Evidence map›Paper›PMID 34988517›Full record

ArticleHeart rhythm O22021

Cardiac resynchronization therapy with multipoint pacing via quadripolar lead versus traditional biventricular pacing: A systematic review and meta-analysis of clinical studies on hemodynamic, clinical, and prognostic parameters.

Cristiano Massacesi, Laura Ceriello, Fabrizio Maturo, Annamaria Porreca, Marianna Appignani, Enrico Di Girolamo

Open access · goldAbstract read
In one paragraph

Article in Heart rhythm O2, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 25% 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, 5 citations in OpenAlex.

  1. Review
  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

6 authors at 4 institutions in 1 country.

Cristiano Massacesi"Dipartimento Cuore" ASL 2 Abruzzo Lanciano-Vasto-Chieti, Chieti, Italy.
Laura CerielloInstitute of Cardiology, University G. D'Annunzio, Chieti, Italy.
Fabrizio MaturoDepartment of Mathematics & Physics, University of Campania Luigi Vanvitelli, Caserta, Italy.
Annamaria PorrecaDepartment of Economics, University G. D'Annunzio, Chieti-Pescara, Italy.
Marianna AppignaniIntensive Cardiac Care Unit, "SS. Annunziata" Hospital, Chieti, Italy.
Enrico Di GirolamoArrhythmology Unit, "SS. Annunziata" Hospital, Chieti, Italy.
Ospedale SS. Annunziata · ITUniversity of Chieti-Pescara · ITBassano Bresciano Astronomical Observatory · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac resynchronization therapy (CRT) is one of the cornerstones of heart failure (HF) therapy, as it has reduced mortality and morbidity and has shown improvement in functional capacity. Multipoint pacing (MPP) is a way of configuring CRT with the aim to improve the percentage of patients who respond to CRT.

objectiveTo demonstrate the effectiveness of the MPP compared to traditional biventricular pacing (BiV).

methodsWe performed a systematic review and meta-analysis according to PRISMA guidelines of studies in which MPP vs BiV strategy were compared.

resultsMPP use is associated with a higher rate of patients experiencing functional improvement (odds ratio: 2.51, 95% confidence interval [CI], 1.56-4.06;

conclusionMPP significantly improves functional class and acute hemodynamic parameters with respect to BiV. Prognostic indices and LVESV are not significantly influenced by MPP. MPP is associated with a significant reduction in projected battery longevity.

Indexed as

Biventricular pacingCardiac resynchronization therapyHeart failureMeta-analysisMultipoint pacingQuadripolar leadSystematic review

Identifiers

PMID34988517
PMCPMC8710588
OpenAlexW4200402837

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.