Evidence map›Paper›PMID 30891964›Full record

ArticleKorean circulation journal2019

Prognostic Implication of Ventricular Conduction Disturbance Pattern in Hospitalized Patients with Acute Heart Failure Syndrome.

Ji Hyun Lee, Jin Joo Park, Youngjin Cho, Il Young Oh, Byung Su Yoo, Jae Joong Kim, Kye Hun Kim, Seok Min Kang, Sang Hong Baek, Eun Seok Jeon and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Korean circulation journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01389843 (Registry), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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.

NCT01389843 completednot on this map

Registry (Prospective Cohort) for Heart Failure in Korea (KorAHF)

TypeobservationalSponsorByung-Hee OhRan2011 to 2018Enrolled5,625ConditionsAcute Decompensated Heart Failure
3 · Its place in the literature

Who cites it

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

  1. The prognostic significance of bundle branch block in acute heart failure: a systematic review and meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2023
    Pooled it
  2. Observational
  3. Article
  4. Review
  5. 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

14 authors at 9 institutions in 1 country.

Ji Hyun LeeDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID https://orcid.org/0000-0002-7162-1248
Jin Joo ParkDepartment of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID https://orcid.org/0000-0001-9611-1490
Youngjin ChoDepartment of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID https://orcid.org/0000-0001-8106-3713
Il Young OhDepartment of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID https://orcid.org/0000-0002-5584-605X
Byung Su YooDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID https://orcid.org/0000-0002-3395-4279
Jae Joong KimDivision of Cardiology, Heart Institute, Asan Medical Center, University of Ulsan, Seoul, Korea.ORCID https://orcid.org/0000-0002-2714-2282
Kye Hun KimDepartment of Internal Medicine, Heart Research Center of Chonnam National University, Gwangju, Korea.ORCID https://orcid.org/0000-0002-6885-1501
Seok Min KangDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9856-9227
Sang Hong BaekDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0002-7065-3432
Eun Seok JeonDepartment of Internal Medicine, Sungkyunkwan University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-9946-5611
Myeong Chan ChoDepartment of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID https://orcid.org/0000-0002-0047-0227
Shung Chull ChaeDepartment of Internal Medicine, Kyungpook National University College of Medicine, Daegu, Korea.ORCID https://orcid.org/0000-0002-9871-6976
Byung Hee OhDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-9945-4306
Dong Ju ChoiDepartment of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea. djchoi@snubh.org.ORCID https://orcid.org/0000-0003-0146-2189
Seoul National University Bundang Hospital · KRYonsei University · KRAsan Medical Center · KRCatholic University of Korea · KRChonnam National University · KRChungbuk National University · KRKyungpook National University · KRSeoul National University Hospital · KRSungkyunkwan University · KR

Funding

Korea Centers for Disease Control & Prevention 2010-E63003-00Korea Centers for Disease Control & Prevention 2011-E63002-00Korea Centers for Disease Control & Prevention 2012-E63005-00Korea Centers for Disease Control & Prevention 2013-E63003-00Korea Centers for Disease Control & Prevention 2013-E63003-01Korea Centers for Disease Control & Prevention 2013-E63003-02Korea Centers for Disease Control & Prevention 2016-ER6303-00
6 · The paper itself

Abstract

BACKGROUND AND

objectivesConflicting data exist regarding the prognostic implication of ventricular conduction disturbance pattern in patients with heart failure (HF). This study investigated the prognostic impact of ventricular conduction pattern in hospitalized patients with acute HF.

methodsData from the Korean Acute Heart Failure registry were used. Patients were categorized into four groups: narrow QRS (<120 ms), right bundle branch block (RBBB), left bundle branch block (LBBB), and nonspecific intraventricular conduction delay (NICD). The NICD was defined as prolonged QRS (≥120 ms) without typical features of LBBB or RBBB. The primary endpoint was the composite of all-cause mortality or rehospitalization for HF aggravation within 1 year after discharge.

resultsThis study included 5,157 patients. The primary endpoint occurred in 39.7% of study population. The LBBB group showed the highest incidence of primary endpoint followed by NICD, RBBB, and narrow QRS groups (52.5% vs. 49.7% vs. 44.4% vs. 37.5%, p<0.001). In a multivariable Cox-proportional hazards regression analysis, LBBB and NICD were associated with 39% and 28% increased risk for primary endpoint (LBBB hazard ratio [HR], 1.392; 95% confidence interval [CI], 1.152-1.681; NICD HR, 1.278; 95% CI, 1.074-1.520) compared with narrow QRS group. The HR of RBBB for the primary endpoint was 1.103 (95% CI, 0.915-1.329).

conclusionsLBBB and NICD were independently associated with an increased risk of 1-year adverse event in hospitalized patients with HF, whereas the prognostic impacts of RBBB were limited.

trial registrationClinicalTrials.gov Identifier: NCT01389843.

Indexed as

Bundle branch blockCardiac conduction system diseaseHeart failurePrognosis

Identifiers

PMID30891964
PMCPMC6597449
OpenAlexW2918650696

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.