Evidence map›Paper›PMID 33896871›Full record

ArticleInternal medicine (Tokyo, Japan)2021

Hydroxyzine-induced Torsade de Pointes in a Patient with Complete Atrioventricular Block.

Kaito Koshino, Akihiro Endo, Nobuhide Watanabe, Koichi Okazaki, Kazuaki Tanabe

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 1 institution in 1 country.

Kaito KoshinoDivision of Cardiology, Shimane University Faculty of Medicine, Japan.
Akihiro EndoDivision of Cardiology, Shimane University Faculty of Medicine, Japan.
Nobuhide WatanabeDivision of Cardiology, Shimane University Faculty of Medicine, Japan.
Koichi OkazakiDivision of Cardiology, Shimane University Faculty of Medicine, Japan.
Kazuaki TanabeDivision of Cardiology, Shimane University Faculty of Medicine, Japan.
Shimane University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An 82-year-old woman was admitted to our hospital because of dyspnea and bradycardia during exertion. Electrocardiography revealed complete atrioventricular block. During pacemaker implantation, a small dose (12.5 mg) of hydroxyzine was injected for sedation, and torsade de pointes (Tdp) occurred. The QT interval was prolonged after administration of hydroxyzine, and Tdp was observed after the R on T phenomenon occurred, indicating that hydroxyzine was capable of prolonging the QT interval and causing Tdp. Therefore, we must be cautious when administering hydroxyzine for sedation during surgery, especially in patients with bradycardia.

Indexed as

Atrioventricular BlockPacemaker, ArtificialTorsades de PointesAged, 80 and overElectrocardiographyFemaleHumansHydroxyzineHydroxyzinebradycardiahydroxyzineQT prolongationtorsade de pointes

Identifiers

PMID33896871
PMCPMC8580752
OpenAlexW3157165011

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.