Evidence map›Paper›PMID 34991670›Full record

ArticleOrphanet journal of rare diseases2022

Cardiac device implantation and device usage in Fabry and hypertrophic cardiomyopathy.

Ravi Vijapurapu, William Bradlow, Francisco Leyva, James C Moon, Abbasin Zegard, Nigel Lewis, D Kotecha, Ana Jovanovic, Derralynn A Hughes, Peter Woolfson and 2 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Arrhythmogenesis in Fabry Disease.Current cardiology reports · 2024
    Review
  7. Article
  8. 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

12 authors at 7 institutions in 1 country.

Ravi VijapurapuDepartment of Cardiology, Queen Elizabeth Hospital, Birmingham, UK.
William BradlowDepartment of Cardiology, Queen Elizabeth Hospital, Birmingham, UK.
Francisco LeyvaDepartment of Cardiology, Queen Elizabeth Hospital, Birmingham, UK.
James C MoonDepartment of Cardiology, Barts Heart Centre, London, UK.
Abbasin ZegardDepartment of Cardiology, Queen Elizabeth Hospital, Birmingham, UK.
Nigel LewisSouth Yorkshire Cardiothoracic Centre, Northern General Hospital, Sheffield, UK.
D KotechaDepartment of Cardiology, Queen Elizabeth Hospital, Birmingham, UK.
Ana JovanovicMark Holland Metabolic Unit, Salford Royal Hospital, Salford, UK.
Derralynn A HughesLysosomal Storage Disorder Unit, Royal Free Hospital, London, UK.
Peter WoolfsonDepartment of Cardiology, Salford Royal Hospital, Salford, UK.
Richard P Steeds *Department of Cardiology, Queen Elizabeth Hospital, Birmingham, UK.
Tarekegn Geberhiwot *Department of Endocrinology, Department of Inherited Metabolic Disorders, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK. tarekegn.hiwot@uhb.nhs.uk.ORCID http://orcid.org/0000-0002-3629-2338
Queen Elizabeth Hospital Birmingham · GBSalford Royal Hospital · GBAston University · GBBritish Heart Foundation · GBNorthern General Hospital · GBQueen Elizabeth Hospital · GBThe Royal Free Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFabry disease (FD) is a treatable X-linked condition leading to progressive cardiac disease, arrhythmia and premature death. We aimed to increase awareness of the arrhythmogenicity of Fabry cardiomyopathy, by comparing device usage in patients with Fabry cardiomyopathy and sarcomeric HCM. All Fabry patients with an implantable cardioverter defibrillator (ICD) implanted in the UK over a 17 year period were included. A comparator group of HCM patients, with primary prevention ICD implantation, were captured from a regional registry database.

resultsIndications for ICD in FD varied with 72% implanted for primary prevention based on multiple potential risk factors. In FD and HCM primary prevention devices, arrhythmia occurred more frequently in FD over shorter follow-up (HR 4.2, p < 0.001). VT requiring therapy was more common in FD (HR 4.5, p = 0.002). Immediate shock therapy for sustained VT was also more common (HR 2.5, p < 0.001). There was a greater burden of AF needing anticoagulation and NSVT in FD (AF: HR 6.2, p = 0.004, NSVT: HR 3.1, p < 0.001).

conclusionThis study demonstrates arrhythmia burden and ICD usage in FD is high, suggesting that Fabry cardiomyopathy may be more 'arrhythmogenic' than previously thought. Existing risk models cannot be mutually applicable and further research is needed to provide clarity in managing Fabry patients with cardiac involvement.

Indexed as

Cardiomyopathy, HypertrophicDefibrillators, ImplantableFabry DiseaseTachycardia, VentricularArrhythmias, CardiacHumansRisk FactorsArrhythmiaDefibrillatorFabryHypertrophic cardiomyopathyPrognosisRisk

Identifiers

PMID34991670
PMCPMC8734227
OpenAlexW4221116905

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.