Evidence map›Paper›PMID 32329928›Full record

ArticleClinical cardiology2020

Clinical determinants of the PR interval duration in Swiss middle-aged adults: The CoLaus/PsyCoLaus study.

Marylène Bay, Peter Vollenweider, Pedro Marques-Vidal, Federica Bocchi, Etienne Pruvot, Jürg Schläpfer

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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 1 institution in 1 country.

Marylène BayDepartment of Medicine, Internal Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.ORCID https://orcid.org/0000-0001-9963-6014
Peter VollenweiderDepartment of Medicine, Internal Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Pedro Marques-VidalDepartment of Medicine, Internal Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Federica BocchiDepartment of Medicine, Internal Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Etienne PruvotDepartment of Heart and Vessels, Service of Cardiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Jürg SchläpferDepartment of Heart and Vessels, Service of Cardiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
University Hospital of Lausanne · CH

Funding

Faculty of Biology and Medicine of LausanneGlaxoSmithKlineSchweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 3200B0-105993Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 3200B0-118308Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 33CS30-139468Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 33CS30-148401Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 33CSCO-122661
6 · The paper itself

Abstract

backgroundProlonged PR interval (PRi) is associated with adverse outcomes. However, PRi determinants are poorly known. We aimed to identify the clinical determinants of the PRi duration in the general population. HYPOTHESIS: Some clinical data are associated with prolonged PRi.

methodsCross-sectional study conducted between 2014 and 2017. Electrocardiogram-derived PRi duration was categorized into normal or prolonged (>200 ms). Determinants were identified using stepwise logistic regression, and results were expressed as multivariable-adjusted odds ratio (OR) (95% confidence interval). A further analysis was performed adjusting for antiarrhythmic drugs, P-wave contribution to PRi duration, electrolytes (kalemia, calcemia, and magnesemia), and history of cardiovascular disease.

resultsOverall, 3655 participants with measurable PRi duration were included (55.6% females; mean age 62 ± 10 years), and 330 (9.0%) had prolonged PRi. Stepwise logistic regression identified male sex (OR 1.41 [1.02-1.97]); aging (65-74 years: OR 2.29 [1.61-3.24], and ≥ 75 years: OR 4.21 [2.81-6.31]); increased height (per 5 cm, OR 1.15 [1.06-1.25]); hypertension (OR 1.37 [1.06-1.77]); and hs troponin T (OR 1.67 [1.15-2.43]) as significantly and positively associated, and high resting heart rate (≥70 beats/min, OR 0.43 [0.29-0.62]) as negatively associated with prolonged PRi. After further adjustment, male sex, aging and increased height remained positively, and high resting heart rate negatively associated with prolonged PRi. Hypertension and hs troponin T were no longer associated.

conclusionIn a sample of the Swiss middle-aged population, male sex, aging and increased height significantly increased the likelihood of a prolonged PRi duration, whereas a high resting heart rate decreased it.

Indexed as

AgingElectrocardiographyAdultAgedArrhythmias, CardiacCross-Sectional StudiesFemaleFollow-Up StudiesHeart RateHumansIncidenceMaleMiddle AgedProspective StudiesRisk FactorsSwitzerlandadultscross-sectionaldeterminantselectrocardiogramPR intervalSwitzerland

Identifiers

PMID32329928
PMCPMC7299001
OpenAlexW3019414425

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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.