Evidence map›Paper›PMID 33964035›Full record

ArticleClinical cardiology2021

A novel study on SARS-COV-2 virus associated bradycardia as a predictor of mortality-retrospective multicenter analysis.

Sabina Kumar, Christina Arcuri, Sumanta Chaudhuri, Rahul Gupta, Mahendra Aseri, Pranav Barve, Shivang Shah

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

23 citing papers in PubMed, 28 citations in OpenAlex.

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  8. Remdesivir-induced Bradycardia is not Associated with Worse Outcome in Patients with COVID-19: A Retrospective Analysis.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
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  12. Meta-analysis and systematic literature review of COVID-19 associated bradycardia as a predictor of mortality.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Sabina KumarDepartment of Internal Medicine, Hemet Global Medical Center, Hemet, California, USA.ORCID https://orcid.org/0000-0003-3851-9142
Christina ArcuriDepartment of Internal Medicine, Hemet Global Medical Center, Hemet, California, USA.
Sumanta ChaudhuriDepartment of Internal Medicine, Hemet Global Medical Center, Hemet, California, USA.
Rahul GuptaDepartment of Internal Medicine, Hemet Global Medical Center, Hemet, California, USA.ORCID https://orcid.org/0000-0002-6690-2854
Mahendra AseriDepartment of Internal Medicine, Hemet Global Medical Center, Hemet, California, USA.
Pranav BarveDepartment of Internal Medicine, Hemet Global Medical Center, Hemet, California, USA.
Shivang ShahDivison of Cardiology, Loma Linda University School of Medicine, Loma Linda, California, USA.
Ehime Medical Center · JPUniversity of California, Riverside · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSARS-CoV2 has affected more than 73.8 million individuals. While SARS-CoV2 is considered a predominantly respiratory virus, we report a trend of bradycardia among hospitalized patients, particularly in association with mortality. METHODOLOGY: The multi-center retrospective analysis consisted of 1053 COVID-19 positive patients from March to August 2020. A trend of bradycardia was noted in the study population. Absolute bradycardia and profound bradycardia was defined as a sustained heart rate < 60 BPM and < 50 BPM, respectively, on two separate occasions, a minimum of 4 h apart during hospitalization. Each bradycardic event was confirmed by two physicians and exclusion criteria included: less than 18 years old, end of life bradycardia, left AMA, or taking AV Nodal blockers. Data was fetched using a SQL program through the EMR and data was analyzed using SPSS 27.0. A logistic regression was done to study the effect of bradycardia, age, gender, and BMI on mortality in the study group.

results24.9% patients had absolute bradycardia while 13.0% had profound bradycardia. Patients with absolute bradycardia had an odds ratio of 6.59 (95% CI [2.83-15.36]) for mortality compared with individuals with a normal HR response. The logistic regression model explained 19.6% (Nagelkerke R

conclusionThe incidence of absolute bradycardia was found in 24.9% of the study cohort and these individuals were found to have a significant increase in mortality.

Indexed as

AdultAgedBradycardiaComorbidityCOVID-19HumansIncidenceMaleMiddle AgedPrognosisRespiration, ArtificialRetrospective StudiesSARS-CoV-2Treatment OutcomebradycardiaCOVID-19mortalitySARS-CoV2severitytriage

Identifiers

PMID33964035
PMCPMC8207973
OpenAlexW3158265757

What OpenQuestion holds

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LicenceCC BY
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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.