Evidence map›Paper›PMID 33732868›Full record

ArticleInternational journal of cardiology. Heart & vasculature2021

The association of prior carpal tunnel syndrome surgery with adverse cardiovascular outcomes and long-term mortality after aortic valve replacement.

Oscar Westin, Marie D Lauridsen, Søren Lund Kristensen, Lars Køber, Christian Torp-Pedersen, Gunnar Gislason, Lars Søndergaard, Mathew S Maurer, Birgitte Pernille Leicht, Finn Gustafsson and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 96% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 4 institutions in 2 countries.

Oscar WestinThe Heart Center, University Hospital of Copenhagen, Rigshospitalet, Denmark.
Marie D LauridsenThe Heart Center, University Hospital of Copenhagen, Rigshospitalet, Denmark.
Søren Lund KristensenThe Heart Center, University Hospital of Copenhagen, Rigshospitalet, Denmark.
Lars KøberThe Heart Center, University Hospital of Copenhagen, Rigshospitalet, Denmark.
Christian Torp-PedersenDepartment of Cardiology and Clinical Research, Nordsjællands Hospital, Hillerød, Denmark.
Gunnar GislasonDepartment of Cardiology, Copenhagen University Hospital Herlev and Gentofte, Denmark.
Lars SøndergaardThe Heart Center, University Hospital of Copenhagen, Rigshospitalet, Denmark.
Mathew S MaurerColumbia University Irving Medical Center, New York, NY, United States.
Birgitte Pernille LeichtGildhøj Privathospital, Copenhagen, Denmark.
Finn GustafssonThe Heart Center, University Hospital of Copenhagen, Rigshospitalet, Denmark.
Emil L FosbølThe Heart Center, University Hospital of Copenhagen, Rigshospitalet, Denmark.
Rigshospitalet · DKColumbia University Irving Medical Center · USNordsjællands Hospital · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPatients undergoing aortic valve replacement (AVR) for severe aortic stenosis have a 6-16% prevalence of occult cardiac amyloidosis. Carpal tunnel syndrome (CTS) is common in cardiac amyloidosis, but whether prior CTS surgery has a prognostic impact in patients undergoing AVR is unknown. This study examined the association between prior CTS surgery and adverse cardiovascular outcomes in patients treated with AVR. METHODS AND

resultsUsing Danish nationwide registries, we retrospectively identified patients undergoing first-time AVR from 2005 to 2018, examining the association between previous CTS and adverse cardiovascular outcomes the following 5 years after the AVR procedure. Cumulative incidence functions and adjusted Cox proportional hazard models were used to assess differences. Among 19,211 patients undergoing AVR, 2.5% (n = 472) had prior CTS surgery. Patients in the CTS-cohort were significantly older (median age 75.7 [IQR 68.1-82.3] vs 73.7 [IQR 66.0-79.6]), more often female and had more comorbidities. Prior CTS surgery was not associated with differences in hospitalization for heart failure (11.2% [95% CI 8.3-14.7] vs 9.4% [95% CI 9.0-9.9]), atrial fibrillation (11.1% [95% CI 8.2-14.5] vs 11.2% [95% CI 10.8-11.7]) or pacemaker implantation (6.2% [95% CI 4.0-9.0] vs 5.1% [95% CI 4.8-5.5]). The 5-year mortality (32.8% [27.6-38.0] vs 25.2% [24.5-25.9]) was higher in the CTS-cohort. CTS was significantly associated with increased 5-year mortality (HR 1.27 [1.05-1.53]) in crude models, however, after multivariable adjustment prior CTS surgery was not associated with adverse cardiovascular outcomes.

conclusionPrevious CTS surgery was not associated with increased risk for adverse cardiovascular outcomes after AVR.

Indexed as

Aortic valve replacementCardiac amyloidosisCarpal tunnel syndrome

Identifiers

PMID33732868
PMCPMC7944045
OpenAlexW3134932040

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.