Evidence map›Paper›PMID 35857946›Full record

ArticleArquivos brasileiros de cardiologia2022

Association between Atrioventricular Block and Mortality in Primary Care Patients: The CODE Study.

Gabriela Miana de Mattos Paixão, Emilly M Lima, André B Quadros, Daniel P R Cabral, Renato R Coelho, Derick M Oliveira, Jamil de Souza Nascimento, Paulo R Gomes, Antonio L Ribeiro

Abstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 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.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Gabriela Miana de Mattos PaixãoUniversidade Federal de Minas Gerais, Belo Horizonte, MG - Brasil.ORCID 0000-0003-1349-1745
Emilly M LimaUniversidade Federal de Minas Gerais, Belo Horizonte, MG - Brasil.
André B QuadrosFaculdade da Saúde e Ecologia Humana, Vespasiano, MG - Brasil.
Daniel P R CabralFaculdade da Saúde e Ecologia Humana, Vespasiano, MG - Brasil.
Renato R CoelhoFaculdade da Saúde e Ecologia Humana, Vespasiano, MG - Brasil.
Derick M OliveiraUniversidade Federal de Minas Gerais, Belo Horizonte, MG - Brasil.
Jamil de Souza NascimentoMinistério da Saúde, Superintendência Estadual do Ministério da Saúde em Minas Gerais (SEMS-MG), Belo Horizonte, MG - Brasil.
Paulo R GomesUniversidade Federal de Minas Gerais, Belo Horizonte, MG - Brasil.
Antonio L RibeiroUniversidade Federal de Minas Gerais, Belo Horizonte, MG - Brasil.ORCID 0000-0002-2740-0042

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrioventricular block (AVB) describes an impairment of conduction from the atria to the ventricles. Although the clinical course of AVB has been evaluated, the findings are from high-income countries and, therefore, cannot be extrapolated to the Latinx population.

objectiveEvaluate the association between AVB and mortality.

methodsPatients from the CODE (Clinical Outcomes in Digital Electrocardiology) study, older than 16 years who underwent digital electrocardiogram (ECG) from 2010 to 2017 were included. ECGs were reported by cardiologists and by automated software. To assess the relationship between AVB and mortality, the log-normal model and the Kaplan-Meier curves were used with two-tailed p-values < 0.05 considered statistically significant.

resultsThe study included 1,557,901 patients; 40.2% were men, and mean age was 51.7 (standard deviation ± 17.6) years. In a mean follow-up of 3.7 years, the mortality rate was 3.35%. The AVB prevalence was 1.38% (21,538). Patients with first-, second-, and third-degree AVB were associated with 24% (relative survival rate [RS] = 0.76; 95% confidence interval [CI]: 0.71-0.81; p < 0.001), 55% (RS = 0.45; 95% CI: 0.27-0.77; p = 0.01), and 64% (RS = 0.36; 95% CI: 0.26-0.49; p < 0.001) lower survival rate when compared to the control group, respectively. Patients with 2:1 AVB had 79% (RS = 0.21; 95% CI: 0.08-0.52; p = 0.005) lower survival rate than the control group. Only Mobitz type I was not associated with higher mortality (p = 0.27).

conclusionAVB was an independent risk factor for overall mortality, with the exception of Mobitz type I.

Indexed as

Atrioventricular BlockElectrocardiographyFemaleHumansMaleMiddle AgedPrimary Health CareRisk Factors

Identifiers

PMID35857946
PMCPMC9563883

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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.