Evidence map›Paper›PMID 34873786›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2022

Noninvasive risk factors for the prediction of inducibility on programmed ventricular stimulation in post-myocardial infarction patients with an ejection fraction ≥40% at risk for sudden cardiac arrest: Insights from the PRESERVE-EF study.

Konstantinos Trachanas, Skevos Sideris, Petros Arsenos, Dimitrios Tsiachris, Christos-Konstantinos Antoniou, Polychronis Dilaveris, Konstantinos Triantafyllou, Iosif Xenogiannis, Konstantinos Tsimos, Michalis Efremidis and 8 more

Abstract read
In one paragraph

Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Risk assessment of post-myocardial infarction patients with preserved ejection fraction using 45-min short resting Holter electrocardiographic recordings.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023
    Article
  8. Article
  9. Article
  10. 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

18 authors.

Konstantinos TrachanasState Department of Cardiology, Hippokrateion General Hospital, Athens, Greece.ORCID 0000-0002-4789-9688
Skevos SiderisState Department of Cardiology, Hippokrateion General Hospital, Athens, Greece.
Petros ArsenosFirst Department of Cardiology, Hippokrateion General Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.ORCID 0000-0003-4426-8407
Dimitrios TsiachrisFirst Department of Cardiology, Hippokrateion General Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.
Christos-Konstantinos AntoniouFirst Department of Cardiology, Hippokrateion General Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.ORCID 0000-0003-4861-2404
Polychronis DilaverisFirst Department of Cardiology, Hippokrateion General Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.ORCID 0000-0003-0399-4111
Konstantinos TriantafyllouThird Department of Cardiology, Aristotle University of Thessaloniki, Thessaloniki, Greece.ORCID 0000-0002-6117-2389
Iosif XenogiannisSecond Department of Cardiology, Attikon General Hospital, National and Kapodistrian University of Athens School of Medicine, Chaidari, Greece.ORCID 0000-0002-5004-6635
Konstantinos TsimosDepartment of Cardiology, Faculty of Medicine, University of Ioannina, Ioannina, Greece.
Michalis EfremidisSecond State Department of Cardiology, Evangelismos Athens General Hospital, Athens, Greece.
Emmanuel KanoupakisDepartment of Cardiology, Heraklion University Hospital, University of Crete, School of Medicine, Heraklion, Greece.
Panagiota FlevariSecond Department of Cardiology, Attikon General Hospital, National and Kapodistrian University of Athens School of Medicine, Chaidari, Greece.
Vassilios VassilikosThird Department of Cardiology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Antonios SiderisSecond State Department of Cardiology, Evangelismos Athens General Hospital, Athens, Greece.
Panagiotis KorantzopoulosDepartment of Cardiology, Faculty of Medicine, University of Ioannina, Ioannina, Greece.ORCID 0000-0002-4228-3593
Dimitrios TousoulisFirst Department of Cardiology, Hippokrateion General Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.
Konstantinos TsioufisFirst Department of Cardiology, Hippokrateion General Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.
Konstantinos GatzoulisFirst Department of Cardiology, Hippokrateion General Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.ORCID 0000-0002-6628-0303

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the PRESERVE-EF study, a two-step sudden cardiac death (SCD) risk stratification approach to detect post-myocardial infarction (MI) patients with left ventricle ejection fraction (LVEF) ≥40% at risk for major arrhythmic events (MAEs) was used. Seven noninvasive risk factors (NIRFs) were extracted from a 24-h ambulatory electrocardiography (AECG) and a 45-min resting recording. Patients with at least one NIRF present were referred for invasive programmed ventricular stimulation (PVS) and inducible patients received an Implantable Cardioverter - Defibrillator (ICD).

methodsIn the present study, we evaluated the performance of the NIRFs, as they were described in the PRESERVE-EF study protocol, in predicting a positive PVS. In the PRESERVE-EF study, 152 out of 575 patients underwent PVS and 41 of them were inducible. For the present analysis, data from these 152 patients were analyzed.

resultsAmong the NIRFs examined, the presence of signal averaged ECG-late potentials (SAECG-LPs) ≥ 2/3 and non-sustained ventricular tachycardia (NSVT) ≥1 eposode/24 h cutoff points were important predictors of a positive PVS study, demonstrating in the logistic regression analysis odds ratios 2.285 (p = .027) and 2.867 (p = .006), respectively. A simple risk score based on the above cutoff points in combination with LVEF < 50% presented high sensitivity but low specificity for a positive PVS.

conclusionCutoff points of NSVT ≥ 1 episode/24 h and SAECG-LPs ≥ 2/3 in combination with a LVEF < 50% were important predictors of inducibility. However, the final decision for an ICD implantation should be based on a positive PVS, which is irreplaceable in risk stratification.

Indexed as

Myocardial InfarctionTachycardia, VentricularArrhythmias, CardiacDeath, Sudden, CardiacElectrocardiographyHeart VentriclesHumansLipopolysaccharidesProspective StudiesRisk FactorsStroke VolumeLipopolysaccharidescardiac arrest/sudden cardiac deathHolter/event recorderssignal-averaged ECGventricular tachycardia/fibrillation

Identifiers

PMID34873786
PMCPMC8916556

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.