Evidence map›Paper›PMID 33977759›Full record

SynthesisJournal of the American Heart Association2021

Standard ECG in Brugada Syndrome as a Marker of Prognosis: From Risk Stratification to Pathophysiological Insights.

Francesco Vitali, Alessandro Brieda, Cristina Balla, Rita Pavasini, Elisabetta Tonet, Matteo Serenelli, Roberto Ferrari, Pietro Delise, Claudio Rapezzi, Matteo Bertini

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis 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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Causal Relationship Between Electrocardiogram Parameters and Brugada Syndrome: A Bidirectional Mendelian Randomization Study.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025
    Article
  4. Article
  5. Brugada syndrome risk scores: what we've learned and what's next.Frontiers in cardiovascular medicine · 2025
    Review
  6. Article
  7. The role for ambulatory electrocardiogram monitoring in the diagnosis and prognostication of Brugada syndrome: a sub-study of the Rare Arrhythmia Syndrome Evaluation (RASE) Brugada study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  8. Clinical Management of Brugada Syndrome: Commentary From the Experts.Circulation. Arrhythmia and electrophysiology · 2024
    Review
  9. Review
  10. Review
  11. Heart rate variability and microvolt T wave alternans changes during ajmaline test may predict prognosis in Brugada syndrome.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  12. Article
  13. Article
  14. 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

10 authors at 2 institutions in 1 country.

Francesco VitaliCardiological Center University of Ferrara Italy.
Alessandro BriedaCardiological Center University of Ferrara Italy.
Cristina BallaCardiological Center University of Ferrara Italy.
Rita PavasiniCardiological Center University of Ferrara Italy.
Elisabetta TonetCardiological Center University of Ferrara Italy.
Matteo SerenelliCardiological Center University of Ferrara Italy.
Roberto FerrariCardiological Center University of Ferrara Italy.
Pietro DeliseCardiology Division Ospedale Pederzoli Verona Italy.
Claudio RapezziCardiological Center University of Ferrara Italy.
Matteo BertiniCardiological Center University of Ferrara Italy.
University of Ferrara · ITOspedale di Rivoli · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The 12-lead ECG plays a key role in the diagnosis of Brugada syndrome (BrS). Since the spontaneous type 1 ECG pattern was first described, several other ECG signs have been linked to arrhythmic risk, but results are conflicting. Methods and Results We performed a systematic review to clarify the associations of these specific ECG signs with the risk of syncope, sudden death, or equivalents in patients with BrS. The literature search identified 29 eligible articles comprising overall 5731 patients. The ECG findings associated with an incremental risk of syncope, sudden death, or equivalents (hazard ratio ranging from 1.1-39) were the following: localization of type 1 Brugada pattern (in V2 and peripheral leads), first-degree atrioventricular block, atrial fibrillation, fragmented QRS, QRS duration >120 ms, R wave in lead aVR, S wave in L1 (≥40 ms, amplitude ≥0.1 mV, area ≥1 mm

Indexed as

Brugada SyndromeDeath, Sudden, CardiacElectrocardiographyGlobal HealthHumansPrognosisRisk AssessmentSurvival Ratearrhythmiasarrhythmic risk stratificationBrugada syndromeelectrocardiogram

Identifiers

PMID33977759
PMCPMC8200706
OpenAlexW3163804420

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.