Evidence map›Paper›PMID 33938226›Full record

ArticleJournal of the American Heart Association2021

Effect of Amiodarone and Hypothermia on Arrhythmia Substrates During Resuscitation.

Joseph S Piktel, Yi Suen, Shalen Kouk, Danielle Maleski, Gary Pawlowski, Kenneth R Laurita, Lance D Wilson

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 2 institutions in 1 country.

Joseph S PiktelDepartment of Emergency Medicine and The Heart and Vascular Research Center MetroHealth Campus Case Western Reserve University Cleveland OH.
Yi SuenDepartment of Emergency Medicine and The Heart and Vascular Research Center MetroHealth Campus Case Western Reserve University Cleveland OH.
Shalen KoukDepartment of Emergency Medicine and The Heart and Vascular Research Center MetroHealth Campus Case Western Reserve University Cleveland OH.
Danielle MaleskiDepartment of Emergency Medicine and The Heart and Vascular Research Center MetroHealth Campus Case Western Reserve University Cleveland OH.
Gary PawlowskiDepartment of Emergency Medicine and The Heart and Vascular Research Center MetroHealth Campus Case Western Reserve University Cleveland OH.
Kenneth R LauritaDepartment of Emergency Medicine and The Heart and Vascular Research Center MetroHealth Campus Case Western Reserve University Cleveland OH.
Lance D WilsonDepartment of Emergency Medicine and The Heart and Vascular Research Center MetroHealth Campus Case Western Reserve University Cleveland OH.
MetroHealth Medical Center · USMetroHealth · US

Funding

Novel mechanisms and treatment of arrhythmia during resuscitationR01HL142754 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI KENNETH LAURITA, Lance D Wilson · 2020 to 2026
$3.4M
Optically guided catheter ablation of atrial fibrillationR01HL149369 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI HENDON, CHRISTINE P, LAURITA, KENNETH · 2019 to 2022
$2.8M
Novel mechanisms and treatment of arrhythmia during resuscitationR56HL142754 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI LAURITA, KENNETH, WILSON, LANCE D · 2018 to 2018
$603k
NHLBI NIH HHS R01 HL142754NHLBI NIH HHS R01 HL149369NHLBI NIH HHS R56 HL142754
6 · The paper itself

Abstract

Background Amiodarone is administered during resuscitation, but its antiarrhythmic effects during targeted temperature management are unknown. The purpose of this study was to determine the effect of both therapeutic hypothermia and amiodarone on arrhythmia substrates during resuscitation from cardiac arrest. Methods and Results We utilized 2 complementary models: (1) In vitro no-flow global ischemia canine left ventricular transmural wedge preparation. Wedges at different temperatures (36°C or 32°C) were given 5 µmol/L amiodarone (36-Amio or 32-Amio, each n=8) and subsequently underwent ischemia and reperfusion. Results were compared with previous controls. Optical mapping was used to measure action potential duration, dispersion of repolarization (DOR), and conduction velocity (CV). (2) In vivo pig model of resuscitation. Pigs (control or targeted temperature management, 32-34°C) underwent ischemic cardiac arrest and were administered amiodarone (or not) after 8 minutes of ventricular fibrillation. In vitro: therapeutic hypothermia but not amiodarone prolonged action potential duration. During ischemia, DOR increased in the 32-Amio group versus 32-Alone (84±7 ms versus 40±7 ms,

Indexed as

Action PotentialsAmiodaroneAnimalsAnti-Arrhythmia AgentsDisease Models, AnimalDogsHeart ArrestHeart Conduction SystemHeart VentriclesHypothermia, InducedMaleResuscitationSwineVentricular FibrillationAmiodaroneAnti-Arrhythmia Agentsamiodaronehypothermiaischemia‐reperfusionoptical mappingresuscitationventricular fibrillation

Identifiers

PMID33938226
PMCPMC8200710
OpenAlexW3159071821

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.