Evidence map›Paper›PMID 34066832›Full record

ReviewInternational journal of molecular sciences2021

The Defibrillation Conundrum: New Insights into the Mechanisms of Shock-Related Myocardial Injury Sustained from a Life-Saving Therapy.

Nicolas Clementy, Alexandre Bodin, Arnaud Bisson, Ana-Paula Teixeira-Gomes, Sebastien Roger, Denis Angoulvant, Valérie Labas, Dominique Babuty

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Monitoring and modulating cardiac bioelectricity: from Einthoven to end-user.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
    Review
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  5. Article
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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

8 authors at 1 institution in 1 country.

Nicolas ClementyService de Cardiologie, Hôpital Trousseau, Université de Tours, 37044 Tours, France.ORCID 0000-0002-7415-0787
Alexandre BodinService de Cardiologie, Hôpital Trousseau, Université de Tours, 37044 Tours, France.ORCID 0000-0002-6544-3916
Arnaud BissonService de Cardiologie, Hôpital Trousseau, Université de Tours, 37044 Tours, France.ORCID 0000-0002-3449-1800
Ana-Paula Teixeira-GomesPlate-forme de Chirurgie et d'Imagerie pour la Recherche et l'Enseignement (CIRE), INRA, Université de Tours, CHU de Tours, 37380 Nouzilly, France.
Sebastien RogerTransplantation, Immunologie et Inflammation T2I-EA 4245, Université de Tours, 37044 Tours, France.ORCID 0000-0002-9852-5248
Denis AngoulvantService de Cardiologie, Hôpital Trousseau, Université de Tours, 37044 Tours, France.ORCID 0000-0003-0788-8092
Valérie LabasPlate-forme de Chirurgie et d'Imagerie pour la Recherche et l'Enseignement (CIRE), INRA, Université de Tours, CHU de Tours, 37380 Nouzilly, France.
Dominique BabutyService de Cardiologie, Hôpital Trousseau, Université de Tours, 37044 Tours, France.
Université de Tours · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Implantable cardiac defibrillators (ICDs) are recommended to prevent the risk of sudden cardiac death. However, shocks are associated with an increased mortality with a dose response effect, and a strategy of reducing electrical therapy burden improves the prognosis of implanted patients. We review the mechanisms of defibrillation and its consequences, including cell damage, metabolic remodeling, calcium metabolism anomalies, and inflammatory and pro-fibrotic remodeling. Electrical shocks do save lives, but also promote myocardial stunning, heart failure, and pro-arrhythmic effects as seen in electrical storms. Limiting unnecessary implantations and therapies and proposing new methods of defibrillation in the future are recommended.

Indexed as

Defibrillators, ImplantableElectroshockAnimalsHumansInflammationMyocardiumOxidative StressProteomicsdefibrillationelectricalinjurymechanismproteomicsshock

Identifiers

PMID34066832
PMCPMC8125879
OpenAlexW3161070348

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.