Evidence map›Paper›PMID 32432127›Full record

ReviewFrontiers in cardiovascular medicine2020

COVID-19 Management and Arrhythmia: Risks and Challenges for Clinicians Treating Patients Affected by SARS-CoV-2.

Alexander Carpenter, Owen J Chambers, Aziza El Harchi, Richard Bond, Oliver Hanington, Stephen C Harmer, Jules C Hancox, Andrew F James

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Cardioembolic stroke, the most common subtype of stroke in COVID 19: A single center experience from Isfahan, Iran.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
    Article
  4. Article
  5. Biochemistry and biophysics reports · 2021
    Article
  6. Article
  7. Modelling sudden cardiac death risks factors in patients with coronavirus disease of 2019: the hydroxychloroquine and azithromycin case.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2021
    Article
  8. Frontiers in cardiovascular medicine · 2021
    Article
  9. Article
  10. Review
  11. Amiodarone in the COVID-19 Era: Treatment for Symptomatic Patients Only, or Drug to Prevent Infection?American journal of cardiovascular drugs : drugs, devices, and other interventions · 2020
    Article
  12. Review
  13. Review
  14. COVID-19 and risk of arrhythmia?Porto biomedical journal
    Article
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

8 authors at 3 institutions in 1 country.

Alexander CarpenterSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, United Kingdom.
Owen J ChambersLiverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, United Kingdom.
Aziza El HarchiSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, United Kingdom.
Richard BondGloucestershire Hospitals NHS Foundation Trust, Gloucester, United Kingdom.
Oliver HaningtonSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, United Kingdom.
Stephen C HarmerSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, United Kingdom.
Jules C HancoxSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, United Kingdom.
Andrew F JamesSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, United Kingdom.
University of Bristol · GBGloucestershire Hospitals NHS Foundation Trust · GBLiverpool Heart and Chest Hospital NHS Trust · GB

Funding

Medical Research Council MR/S021299/1
6 · The paper itself

Abstract

The COVID-19 pandemic is an unprecedented challenge and will require novel therapeutic strategies. Affected patients are likely to be at risk of arrhythmia due to underlying comorbidities, polypharmacy and the disease process. Importantly, a number of the medications likely to receive significant use can themselves, particularly in combination, be pro-arrhythmic. Drug-induced prolongation of the QT interval is primarily caused by inhibition of the hERG potassium channel either directly and/or by impaired channel trafficking. Concurrent use of multiple hERG-blocking drugs may have a synergistic rather than additive effect which, in addition to any pre-existing polypharmacy, critical illness or electrolyte imbalance, may significantly increase the risk of arrhythmia and Torsades de Pointes. Knowledge of these risks will allow informed decisions regarding appropriate therapeutics and monitoring to keep our patients safe.

Indexed as

arrhythmiaCOVID-19drug safetyhERGQTQTc

Identifiers

PMID32432127
PMCPMC7214683
OpenAlexW3023371135

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.