Evidence map›Paper›PMID 36434345›Full record

Trial reportThe international journal of cardiovascular imaging2022

Myocardial fibrosis and ventricular ectopy in patients with non-ischemic systolic heart failure: results from the DANISH trial.

Marie Bayer Elming, Rune Boas, Sophia Hammer-Hansen, Inga Voges, Eva Nyktari, Jesper Hastrup Svendsen, Steen Pehrson, Ulrik Dixen, Berit T Philbert, Sanjay K Prasad and 2 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in The international journal of cardiovascular imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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 6 institutions in 4 countries.

Marie Bayer ElmingDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 3, 9841, 2100, Copenhagen, Denmark. marie.bayer.elming@regionh.dk.
Rune BoasDepartment of Cardiology, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark.
Sophia Hammer-HansenDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 3, 9841, 2100, Copenhagen, Denmark.
Inga VogesDepartment of Congenital Heart Disease and Paediatric Cardiology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Eva NyktariDepartment of Cardiovascular Biomedical Research Unit, Royal Brompton Hospital, London, UK.
Jesper Hastrup SvendsenDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 3, 9841, 2100, Copenhagen, Denmark.
Steen PehrsonDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 3, 9841, 2100, Copenhagen, Denmark.
Ulrik DixenDepartment of Cardiology, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark.
Berit T PhilbertDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 3, 9841, 2100, Copenhagen, Denmark.
Sanjay K PrasadDepartment of Cardiovascular Biomedical Research Unit, Royal Brompton Hospital, London, UK.
Lars KøberDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 3, 9841, 2100, Copenhagen, Denmark.
Jens Jakob ThuneDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Copenhagen University Hospital · DKUniversity of Copenhagen · DKNIHR Royal Brompton Cardiovascular Biomedical Research Unit · GBRigshospitalet · DKFrederiksberg Hospital · DKRoyal Brompton Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with non-ischemic systolic heart failure (HF) have increased risk of sudden cardiovascular death (SCD). The initiation and substrate for ventricular arrhythmias remains poorly understood. Our purpose was to describe the relationship between cardiac magnetic resonance (CMR) late gadolinium enhancement (LGE) and Holter recorded ventricular arrhythmic activity. Patients from the DANISH trial underwent a Holter-recording and a CMR-scan. The presence of non-sustained ventricular tachycardia (NSVT) and premature ventricular contractions (PVC) were examined in relation to presence and amount of LGE. Outcome measures were all-cause mortality and SCD. Overall, 180 patients were included. LGE was present in 86 (47%). NSVT occurred in 72 (40%), not different according to LGE status (p = 0.65). The amount of LGE was not correlated to the occurrence of NSVT (p = 0.40). The occurrence of couplet PVCs (p = 0.997), frequent PVCs (p = 0.12), PVCs in bigemini (p = 0.29), in trigemini (p = 0.26), or in quadrimini (p = 0.35) did not differ according to LGE status. LGE was significantly associated with risk of all-cause mortality (HR 2.14; 95% CI 1.05-4.37, p = 0.04). NSVT did not increase risk of all-cause mortality in either patients with LGE (HR 1.00; 95% CI 0.46-2.16, p = 0.996) or without LGE (HR 1.37; 95% CI 0.46-4.08, p = 0.57). There was no interaction between LGE and NSVT for the risk of all-cause mortality (p = 0.62). In patients with non-ischemic systolic HF there was no relationship between the presence of LGE and NSVT or any other Holter recorded ventricular tachyarrhythmia. LGE was associated with increased risk of mortality, independent of the presence of NSVT.

Indexed as

CardiomyopathiesHeart Failure, SystolicVentricular Premature ComplexesContrast MediaDeath, Sudden, CardiacDenmarkFibrosisGadoliniumHumansPredictive Value of TestsRisk FactorsContrast MediaGadoliniumCardiac magnetic resonanceHolter recordingLate gadolinium enhancementMyocardial fibrosisNon-ischemic systolic heart failureNon-sustained ventricular tachycardiaPremature ventricular contractionsVentricular ectopy

Identifiers

PMID36434345
OpenAlexW4283808447

What OpenQuestion holds

Textmetadata
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.