Evidence map›Paper›PMID 36078991›Full record

ArticleJournal of clinical medicine2022

Body Weight Counts-Cardioversion with Vernakalant or Ibutilide at the Emergency Department.

Teresa Lindmayr, Sebastian Schnaubelt, Patrick Sulzgruber, Alexander Simon, Jan Niederdoeckl, Filippo Cacioppo, Nikola Schuetz, Hans Domanovits, Alexander Oskar Spiel

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
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

9 authors at 1 institution in 1 country.

Teresa LindmayrDepartment of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-8744-3781
Sebastian SchnaubeltDepartment of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0003-0057-8200
Patrick SulzgruberDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria.
Alexander SimonDepartment of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria.
Jan NiederdoecklDepartment of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria.
Filippo CacioppoDepartment of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-6095-4899
Nikola SchuetzDepartment of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria.
Hans DomanovitsDepartment of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria.
Alexander Oskar SpielDepartment of Emergency Medicine, Medical University of Vienna, 1090 Vienna, Austria.ORCID 0000-0002-7696-2703
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimMedication for the pharmacological cardioversion of atrial fibrillation (AF) and atrial flutter (AFL) is applied either in a fixed dose or adapted to body weight. Individual body weight might be a relevant confounder for anti-arrhythmic treatment success. Therefore, the aim of this study was to elucidate the impact of body weight on pharmacological cardioversion success, comparing weight adapted (Vernakalant) and fixed dose (Ibutilide) pharmacotherapeutic cardioversion regimes.

methodsWithin this prospective observational trial, a total of 316 episodes of AF and AFL were enrolled. Patients were stratified in either a Vernakalant (

resultsConversion to sinus rhythm was achieved in 76.3% of all cases. Of note, there was no difference comparing the Vernakalant and Ibutilide treatment arms (Vernakalant 76.2% vs. Ibutilide 76.3%;

conclusionBoth, the Vernakalant and Ibutilide treatment arms showed comparable rates of treatment success in pharmacotherapeutic cardioversion of AF and AFL. Of utmost importance, we observed that the fixed dose of Ibutilide-as compared to the weight-adapted dose of Vernakalant-showed a reduced treatment success with increasing body weight.

Indexed as

atrial fibrillationbody weightcardioversionpharmacological cardioversion

Identifiers

PMID36078991
PMCPMC9456766
OpenAlexW4293758701

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.