Evidence map›Paper›PMID 31076821›Full record

SynthesisHerz2020

Pericardial complications and postcardiac injury syndrome after cardiovascular implantable electronic device placement : A meta-analysis and systematic review.

B R Verma, K Banerjee, A Noll, C K Ala, M Badar, D Kwon, C L Jellis, R Hachamovitch, A Hussein, A L Klein

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Herz, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

B R VermaHeart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Department of Cardiovascular Medicine, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk J1, 44195, Cleveland, OH, USA.
K BanerjeeHeart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Department of Cardiovascular Medicine, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk J1, 44195, Cleveland, OH, USA.
A NollHeart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Department of Cardiovascular Medicine, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk J1, 44195, Cleveland, OH, USA.
C K AlaHeart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Department of Cardiovascular Medicine, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk J1, 44195, Cleveland, OH, USA.
M BadarHeart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Department of Cardiovascular Medicine, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk J1, 44195, Cleveland, OH, USA.
D KwonHeart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Department of Cardiovascular Medicine, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk J1, 44195, Cleveland, OH, USA.
C L JellisHeart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Department of Cardiovascular Medicine, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk J1, 44195, Cleveland, OH, USA.
R HachamovitchHeart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Department of Cardiovascular Medicine, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk J1, 44195, Cleveland, OH, USA.
A HusseinHeart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Department of Cardiovascular Medicine, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk J1, 44195, Cleveland, OH, USA.
A L KleinHeart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Department of Cardiovascular Medicine, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk J1, 44195, Cleveland, OH, USA. kleina@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostcardiac injury syndrome (PCIS) is an emerging condition including pericarditis with or without pericardial effusion after an injury to cardiac tissue. Data are lacking on its incidence and clinical predictors after cardiovascular implantable electronic device (CIED) placement. We therefore performed this meta-analysis to determine the incidence of PCIS.

methodsMedline, Embase, and Cochrane CENTRAL databases were searched according to PRISMA guidelines from February 2007 to February 2017 for studies evaluating pericardial complications subsequent to CIED implantation. Primary outcome was the total number of cases of pericarditis, pericardial effusion, and cardiac tamponade documented.

resultsOf 2931 references, 22 articles (enrolling 188,944 patients) were included. Pooled estimates from random-effects analysis showed an overall incidence of 5.82 per 1000 patients (95% confidence interval [CI], 4.33-8.17) at 30 days, and 1.60 per 1000 (95% CI: 0.13-3.07) at 1 year. Advanced age and prior coronary artery bypass graft (CABG) surgery were associated with increased rates of pericardial complications.

conclusionOur analysis revealed that CIED implantations are associated with a low incidence (0.6%) of pericardial complications at 30 days. Patients with advanced age and prior CABG are high-risk patients for pericardial complications.

Indexed as

Cardiac TamponadePericardial EffusionPericarditisElectronicsHumansIncidenceCardiac tissue injuryCoronary artery bypassIncidencePericardial effusionPericarditis

Identifiers

PMID31076821

What OpenQuestion holds

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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.