Evidence map›Paper›PMID 35253242›Full record

SynthesisClinical cardiology2022

Association of early repolarization pattern and ventricular fibrillation in patients with vasospastic angina: A systematic review and meta-analysis.

Guangqiang Wang, Na Zhao, Shu Zhong, Hua Wang

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  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

4 authors at 1 institution in 1 country.

Guangqiang WangDepartment of Cardiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.ORCID http://orcid.org/0000-0002-4868-4590
Na ZhaoDepartment of Rheumatology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
Shu ZhongDepartment of Cardiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
Hua WangDepartment of Cardiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
Qingdao University · CN

Funding

Key Research and Development Program of Shandong Province 2019GSF108142Medical and Health Development Program of Shandong Province 202103010621Science and Technology Program of Yantai City 2021MSGY042Science and Technology Program of Yantai City 2021MSGY044Youth Research Foundation of Yantai Yuhuangding Hospital 201901
6 · The paper itself

Abstract

backgroundAn early repolarization (ER) pattern is a risk factor for ventricular fibrillation (VF) in patients with vasospastic angina (VSA) caused by a coronary artery spasm. However, its detailed characteristics and prognostic value for VF remain unclear. Thus, we investigated the relationship between ER and VF in patients with VSA. HYPOTHESIS: The ER pattern is associated with VF in patients with VSA.

methodsIn this systematic review and meta-analysis, we searched PubMed, Embase, Cochrane Library, and Web of Science databases for eligible studies published between January 2011 and December 2020; 8 studies with 1761 patients were included in the final analysis.

resultsThe ER pattern significantly predicted adverse cardiovascular events (ACEs) and VF (odds ratio [OR] = 5.13, 95% confidence interval [95% CI]: 3.16-8.35, p < .00001 and OR = 5.20, 95% CI: 3.05-8.87, p < .00001). The presence of ER in the inferior leads increased the VF risk (OR = 7.80, 95% CI: 4.04-15.05, p < .00001), regardless of the J-point morphology or type of ST-segment elevation in the ER pattern. A horizontal/descending ST-segment elevation was significantly associated with VF in patients with or without an ER pattern during a coronary spasm (OR = 2.28, 95% CI: 1.07-4.88, p = .03). However, obstructive coronary artery disease was unrelated to the ER pattern (OR = 0.82, 95% CI: 0.27-2.53, p = .73).

conclusionsAn ER pattern is significantly associated with an increased risk of ACE in patients with VSA. An inferior ER pattern with horizontal/descending ST-segment elevation confers the highest risk for VF during VSA onset. Nevertheless, the ER pattern is not associated with obstructive coronary artery disease.

Indexed as

Coronary Artery DiseaseCoronary VasospasmArrhythmias, CardiacElectrocardiographyHumansRetrospective StudiesSpasmVentricular Fibrillationadverse cardiovascular eventsearly repolarization patternmeta-analysisvasospastic anginaventricular fibrillation

Identifiers

PMID35253242
PMCPMC9045077
OpenAlexW4220942238

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.