Evidence map›Paper›PMID 31998849›Full record

ArticleJACC. Basic to translational science2019

Electrophysiological and Contractile Effects of Disopyramide in Patients With Obstructive Hypertrophic Cardiomyopathy: A Translational Study.

Raffaele Coppini, Cecilia Ferrantini, Josè Manuel Pioner, Lorenzo Santini, Zhinuo J Wang, Chiara Palandri, Marina Scardigli, Giulia Vitale, Leonardo Sacconi, Pierluigi Stefàno and 9 more

Open access · goldAbstract read
In one paragraph

Article in JACC. Basic to translational science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

50 citing papers in PubMed, 78 citations in OpenAlex.

  1. Atrial electrophysiology in hypertrophic cardiomyopathy: current insights and knowledge gaps.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Hypertrophic Cardiomyopathy: Current Perspectives.Reviews in cardiovascular medicine · 2025
    Review
  8. Hypertrophic cardiomyopathy.Nature reviews. Disease primers · 2025
    Review
  9. ANMCO position paper 'Hypertrophic cardiomyopathy: from diagnosis to treatment'.European heart journal supplements : journal of the European Society of Cardiology · 2025
    Article
  10. Article
  11. Article
  12. Exploring the mechanisms of sex-specific proarrhythmia in long QT syndrome through computational modeling.American journal of physiology. Heart and circulatory physiology · 2025
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Frontiers in pharmacology · 2025
    Article
  20. Hemodynamics in Left-Sided Cardiomyopathies.Reviews in cardiovascular medicine · 2024
    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

19 authors at 6 institutions in 3 countries.

Raffaele CoppiniDepartment NeuroFarBa, University of Florence, Florence, Italy.
Cecilia FerrantiniDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Josè Manuel PionerDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Lorenzo SantiniDepartment NeuroFarBa, University of Florence, Florence, Italy.
Zhinuo J WangDepartment of Computer Sciences, University of Oxford, Oxford, United Kingdom.
Chiara PalandriDepartment NeuroFarBa, University of Florence, Florence, Italy.
Marina ScardigliEuropean Laboratory for Nonlinear Spectroscopy (LENS), University of Florence, Sesto Fiorentino, Italy and National Institute of Optics, National Research Council, Florence, Italy.
Giulia VitaleDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Leonardo SacconiEuropean Laboratory for Nonlinear Spectroscopy (LENS), University of Florence, Sesto Fiorentino, Italy and National Institute of Optics, National Research Council, Florence, Italy.
Pierluigi StefànoDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Laura FlinkDivision of Cardiology, San Francisco Veterans Affairs Medical Center and University of California-San Francisco, San Francisco, California.
Katherine RiedyHypertrophic Cardiomyopathy Program, New York University Langone Health, New York, New York.
Francesco Saverio PavoneEuropean Laboratory for Nonlinear Spectroscopy (LENS), University of Florence, Sesto Fiorentino, Italy and National Institute of Optics, National Research Council, Florence, Italy.
Elisabetta CerbaiDepartment NeuroFarBa, University of Florence, Florence, Italy.
Corrado PoggesiDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Alessandro MugelliDepartment NeuroFarBa, University of Florence, Florence, Italy.
Alfonso Bueno-OrovioDepartment of Computer Sciences, University of Oxford, Oxford, United Kingdom.
Iacopo OlivottoDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Mark V SherridHypertrophic Cardiomyopathy Program, New York University Langone Health, New York, New York.
University of Florence · ITAzienda Ospedaliero-Universitaria Careggi · ITNational Research Council · ITNYU Langone Health · USUniversity of Oxford · GBSan Francisco VA Medical Center · US

Funding

British Heart Foundation FS/17/22/32644
6 · The paper itself

Abstract

Disopyramide is effective and safe in patients with obstructive hypertrophic cardiomyopathy. However, its cellular and molecular mechanisms of action are unknown. We tested disopyramide in cardiomyocytes from the septum of surgical myectomy patients: disopyramide inhibits multiple ion channels, leading to lower Ca transients and force, and shortens action potentials, thus reducing cellular arrhythmias. The electrophysiological profile of disopyramide explains the efficient reduction of outflow gradients but also the limited prolongation of the QT interval and the absence of arrhythmic side effects observed in 39 disopyramide-treated patients. In conclusion, our results support the idea that disopyramide is safe for outpatient use in obstructive patients.

Indexed as

action potentialsAP, action potentialarrhythmiasDAD, delayed afterdepolarizationdiastolic dysfunctionEAD, early afterdepolarizationECG, electrocardiographyHCM, hypertrophic cardiomyopathyhERG, human ether-à-go-go-related genehypertrophic cardiomyopathyICa-L, L-type Ca currentIK, delayed-rectifier K currentINaL, late Na currentLVOT, left ventricular outflow tractNCX, Na+/Ca2+ exchangerpCa, Ca activation levelQT intervalRyR, ryanodine receptorsafetySR, sarcoplasmic reticulum

Identifiers

PMID31998849
PMCPMC6978554
OpenAlexW2980147512

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.