Evidence map›Paper›PMID 30555603›Full record

ReviewJournal of arrhythmia2018

Routine DFT testing in patients undergoing ICD implantation does not improve mortality: A systematic review and meta-analysis.

Munish Kannabhiran, Usman Mustafa, Madan Acharya, Nelson Telles, Brackett Alexandria, Pratap Reddy, Paari Dominic

Abstract readReview
In one paragraph

Review in Journal of arrhythmia, 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
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. New Therapy, New Complications.JACC. Case reports · 2020
    Article
  5. Review
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

7 authors.

Munish KannabhiranThe Department of Medicine/Division of Cardiology and Center for Cardiovascular Diseases & Sciences Louisiana State University Health Sciences Center- Shreveport (LSUHSC-S) Shreveport Louisiana.
Usman MustafaThe Department of Medicine/Division of Cardiology and Center for Cardiovascular Diseases & Sciences Louisiana State University Health Sciences Center- Shreveport (LSUHSC-S) Shreveport Louisiana.ORCID 0000-0003-0357-2728
Madan AcharyaThe Department of Medicine/Division of Cardiology and Center for Cardiovascular Diseases & Sciences Louisiana State University Health Sciences Center- Shreveport (LSUHSC-S) Shreveport Louisiana.
Nelson TellesThe Department of Medicine/Division of Cardiology and Center for Cardiovascular Diseases & Sciences Louisiana State University Health Sciences Center- Shreveport (LSUHSC-S) Shreveport Louisiana.
Brackett AlexandriaThe Department of Medicine/Division of Cardiology and Center for Cardiovascular Diseases & Sciences Louisiana State University Health Sciences Center- Shreveport (LSUHSC-S) Shreveport Louisiana.
Pratap ReddyThe Department of Medicine/Division of Cardiology and Center for Cardiovascular Diseases & Sciences Louisiana State University Health Sciences Center- Shreveport (LSUHSC-S) Shreveport Louisiana.
Paari DominicThe Department of Medicine/Division of Cardiology and Center for Cardiovascular Diseases & Sciences Louisiana State University Health Sciences Center- Shreveport (LSUHSC-S) Shreveport Louisiana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Defibrillation threshold (DFT) testing has been an integral part of implantable cardioverter-defibrillator (ICD) implantation to confirm appropriate sensing of ventricular fibrillation and to establish an adequate safety margin for defibrillation. However, there is a lack of evidence regarding benefits of routine DFT testing. Therefore, we performed a meta-analysis to assess its mortality benefit. We searched MEDLINE for studies comparing mortality outcomes in ICD recipients who underwent DFT testing to those who did not. For the second analysis, studies comparing outcomes in patients with high- vs low-energy DFT were included. Odds ratio and standard errors were calculated, and inverse variance method in a random-effect model was used to combine effect sizes. Fifteen studies with 10,975 subjects comparing outcomes in patients who underwent routine DFT testing during ICD implantation and those who did not were included. There was no difference in the group that did not undergo DFT testing with regards to all-cause mortality (OR 0.935; CI 0.725-1.207;

Indexed as

defibrillation testingDFTICDimplantable cardioverter defibrillatormortality

Identifiers

PMID30555603
PMCPMC6288554

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.