Evidence map›Paper›PMID 32248914›Full record

ReviewIndian heart journal

QT prolongation in HIV-positive patients: Review article.

Jing Liu, Sumit K Shah, Indranill Basu-Ray, Julia Garcia-Diaz, Kainat Khalid, Mohammad Saeed

Open access · goldAbstract readReview
In one paragraph

Review in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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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 1 country.

Jing LiuBaylor College of Medicine, Houston, TX, USA. Electronic address: Jing.Liu@bcm.edu.
Sumit K ShahUniversity of Arkansas for Medical Sciences, Little Rock, AR, USA. Electronic address: sshah3@uams.edu.
Indranill Basu-RayTexas Heart Institute, Houston, TX, USA; St. Francis Hospital, Memphis, TN, USA. Electronic address: ibasuray@yahoo.com.
Julia Garcia-DiazOchsner Health System, New Orleans, LA, USA. Electronic address: jgarcia-diaz@ochsner.org.
Kainat KhalidUniversity of Arkansas for Medical Sciences, Little Rock, AR, USA. Electronic address: Kainat.Khalid@bcm.edu.
Mohammad SaeedUniversity of Arkansas for Medical Sciences, Little Rock, AR, USA; Texas Heart Institute, Houston, TX, USA. Electronic address: mohammas@bcm.edu.
University of Arkansas for Medical Sciences · USBaylor College of Medicine · USOchsner Health System · USSt. Francis Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAntiretrovirals have immensely increased the average life expectancy of HIV-positive patients. However, the incidence of QT interval prolongation and other arrhythmias has also increased.

methodsPubmed and Google Scholar were searched for relevant literature published between 1990 and 2019. RESULTS AND DISCUSSION: HIV-positive patients with high viral load, low CD4 count, chronic inflammation, and autonomic neuropathy can develop QT interval prolongation. Another factor prolonging QT interval includes exposure to the HIV transactivator protein, which inhibits hERG K (+) channels controlling IKr K (+) currents in cardiomyocytes. Protease inhibitors inhibiting the CYP3A4 enzyme can also lead to QT interval prolongation. QT interval prolongation can potentially be exacerbated by opioids, antipsychotics, antibiotics, and antifungals, the adjunct medications often used in HIV-positive patients. Hepatic insufficiency in seropositive patients on antiretrovirals may also increase the risk of QT interval prolongation.

conclusionBaseline and follow-up EKG in the susceptible population is suggested.

Indexed as

ElectrocardiographyAnalgesics, OpioidAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveArrhythmias, CardiacAutonomic Nervous System DiseasesCD4 Lymphocyte CountHepatitis B, ChronicHepatitis C, ChronicHIV InfectionsHIV Protease InhibitorsHumansInflammationMethadoneOpiate Substitution TreatmentViral LoadAnalgesics, OpioidAnti-Retroviral AgentsHIV Protease InhibitorsMethadoneAntiretroviralHIV-positiveQT-intervalSudden cardiac deathTorsades de pointes

Identifiers

PMID32248914
PMCPMC7136325
OpenAlexW2991899238

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.