Evidence map›Paper›PMID 30805046›Full record

ArticleJournal of arrhythmia2019

True complete left bundle branch block reveals dyssynchrony evaluated by semiconductor single-photon emission computed tomography.

Munehiro Iiya, Masato Shimizu, Hiroyuki Fujii, Makoto Suzuki, Mitsuhiro Nishizaki

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Munehiro IiyaDepartment of Cardiology Yokohama Minami Kyosai Hospital Yokohama Japan.ORCID 0000-0002-4618-5261
Masato ShimizuDepartment of Cardiology Yokohama Minami Kyosai Hospital Yokohama Japan.
Hiroyuki FujiiDepartment of Cardiology Yokohama Minami Kyosai Hospital Yokohama Japan.
Makoto SuzukiDepartment of Cardiology Yokohama Minami Kyosai Hospital Yokohama Japan.
Mitsuhiro NishizakiKanto Gakuin University Yokohama Japan.
Yokohama Minami Kyosai Hospital · JPKanto Gakuin University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConventional complete left bundle branch block (CLBBB) criteria sometimes result in a false-positive diagnosis that does not represent dyssynchrony. Recently, true CLBBB criteria have been proposed to detect responders to cardiac resynchronization therapy (CRT), although their correlation with severity of dyssynchrony or natural prognosis is unclear.

methodsNinety-four consecutive patients (74 ± 9 years, 63 men) with conventional CLBBB during sinus rhythm underwent semiconductor SPECT. They were divided into two groups: patients with true CLBBB and others. True CLBBB was characterized by the mid-QRS notching/slurring and wide QRS duration (male, ≥140 milliseconds; female, ≥130 milliseconds). Multivariate analysis was performed to detect left ventricular dyssynchrony (LVD), defined as bandwidth ≥145° and/or phase standard deviation (SD) ≥43°. Primary endpoints (hospitalization for heart failure or cardiac death) were evaluated.

resultsTrue CLBBB had wider bandwidth (145 ± 83° vs 110 ± 64°,

conclusionsPatients with true CLBBB had more severe dyssynchrony on single-photon emission computed tomography than patients with nontrue CLBBB. On the other hand, the two groups showed no differences in EF, EDV, the presence of IHD, hospitalization for heart failure, and cardiac death.

Indexed as

cardiac prognosiscardiac resynchronization therapycomplete left bundle branch blockdyssynchronysingle‐photon emission computed tomography

Identifiers

PMID30805046
PMCPMC6373645
OpenAlexW2905831596

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.