Evidence map›Paper›PMID 31511057›Full record

ArticleTrials2019

The clinical effect of arrhythmia monitoring after myocardial infarction (BIO-GUARD|MI):study protocol for a randomized controlled trial.

Christian Jons, Peter Sogaard, Steffen Behrens, Jürgen Schrader, Sascha Mrosk, Poul Erik Bloch Thomsen

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02341534 (BIO monitorinG in Patients With Preserved Left ventricUlar Function AfteR Diagnosed Myocardial Infarction), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 24% 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.

NCT02341534 nacompletednot on this map

BIO monitorinG in Patients With Preserved Left ventricUlar Function AfteR Diagnosed Myocardial Infarction

TypeinterventionalSponsorBiotronik SE & Co. KGRan2015 to 2021Enrolled802ConditionsMyocardial Infarction, Myocardial Infarction, Acute, Myocardial Infarction OldArmsBioMonitor
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. 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

6 authors at 4 institutions in 2 countries.

Christian JonsDepartment of Cardiology, Rigshospitalet, Blegdamsvej 9, DK-2100, Copenhagen, Denmark. chrjoens@gmail.com.
Peter SogaardDepartment of Cardiology, Aalborg University Hospital, Søndre Skovvej 15, DK-9000, Aalborg, Denmark.
Steffen BehrensVivantes Humboldt Klinikum, Abteilung für Kardiologie und konservative Intensivmedizin, Am Nordgraben 2, 13509, Berlin, Germany.
Jürgen SchraderBiotronik SE & Co. KG, Woermannkehre 1, 12359, Berlin, Germany.ORCID http://orcid.org/0000-0002-3656-6327
Sascha MroskBiotronik SE & Co. KG, Woermannkehre 1, 12359, Berlin, Germany.
Poul Erik Bloch ThomsenDepartment of Cardiology, Aalborg University Hospital, Søndre Skovvej 15, DK-9000, Aalborg, Denmark.
Aalborg University Hospital · DKBiotronik (Germany) · DERigshospitalet · DKVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increasing use of implantable cardiac monitors (ICMs) allows early documentation of asymptomatic cardiac arrhythmias that would previously have gone unnoticed. The addition of remote monitoring to cardiac devices means that physicians receive an early warning in cases of new-onset arrhythmias. While remote monitoring has been suggested to increase survival in heart failure patients with implantable defibrillators, trials using ICMs for continuous electrocardiographic monitoring of cardiac arrhythmias in the postmyocardial infarction setting have shown that patients who experienced cardiac arrhythmias such as atrial fibrillation, bradycardia, and ventricular tachyarrhythmia have an increased risk of major adverse cardiac events.

methodsThe Biomonitoring in patients with preserved left ventricular function after diagnosed myocardial infarction (BIO-GUARD-MI) study is designed to investigate and clarify whether the incidence of major adverse cardiac events can be decreased by early detection and treatment of cardiac arrhythmias using an ICM in patients after myocardial infarction. In addition, the study will allow us to describe the interplay between baseline characteristics, arrhythmias, and clinical events to improve the treatment of this high-risk patient population. The study will enroll and randomize a cohort of high-risk postmyocardial infarction patients with CHA DISCUSSION: Remote monitoring may improve clinical outcome if it uncovers conditions with low symptom burden which cause or indicate an increased risk. A simple and easily implementable response to the information is important. Cardiac arrhythmias frequently start as asymptomatic, shorter lasting, and nightly events. The BIO-GUARD-MI trial represents the first attempt to simplify the response to the rather complex nature of heart arrhythmias.

trial registrationClinical Trials, NCT02341534 . Registered on 19 January 2015.

Indexed as

Arrhythmias, CardiacMyocardial InfarctionElectrocardiography, AmbulatoryHumansMulticenter Studies as TopicProspective StudiesRandomized Controlled Trials as TopicResearch DesignVentricular Function, LeftCardiac arrhythmiaCHADS-VASC scoreImplantable cardiac monitorMajor adverse cardiac eventMyocardial infarction

Identifiers

PMID31511057
PMCPMC6737710
OpenAlexW2972375814

What OpenQuestion holds

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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.