Evidence map›Paper›PMID 36625987›Full record

ArticleCardiovascular drugs and therapy2024

The Association of Proton Pump Inhibitors and QT Interval Prolongation in Critically Ill Patients.

Weiguo Fan, Hualong Liu, Yang Shen, Kui Hong

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Article in Cardiovascular drugs and therapy, 2024. 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
2.6field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
  4. Review
  5. A Cautionary Tale of Combination Ceftriaxone and Lansoprazole: Should Pediatric Clinicians Heed the Warning?The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
  6. Pro-arrhythmic potential of proton-pump inhibitors.Nature reviews. Cardiology · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. 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

4 authors at 1 institution in 1 country.

Weiguo FanDepartment of Cardiovascular Medicine, the Second Affiliated Hospital of Nanchang University, NO 1 Mingde Road, Nanchang, Jiangxi, China.
Hualong LiuDepartment of Cardiovascular Medicine, the Second Affiliated Hospital of Nanchang University, NO 1 Mingde Road, Nanchang, Jiangxi, China.
Yang ShenJiangxi Key Laboratory of Molecular Medicine, Nanchang, Jiangxi, China.
Kui HongDepartment of Cardiovascular Medicine, the Second Affiliated Hospital of Nanchang University, NO 1 Mingde Road, Nanchang, Jiangxi, China. hongkui88@163.com.ORCID 0000-0001-9416-0862
Nanchang University · CN

Funding

National Natural Science Foundation of China 31971041National Natural Science Foundation of China 82030018Scientific Foundation of Jiangxi Province 20203AEI91005
6 · The paper itself

Abstract

introductionDrug-induced QT interval prolongation has been reported to be related to life-threatening polymorphic ventricular tachycardia (torsade de pointes). Proton pump inhibitors (PPIs) are prescribed widely for hospitalized patients; the QT interval prolongation and torsade de pointes caused by PPIs were reported. We conducted a study to determine the association between PPI treatment and QT interval prolongation in critically ill patients.

methodsThis study included patients with electrocardiography (ECG) reports from the Medical Information Mart for Intensive Care III database (MIMIC-III). Patients younger than 18 years, missing baseline laboratories and with QT interval prolongation before intensive care unit (ICU) admission were excluded. The end point was the diagnosis of QT interval prolongation reported by ECG.

resultsThis study included 24,512 ICU patients. Of them, 11,327 patients were treated with PPIs, 4181 with histamine 2 receptor antagonists (H

conclusionIn ICU patients, the association between PPI prescription and increased risk of QT interval prolongation was independent of known QT-prolonging factors; pantoprazole and lansoprazole had a higher risk compared with omeprazole. The combination of PPIs and other QT-prolonging drugs should be avoided.

Indexed as

Critical IllnessLong QT SyndromeProton Pump InhibitorsAgedDatabases, FactualElectrocardiographyFemaleHistamine H2 AntagonistsHumansIncidenceIntensive Care UnitsMaleMiddle AgedRetrospective StudiesRisk FactorsTorsades de PointesHistamine H2 AntagonistsProton Pump InhibitorsElectrocardiographyHistamine 2 receptor antagonistsIntensive care unitProton pump inhibitorQT interval prolongation

Identifiers

PMID36625987
OpenAlexW4315436683

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Registered trials

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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.