Evidence map›Paper›PMID 33122341›Full record

ReviewPostgraduate medical journal2021

Managing drug-induced QT prolongation in clinical practice.

Rani Khatib, Fatima R N Sabir, Caroline Omari, Chris Pepper, Muzahir Hassan Tayebjee

Open access · hybridAbstract readReview
In one paragraph

Review in Postgraduate medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
6.3field-weighted citation impact, top 2% 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

76 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
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  11. [Practical management of drug-induced long QT syndrome].Innere Medizin (Heidelberg, Germany) · 2026
    Review
  12. Article
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  15. Treatment of ventricular arrhythmias with oral sotalol in four horses.Journal of veterinary internal medicine · 2026
    Article
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  19. QTc interval prolongation in ICU patients: risk assessment and predictors.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Article
  20. Article

16 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 2 countries.

Rani KhatibMedicines Management & Pharmacy Services, Leeds Teaching Hospitals NHS Trust, Leeds, UK r.khatib@leeds.ac.uk.ORCID http://orcid.org/0000-0001-9707-234X
Fatima R N SabirMedicines Management & Pharmacy Services, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Caroline OmariMedicines Management & Pharmacy Services, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Chris PepperCardiology Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Muzahir Hassan TayebjeeCardiology Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Leeds Teaching Hospitals NHS Trust · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many drug therapies are associated with prolongation of the QT interval. This may increase the risk of Torsades de Pointes (TdP), a potentially life-threatening cardiac arrhythmia. As the QT interval varies with a change in heart rate, various formulae can adjust for this, producing a 'corrected QT' (QTc) value. Normal QTc intervals are typically <450 ms for men and <460 ms for women. For every 10 ms increase, there is a ~5% increase in the risk of arrhythmic events. When prescribing drugs associated with QT prolongation, three key factors should be considered: patient-related risk factors (eg, female sex, age >65 years, uncorrected electrolyte disturbances); the potential risk and degree of QT prolongation associated with the proposed drug; and co-prescribed medicines that could increase the risk of QT prolongation. To support clinicians, who are likely to prescribe such medicines in their daily practice, we developed a simple algorithm to help guide clinical management in patients who are at risk of QT prolongation/TdP, those exposed to QT-prolonging medication or have QT prolongation.

Indexed as

Long QT SyndromeHumansPatient Care ManagementPractice Patterns, Physicians'Risk AdjustmentTorsades de PointesAdverse eventsCardiologyClinical pharmacologyPacing & electrophysiologyTherapeutics

Identifiers

PMID33122341
PMCPMC8237186
OpenAlexW3094909023

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.