Evidence map›Paper›PMID 36441561›Full record

ArticleCirculation. Arrhythmia and electrophysiology2022

The Utility of Sodium Channel Provocation in Unexplained Cardiac Arrest Survivors and Electrocardiographic Predictors of Ventricular Fibrillation Recurrence.

Bode Ensam, Christopher C Cheung, Fahad Almehmadi, Bo Gregers Winkel, Chiara Scrocco, Paul Brennan, Kevin Leong, Alison Muir, Amanda Vanarva, Jacob Tfelt-Hansen and 3 more

Open access · greenAbstract read
In one paragraph

Article in Circulation. Arrhythmia and electrophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Clinical Management of Brugada Syndrome: Commentary From the Experts.Circulation. Arrhythmia and electrophysiology · 2024
    Review
  3. Review
  4. 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

13 authors at 7 institutions in 4 countries.

Bode EnsamCardiology Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, United Kingdom (B.E., C.S., E.R.B.).ORCID 0000-0002-9655-8708
Christopher C CheungCenter for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver (C.C.C., A.D.K.).ORCID 0000-0003-0459-3897
Fahad AlmehmadiSection of Cardiac Electrophysiology, Division of Cardiology, Department of Medicine, Western University, London, Ontario, Canada (F.A., J.D.R.).ORCID 0000-0001-7909-3980
Bo Gregers WinkelDepartment of Cardiology, Rigshospitalet, Copenhagen, Denmark (B.G.W., J.T.-H.).ORCID 0000-0002-3063-4712
Chiara ScroccoCardiology Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, United Kingdom (B.E., C.S., E.R.B.).ORCID 0000-0001-7739-4042
Paul BrennanRoyal Victoria Hospital, Belfast, United Kingdom (P.B., A.M.).
Kevin LeongImperial College Healthcare NHS Trust, London, United Kingdom (K.L., A.V.).ORCID 0000-0003-3208-2592
Alison MuirRoyal Victoria Hospital, Belfast, United Kingdom (P.B., A.M.).ORCID 0000-0002-2919-617X
Amanda VanarvaImperial College Healthcare NHS Trust, London, United Kingdom (K.L., A.V.).ORCID 0000-0003-0651-0303
Jacob Tfelt-HansenDepartment of Cardiology, Rigshospitalet, Copenhagen, Denmark (B.G.W., J.T.-H.).
Jason D RobertsSection of Cardiac Electrophysiology, Division of Cardiology, Department of Medicine, Western University, London, Ontario, Canada (F.A., J.D.R.).ORCID 0000-0003-0268-6723
Andrew D KrahnCenter for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver (C.C.C., A.D.K.).ORCID 0000-0002-7982-1586
Elijah R BehrCardiology Clinical Academic Group, St George's University Hospitals NHS Foundation Trust, London, United Kingdom (B.E., C.S., E.R.B.).ORCID 0000-0002-8731-2853
St George's, University of London · GBImperial College Healthcare NHS Trust · GBUniversity of British Columbia · CAUniversity of Ulster · GBWestern University · CARigshospitalet · DKUniversity of Copenhagen · DK

Funding

British Heart Foundation PG/15/107/31908British Heart Foundation PG/19/58/34581
6 · The paper itself

Abstract

backgroundThe implications of a drug-induced type 1 Brugada ECG pattern following sodium channel blocker provocation (SCBP) are not fully understood.

methodsBaseline clinical and ECG data were obtained from consecutive unexplained cardiac arrest survivors undergoing SCBP at 3 centers. A further 15 SCBP positive (SCBP+) unexplained cardiac arrest survivors were recruited from 3 additional centers to explore ventricular fibrillation recurrence.

resultsA total of 121 consecutive unexplained cardiac arrest survivors underwent SCBP. The yield of the drug-induced type 1 Brugada ECG pattern was 17%. A baseline type 2/3 Brugada pattern (T2/3BP) (adjusted odds ratio, 19.36 [2.74-136.61];

conclusionsThe yield of the drug-induced type 1 Brugada ECG pattern in consecutive unexplained cardiac arrest survivors undergoing SCBP is 17%. A baseline T2/3BP and PR interval were independent predictors of the drug-induced type 1 Brugada ECG pattern. Greater heritability of BrS phenotype in this group was evidenced by a greater prevalence of pathogenic

Indexed as

Brugada SyndromeHeart ArrestArrhythmias, CardiacDeath, Sudden, CardiacElectrocardiographyHumansPrevalenceSodium Channel BlockersSurvivorsSyncopeVentricular FibrillationSodium Channel BlockersBrugada Syndromeearly repolarizationsodium channel provocationsudden deathventricular fibrillation

Identifiers

PMID36441561
PMCPMC10289235
OpenAlexW4310128806

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.