Evidence map›Paper›PMID 31230095›Full record

ArticleHeart and vessels2020

Clinical characteristics of patients with sustained ventricular arrhythmias after sacubitril/valsartan initiation.

Lourdes Vicent, Francisco Méndez-Zurita, Xavier Viñolas, Concepción Alonso-Martín, Carles Moliner Arbòs, Julia Pamies, R Oscar Alcalde, Miriam Juárez, Vanesa Bruña, Carolina Devesa and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Sudden Death in Men Versus Women with Heart Failure.Current heart failure reports · 2023
    Review
  4. Review
  5. Article
  6. Angiotensin Receptor-Neprilysin Inhibitor (ARNI) and Cardiac Arrhythmias.International journal of molecular sciences · 2021
    Review
  7. Sacubitril/Valsartan in the Management of Heart Failure Patients with Cardiac Implantable Electronic Devices.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2021
    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

13 authors at 4 institutions in 1 country.

Lourdes VicentServicio de Cardiología, Hospital General Universitario Gregorio Marañón, CIBERCV, Calle Dr. Esquerdo, 46, 28007, Madrid, Spain.
Francisco Méndez-ZuritaServicio de Cardiología, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Xavier ViñolasServicio de Cardiología, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Concepción Alonso-MartínServicio de Cardiología, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Carles Moliner ArbòsServicio de Cardiología, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Julia PamiesServicio de Cardiología, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
R Oscar AlcaldeServicio de Cardiología, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Miriam JuárezServicio de Cardiología, Hospital General Universitario Gregorio Marañón, CIBERCV, Calle Dr. Esquerdo, 46, 28007, Madrid, Spain.
Vanesa BruñaServicio de Cardiología, Hospital General Universitario Gregorio Marañón, CIBERCV, Calle Dr. Esquerdo, 46, 28007, Madrid, Spain.
Carolina DevesaServicio de Cardiología, Hospital General Universitario Gregorio Marañón, CIBERCV, Calle Dr. Esquerdo, 46, 28007, Madrid, Spain.
Iago Sousa-CasasnovasServicio de Cardiología, Hospital General Universitario Gregorio Marañón, CIBERCV, Calle Dr. Esquerdo, 46, 28007, Madrid, Spain.
Francisco Fernández-AvilésServicio de Cardiología, Hospital General Universitario Gregorio Marañón, CIBERCV, Calle Dr. Esquerdo, 46, 28007, Madrid, Spain.
Manuel Martínez-SellésServicio de Cardiología, Hospital General Universitario Gregorio Marañón, CIBERCV, Calle Dr. Esquerdo, 46, 28007, Madrid, Spain. mmselles@secardiologia.es.
Hospital de Sant Pau · ESCentro de Investigación en Red en Enfermedades Cardiovasculares · ESHospital General Universitario Gregorio Marañón · ESUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our aim was to describe the clinical profile of patients presenting sustained ventricular arrhythmias after sacubitril/valsartan (SV) initiation. All cases of sustained ventricular arrhythmias in patients receiving SV were consecutively recorded in two centers. Nineteen patients had sustained ventricular arrhythmias after SV. All were men and were previously receiving angiotensin-converting enzyme inhibitors, or angiotensin II receptor blockers before SV initiation. Fifteen patients (78.9%) had electrical stability in the previous 6 months. Nine patients (47.4%) initiated SV at the lowest available dose (24/26 mg). Globally, in all but five patients alive at discharge, SV was discontinued after the event. Six patients presented new arrhythmic events after discontinuation of SV. Two deaths and three heart transplants occurred (one due to heart failure and the other two due to persistent ventricular arrhythmias). All patients had a high arrhythmic risk, and 17 (89.5%) had an implanted cardioverter defibrillator. No specific triggers for the arrhythmic event were found. Male sex and previous episodes of ventricular arrhythmias could be associated with an increased risk of sustained ventricular tachycardia after SV initiation. Discontinuation of the drug might be an additional approach to enable a better control of ventricular arrhythmias in some patients.

Indexed as

AgedAged, 80 and overAminobutyratesAngiotensin II Type 1 Receptor BlockersBiphenyl CompoundsDrug CombinationsHeart FailureHeart RateHumansMaleMiddle AgedNeprilysinProtease InhibitorsRisk AssessmentRisk FactorsSpainAminobutyratesAngiotensin II Type 1 Receptor BlockersBiphenyl CompoundsDrug CombinationsNeprilysinProtease Inhibitorssacubitril and valsartan sodium hydrate drug combinationTetrazolesValsartanArrhythmiasHeart failureSacubitril/valsartan

Identifiers

PMID31230095
OpenAlexW2951128185

What OpenQuestion holds

Textmetadata
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.