Evidence map›Paper›PMID 34113878›Full record

ArticleHeart rhythm O22020

Sex differences in left ventricular electrical dyssynchrony and outcomes with cardiac resynchronization therapy.

Daniel J Friedman, Kasper Emerek, Peter L Sørensen, Emily P Zeitler, Sarah A Goldstein, Sana M Al-Khatib, Peter Søgaard, Claus Graff, Brett D Atwater

Open access · goldAbstract read
In one paragraph

Article in Heart rhythm O2, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  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

9 authors at 5 institutions in 2 countries.

Daniel J FriedmanSection of Cardiac Electrophysiology, Yale School of Medicine, New Haven, Connecticut.
Kasper EmerekDepartment of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Peter L SørensenDepartment of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Emily P ZeitlerDivision of Cardiology, The Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Sarah A GoldsteinSection of Cardiac Electrophysiology, Duke University School of Medicine, Durham, North Carolina.
Sana M Al-KhatibSection of Cardiac Electrophysiology, Duke University School of Medicine, Durham, North Carolina.
Peter SøgaardDepartment of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Claus GraffDepartment of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Brett D AtwaterSection of Cardiac Electrophysiology, Duke University School of Medicine, Durham, North Carolina.
Aalborg University · DKDuke University · USAalborg University Hospital · DKDartmouth College · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen seem to derive more benefit from cardiac resynchronization therapy (CRT) than men, even after accounting for the higher burden of risk factors for nonresponse often observed in men.

objectiveTo assess for sex-specific differences in left ventricular (LV) electrical dyssynchrony as a contributing electrophysiological explanation for the greater degree of CRT benefit among women.

methodsWe compared the extent of baseline LV electrical dyssynchrony, as measured by the QRS area (QRSA), among men and women with left bundle branch block (LBBB) undergoing CRT at Duke University (n = 492, 35% women) overall and in relation to baseline QRS characteristics using independent sample

resultsAlthough the mean QRS duration (QRSd) did not differ by sex, QRSA was greater for women vs men (113.8 μVs vs 98.2 μVs,

conclusionsOur study suggests that sex-specific differences in LV dyssynchrony contribute to greater CRT benefit among women. Standard QRSd and morphology assessments seem to underestimate the extent of LV electrical dyssynchrony among women with LBBB.

Indexed as

Cardiac resynchronization therapyLeft bundle branch blockQRS durationSexVectorcardiography

Identifiers

PMID34113878
PMCPMC8183970
OpenAlexW3047380561

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.