Evidence map›Paper›PMID 36606676›Full record

SynthesisAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2023

Echocardiography- versus intracardiac electrocardiogram-based optimization of cardiac resynchronization therapy: A systematic review.

Abdul Sami, Bilal Mustafa, Hamza Ahmed Butt, Zainab Ashraf, Asif Ullah, Farheen Babar, Muhammad Asad, Muhammad Awais, Syed Muhammad Jawad Zaidi, Tehniat Fakhar and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 3 pooled it
–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

3 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Efficacy and safety of cardiac resynchronization therapy in chemotherapy-induced cardiomyopathy: A systematic review.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023
    Pooled it
  2. Targeted left ventricular lead positioning to the site of latest activation in cardiac resynchronization therapy: a systematic review and meta-analysis.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Pooled it
  3. Echocardiography- versus intracardiac electrocardiogram-based optimization of cardiac resynchronization therapy: A systematic review.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023
    Pooled it
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.

Abdul SamiDepartment of Cardiology, DHQ Teaching Hospital, Kohat, Pakistan.
Bilal MustafaDepartment of Cardiology, Akbar Niazi Teaching Hospital, Islamabad, Pakistan.
Hamza Ahmed ButtDepartment of Medicine, Services Hospital, Lahore, Pakistan.
Zainab AshrafDepartment of Medicine, CMH Lahore Medical College, Lahore, Pakistan.ORCID 0000-0003-2645-1718
Asif UllahDepartment of Cardiology, Khyber Medical University Institute of Medical Sciences, Kohat, Pakistan.
Farheen BabarDepartment of Cardiology, DHQ Hospital, Chakwal, Pakistan.
Muhammad AsadDepartment of Cardiology, Benazir Bhutto Hospital, Rawalpindi, Pakistan.
Muhammad AwaisDepartment of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan.
Syed Muhammad Jawad ZaidiCardiovascular Analytics Group, Hong Kong, China.
Tehniat FakharDepartment of Medicine, Shifa Tameer e Millat University, Islamabad, Pakistan.
Amin MehmoodiDepartment of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan.ORCID 0000-0002-9343-4187
Nawal AdnanDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.
Jahanzeb MalikDepartment of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review aimed to evaluate the performance of echocardiography-based programming in comparison with the intracardiac electrocardiogram (IEGM)-based method for the optimization of cardiac resynchronization therapy (CRT).

methodsA literature review was conducted using digital databases to systematically identify the studies reporting CRT optimization through echocardiography compared with IEGM. Detailed patient-level study characteristics including the type of study, sample size, therapy, the New York Heart Classification (NYHA) status, lead placement, and other parameters were abstracted. Finally, postprogramming outcomes were extracted for each article.

resultsIn a total of 11 studies, 919 patients were recruited for the final analysis. Overall, 692 (75.29%) were males. The mean duration of the QRS complex in our study population ranged from 145.2 ± 21.8 ms to 183 ± 19.9 ms. There was an equal improvement in the NYHA class between the two methods while the left ventricular ejection fraction (LVEF) demonstrated an improvement by IEGM. Many studies supported IEGM to increase the 6-minute walk test and left ventricular outflow tract velocity time interval (LVOT VTI) when compared to echocardiography. The mean time for echocardiography-based optimization was 60.15 min while that of IEGM-based optimization was 6.65 min.

conclusionIEGM is an alternative method for CRT optimization in improving the NYHA class, LVEF, and LVOT VTI, and is less time-consuming when compared to the echocardiography-based methods.

Indexed as

Cardiac Resynchronization TherapyHeart FailureEchocardiographyElectrocardiographyFemaleHumansMaleStroke VolumeTreatment OutcomeVentricular Function, Leftheart failureventricular synchrony

Identifiers

PMID36606676
PMCPMC10023891

What OpenQuestion holds

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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.