaya Faye, Brianna Cathey, Igor R Efimov

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Arrhythmia and electrophysiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

4 authors at 1 institution in 1 country.

Kedar K ArasDepartment of Biomedical Engineering, George Washington University, Washington, DC.
Ndeye Rokhaya FayeDepartment of Biomedical Engineering, George Washington University, Washington, DC.
Brianna CatheyDepartment of Biomedical Engineering, George Washington University, Washington, DC.
Igor R EfimovDepartment of Biomedical Engineering, George Washington University, Washington, DC.
George Washington University · US

Funding

Exploration of Arrhythmogenic Triggers and Substrates in Heart FailureR01HL126802 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI EFIMOV, IGOR R, GORELIK, JULIA · 2016 to 2019
$2.8M
High-Definition Conformal Electronics for VT/VFR01HL141470 · NHLBI · NORTHWESTERN UNIVERSITY · PI EFIMOV, IGOR R · 2019 to 2022
$2.5M
Low Energy DefibrillationR01HL115415 · NHLBI · WASHINGTON UNIVERSITY · PI EFIMOV, IGOR R · 2013 to 2016
$2.1M
ARRHYTHMOGENIC REMODELING IN HUMAN HEART FAILURER01HL114395 · NHLBI · WASHINGTON UNIVERSITY · PI EFIMOV, IGOR R · 2012 to 2015
$2.1M
NHLBI NIH HHS R01 HL114395NHLBI NIH HHS R01 HL115415NHLBI NIH HHS R01 HL126802NHLBI NIH HHS R01 HL141470
6 · The paper itself

Abstract

backgroundAbnormal QT intervals, long QT or short QT, have been epidemiologically linked with sudden cardiac death because of ventricular fibrillation (VF). Consequently, Food and Drug Administration recommends testing all pharmacological agents for QT toxicity as a risk factor for cardiac toxicity. Such tests assess QT/QTc interval, which represents ventricular depolarization and repolarization. However, the current QT toxicity analysis does not account for the well-known anisotropy in cardiac tissue conductivity. Mines demonstrated in 1913 that cardiac wavelength (λ) determines inducibility of reentrant arrhythmia, where both repolarization time or action potential duration and conduction velocity determine λ=action potential duration×conduction velocity. We aimed to determine the role of anisotropic wavelength in inducibility of VF in explanted human left ventricular preparations. We tested the hypothesis that 3-dimensional cardiac wavelength, which takes into account anisotropic cardiac tissue conductivity, can accurately predict VF sustainability.

methodsWe conducted panoramic optical mapping of coronary perfused human left ventricular wedge preparations subjected to pharmacologically induced shortening and prolongation of action potential duration, by I

resultsAt baseline, at pacing rate of 240 beats per minute, the wavelengths were λ

conclusionsSustained VF was only sustained in ventricular volume exceeding critical V

Indexed as

Action PotentialsAnisotropyCardiac Pacing, ArtificialGlyburideHeartHeart Conduction SystemHumansIn Vitro TechniquesOptical ImagingOrgan SizePinacidilProspective StudiesSignal Processing, Computer-AssistedVentricular FibrillationGlyburidePinacidilhearthumansrisk factorstachycardia, ventricularventricular fibrillation

Identifiers

PMID30376733
PMCPMC7722395
OpenAlexW2898768544

What OpenQuestion holds

Textmetadata
LicenceTDM
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.