Evidence map›Paper›PMID 34713615›Full record

ArticleESC heart failure2021

Impact of cibenzoline treatment on left ventricular remodelling and prognosis in hypertrophic obstructive cardiomyopathy.

Mareomi Hamada, Yuji Shigematsu, Shuntaro Ikeda, Kiyotaka Ohshima, Akiyoshi Ogimoto

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 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
1.6field-weighted citation impact, top 15% 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, 12 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

5 authors at 2 institutions in 1 country.

Mareomi HamadaDivision of Cardiology, Uwajima City Hospital, 1-1, Goten-machi, Uwajima, 798-8510, Japan.
Yuji ShigematsuFundamental and Clinical Nursing, Ehime University Graduate School of Medicine, Toon, Japan.
Shuntaro IkedaDepartment of Community and Emergency Medicine, Ehime University Graduate School of Medicine, Toon, Japan.
Kiyotaka OhshimaDivision of Cardiology, Uwajima City Hospital, 1-1, Goten-machi, Uwajima, 798-8510, Japan.
Akiyoshi OgimotoDivision of Cardiology, Uwajima City Hospital, 1-1, Goten-machi, Uwajima, 798-8510, Japan.
Uwajima City Hospital · JPEhime University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study aimed to elucidate the long-term effect of cibenzoline therapy on cardiovascular complications and prognosis in patients with hypertrophic obstructive cardiomyopathy (HOCM). METHODS AND

resultsEighty-eight patients with HOCM were treated with cibenzoline (Group A), and 41 patients did not receive cibenzoline (Group B). The changes in left ventricular (LV) remodelling, incidences of cardiovascular complications and deaths, were examined. The mean follow-up period was 15.8 ± 5.6 years in Group A and 17.8 ± 7.2 years in Group B. In Group A, the LV pressure gradient (LVPG) decreased immediately after treatment, and the reduction was maintained throughout the study. In Group B, the LVPG decreased gradually according to the deterioration of LV function. LV reverse remodelling was confirmed in Group A, and LV remodelling advanced in Group B. In Group A, the incidence of each cardiovascular complication was <10%. Only one patient experienced LV heart failure (LVHF). LVHF incidence and atrial fibrillation were higher in Group B than those in Group A (P < 0.0001). The incidence of death was 20.5% in Group A and 90.2% in Group B (P < 0.0001). The most frequent cause of death was sudden cardiac death (SCD) (38.9%) in Group A and LVHF (67.6%) in Group B. The incidence of SCD showed no significant difference between the two groups. The cumulative cardiac survival rate was higher in Group A than that in Group B (P < 0.0001).

conclusionsCibenzoline treatment significantly reduced all cardiovascular complications and death due to LVHF and may be a promising treatment in patients with HOCM.

Indexed as

Cardiomyopathy, HypertrophicVentricular RemodelingAnti-Arrhythmia AgentsHumansImidazolesPrognosisAnti-Arrhythmia AgentscifenlineImidazolesHeart failureHypertrophic obstructive cardiomyopathyLeft ventricular functionMyocardial hypertrophyPharmacologySudden cardiac death

Identifiers

PMID34713615
PMCPMC8712831
OpenAlexW3209857782

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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.