Evidence map›Paper›PMID 35766183›Full record

ArticleEuropean heart journal2022

Importance of genotype for risk stratification in arrhythmogenic right ventricular cardiomyopathy using the 2019 ARVC risk calculator.

Alexandros Protonotarios, Riccardo Bariani, Chiara Cappelletto, Menelaos Pavlou, Alba García-García, Alberto Cipriani, Ioannis Protonotarios, Adrian Rivas, Regitze Wittenberg, Maddalena Graziosi and 31 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in European heart journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
15.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Genetics of Sudden Cardiac Death.Diseases (Basel, Switzerland) · 2025
    Review
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  10. What Should a Clinical Cardiologist Know About Cardiogenetics?Journal of the American Heart Association · 2025
    Review
  11. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

41 authors at 16 institutions in 10 countries.

Alexandros ProtonotariosInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0001-8595-7212
Riccardo BarianiDepartment of Cardiac Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.ORCID 0000-0002-9120-8709
Chiara CappellettoCardio-Thoraco-Vascular Department, University of Trieste, Trieste, Italy.ORCID 0000-0001-5447-5595
Menelaos PavlouDepartment of Statistical Science, University College London, London, UK.
Alba García-GarcíaInherited Cardiac Diseases Unit (CSUR-ERN), Department of Cardiology, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.ORCID 0000-0003-1491-2353
Alberto CiprianiDepartment of Cardiac Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.ORCID 0000-0001-7842-6202
Ioannis ProtonotariosNikos Protonotarios Medical Centre, Naxos, Greece.
Adrian RivasHeart Failure and Inherited Cardiac Diseases Unit, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.ORCID 0000-0003-3238-2536
Regitze WittenbergDepartment of Cardiology, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-9486-8278
Maddalena GraziosiCardiology Unit, St Orsola Hospital, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Zafeirenia XylouriNikos Protonotarios Medical Centre, Naxos, Greece.ORCID 0000-0003-1833-2778
José M Larrañaga-MoreiraUnidad de Cardiopatías Familiares, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña, Servizo Galego de Saúde (SERGAS), Universidade da Coruña, CIBERCV, A Coruña, Spain.ORCID 0000-0002-8370-5158
Antonio de LucaCardio-Thoraco-Vascular Department, University of Trieste, Trieste, Italy.ORCID 0000-0002-4502-6621
Rudy CeleghinDepartment of Cardiac Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.ORCID 0000-0001-9047-9032
Kalliopi PilichouDepartment of Cardiac Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.ORCID 0000-0003-3646-0669
Athanasios BakalakosInstitute of Cardiovascular Science, University College London, London, UK.
Luis Rocha LopesInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0002-6408-4667
Konstantinos SavvatisInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0003-1966-1880
Davide StolfoCardio-Thoraco-Vascular Department, University of Trieste, Trieste, Italy.
Matteo Dal FerroCardio-Thoraco-Vascular Department, University of Trieste, Trieste, Italy.ORCID 0000-0002-2310-0448
Marco MerloCardio-Thoraco-Vascular Department, University of Trieste, Trieste, Italy.
Cristina BassoDepartment of Cardiac Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.ORCID 0000-0002-0195-9753
Javier Limeres FreireEuropean Reference Networks for rare, low prevalence and complex diseases of the heart (ERN GUARD-Heart).ORCID 0000-0003-3644-9494
Jose F Rodriguez-PalomaresEuropean Reference Networks for rare, low prevalence and complex diseases of the heart (ERN GUARD-Heart).ORCID 0000-0002-7229-9780
Toru KuboDepartment of Cardiology and Geriatrics, Kochi Medical School, Kochi University, Japan.
Tomas Ripoll-VeraInherited Cardiovascular Diseases Unit, Son Llatzer University Hospital & IdISBa, Palma de Mallorca, Spain.ORCID 0000-0001-9222-325X
Roberto Barriales-VillaUnidad de Cardiopatías Familiares, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña, Servizo Galego de Saúde (SERGAS), Universidade da Coruña, CIBERCV, A Coruña, Spain.ORCID 0000-0002-6721-3487
Loizos AntoniadesCyprus Institute of Cardiomyopathies and Inherited Cardiovascular Diseases, Nicosia, Cyprus.
Jens MogensenAalborg University Hospital, Denmark.
Pablo Garcia-PaviaHeart Failure and Inherited Cardiac Diseases Unit, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.ORCID 0000-0002-5470-2257
Karim WahbiCardiology Department, AP-HP, Cochin Hospital, FILNEMUS, Centre de Référence de Pathologie Neuromusculaire Nord/Est/Île-de-France, Paris-Descartes, Sorbonne Paris Cité University, Paris, France.ORCID 0000-0001-7682-7387
Elena BiaginiCardiology Unit, St Orsola Hospital, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID 0000-0003-0295-0440
Aris AnastasakisUnit of Inherited and Rare Cardiovascular Diseases, Onassis Cardiac Surgery Centre, Athens, Greece.ORCID 0000-0002-4367-430X
Adalena TsatsopoulouNikos Protonotarios Medical Centre, Naxos, Greece.
Esther ZorioCentre for Biomedical Network Research on Cardiovascular Diseases (CIBERCV), Madrid, Spain.ORCID 0000-0003-3608-4210
Juan R GimenoInherited Cardiac Diseases Unit (CSUR-ERN), Department of Cardiology, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.ORCID 0000-0001-5818-1754
Jose Manuel Garcia-PinillaCentre for Biomedical Network Research on Cardiovascular Diseases (CIBERCV), Madrid, Spain.ORCID 0000-0001-5999-5741
Petros SyrrisInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0002-2363-8758
Gianfranco SinagraCardio-Thoraco-Vascular Department, University of Trieste, Trieste, Italy.ORCID 0000-0003-2700-8478
Barbara BauceDepartment of Cardiac Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.ORCID 0000-0001-7357-293X
Perry M ElliottInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0003-3383-3984
University of Padua · ITUniversity of Trieste · ITSt Bartholomew's Hospital · GBCentro de Investigación en Red en Enfermedades Cardiovasculares · ESOnassis Cardiac Surgery Center · GRUniversidade da Coruña · ESUniversitat Autònoma de Barcelona · ESUniversity College London · GBAalborg University Hospital · DKCyprus Institute of Neurology and Genetics · CYDélégation Paris 5 · FRHospital Son Llatzer · ESHospital Universitario Puerta de Hierro Majadahonda · ESHospital Universitario Virgen de la Arrixaca · ESKōchi University · JPOdense University Hospital · DK

