Evidence map›Paper›PMID 34621417›Full record

ArticleJournal of arrhythmia2021

QT interval and repolarization dispersion changes during the administration of hydroxychloroquine/chloroquine with/without azithromycin in early COVID 19 pandemic: A prospective observational study from two academic hospitals in Indonesia.

Rizki A Gumilang, Siswanto, Vita Y Anggraeni, Ika Trisnawati, Eko Budiono, Anggoro B Hartopo

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Rizki A GumilangDepartment of Cardiology and Vascular Medicine Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada Universitas Gadjah Mada Academic Hospital Yogyakarta Indonesia.
SiswantoDepartment of Physiology Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada Universitas Gadjah Mada Academic Hospital Yogyakarta Indonesia.
Vita Y AnggraeniDivision of Cardiology Department of Internal Medicine Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada Dr. Sardjito Hospital Yogyakarta Indonesia.
Ika TrisnawatiDivision of Pulmonology Department of Internal Medicine Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada Dr. Sardjito Hospital Yogyakarta Indonesia.
Eko BudionoDivision of Pulmonology Department of Internal Medicine Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada Dr. Sardjito Hospital Yogyakarta Indonesia.
Anggoro B HartopoDivision of Cardiology Department of Internal Medicine Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada Dr. Sardjito Hospital Yogyakarta Indonesia.ORCID https://orcid.org/0000-0002-6373-1033
Universitas Gadjah Mada · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHydroxychloroquine/chloroquine (HCQ/CQ) treatment for COVID-19 was associated with QT interval prolongation and arrhythmia risks. This study aimed to investigate QTc interval and ventricular repolarization dispersion changes, as markers of arrhythmia risks, after HCQ/CQ administration with/without azithromycin (AZT) during COVID-19 pandemic.

methodsA prospective observational study was performed in two academic hospitals in Indonesia. Adult patients who received HCQ/CQ alone and HCQ/CQ + AZT concomitant treatments for COVID-19 infection were enrolled. Baseline and post HCQ/CQ treatment electrocardiograms were obtained. Baseline and post HCQ/CQ treatment QT interval by Bazett (B-QTc) and Fridericia (F-QTc) formulas and ventricular repolarization dispersion indices by Tpeak-Tend (Tp-e) interval and Tpeak-Tend/QT (Tp-e/QT) ratio were calculated and analyzed.

resultsThe study enrolled 55 (HCQ/CQ alone) and 77 subjects (HCQ/CQ + AZT concomitant). F-QTc interval significantly lengthened in subjects with HCQ/CQ + AZT (mean difference 11.89 ms [

conclusionsDuring COVID-19 pandemic, HCQ/CQ + AZT concomitant treatment caused significant F-QTc lengthening, significantly increased Tp-e interval and increased Tp-e/QT ratio. HCQ/CQ alone only caused significant increase of Tp-e interval. Incidences of severe QTc lengthening and prolongation were low in both HCQ/CQ alone and HCQ/CQ + AZT concomitant.

Indexed as

arrhythmiaazithromycinchloroquineCOVID‐19electrocardiographyhydroxychloroquine

Identifiers

PMID34621417
PMCPMC8485784
OpenAlexW3197678927

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.