Evidence map›Paper›PMID 33013630›Full record

ArticleFrontiers in neurology2020

Are Variants Causing Cardiac Arrhythmia Risk Factors in Sudden Unexpected Death in Epilepsy?

Lauren E Bleakley, Ming S Soh, Richard D Bagnall, Lynette G Sadleir, Samuel Gooley, Christopher Semsarian, Ingrid E Scheffer, Samuel F Berkovic, Christopher A Reid

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
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  3. Article
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  7. KBrain communications · 2025
    Article
  8. Article
  9. Article
  10. Epilepsy and long-term risk of arrhythmias.European heart journal · 2023
    Article
  11. Review
  12. Review
  13. Article
  14. The ERG1 KFrontiers in molecular neuroscience · 2022
    Review
  15. Loss-of-function variants in KAnnals of clinical and translational neurology · 2021
    Article
  16. Article
  17. 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

9 authors at 7 institutions in 2 countries.

Lauren E BleakleyFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC, Australia.
Ming S SohFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC, Australia.
Richard D BagnallAgnes Ginges Centre for Molecular Cardiology Centenary Institute, The University of Sydney, Sydney, NSW, Australia.
Lynette G SadleirDepartment of Paediatrics and Child Health, University of Otago, Wellington, New Zealand.
Samuel GooleyDepartment of Medicine, Epilepsy Research Centre, Austin Health, University of Melbourne, Heidelberg, VIC, Australia.
Christopher SemsarianAgnes Ginges Centre for Molecular Cardiology Centenary Institute, The University of Sydney, Sydney, NSW, Australia.
Ingrid E SchefferFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC, Australia.
Samuel F BerkovicDepartment of Medicine, Epilepsy Research Centre, Austin Health, University of Melbourne, Heidelberg, VIC, Australia.
Christopher A ReidFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC, Australia.
University of Melbourne · AUAustin Health · AUCentenary Institute · AUFlorey Institute of Neuroscience and Mental Health · AURoyal Children's Hospital · AUUniversity of Otago · NZUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sudden unexpected death in epilepsy (SUDEP) is the most common cause of premature mortality in individuals with epilepsy. Acute and adaptive changes in heart rhythm in epilepsy implicate cardiac dysfunction as a potential pathogenic mechanism in SUDEP. Furthermore, variants in genes associated with Long QT syndrome (LQTS) have been identified in patients with SUDEP. LQTS is a cardiac arrhythmia condition that causes sudden cardiac death with strong similarities to SUDEP. Here, we discuss the possibility of an additive risk of death due to the functional consequences of a pathogenic variant in an LQTS gene interacting with seizure-mediated changes in cardiac function. Extending this general concept, we propose a hypothesis that common variants in LQTS genes, which cause a subtle impact on channel function and would not normally be considered risk factors for cardiac disease, may increase the risk of sudden death when combined with epilepsy. A greater understanding of the interaction between epilepsy, cardiac arrhythmia, and SUDEP will inform our understanding of SUDEP risk and subsequent potential prophylactic treatment.

Indexed as

cardiac arrhythmiacommon variantsepilepsygeneticsion channelssudden unexpected death in epilepsy

Identifiers

PMID33013630
PMCPMC7505992
OpenAlexW3084102989

What OpenQuestion holds

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LicenceCC BY
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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.