Funding

British Heart Foundation FS/18/82/34024Medical Research Council MR/T005181/1
6 · The paper itself

Abstract

aimsTo study the impact of genotype on the performance of the 2019 risk model for arrhythmogenic right ventricular cardiomyopathy (ARVC). METHODS AND

resultsThe study cohort comprised 554 patients with a definite diagnosis of ARVC and no history of sustained ventricular arrhythmia (VA). During a median follow-up of 6.0 (3.1,12.5) years, 100 patients (18%) experienced the primary VA outcome (sustained ventricular tachycardia, appropriate implantable cardioverter defibrillator intervention, aborted sudden cardiac arrest, or sudden cardiac death) corresponding to an annual event rate of 2.6% [95% confidence interval (CI) 1.9-3.3]. Risk estimates for VA using the 2019 ARVC risk model showed reasonable discriminative ability but with overestimation of risk. The ARVC risk model was compared in four gene groups: PKP2 (n = 118, 21%); desmoplakin (DSP) (n = 79, 14%); other desmosomal (n = 59, 11%); and gene elusive (n = 160, 29%). Discrimination and calibration were highest for PKP2 and lowest for the gene-elusive group. Univariable analyses revealed the variable performance of individual clinical risk markers in the different gene groups, e.g. right ventricular dimensions and systolic function are significant risk markers in PKP2 but not in DSP patients and the opposite is true for left ventricular systolic function.

conclusionThe 2019 ARVC risk model performs reasonably well in gene-positive ARVC (particularly for PKP2) but is more limited in gene-elusive patients. Genotype should be included in future risk models for ARVC.

Indexed as

Arrhythmogenic Right Ventricular DysplasiaArrhythmias, CardiacDeath, Sudden, CardiacGenotypeHumansRisk AssessmentRisk FactorsArrhythmogenic right ventricular cardiomyopathyGenotypeRisk stratificationSudden cardiac deathVentricular arrhythmia

Identifiers

PMID35766183
PMCPMC9392652
OpenAlexW4225753788

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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.