Evidence map›Paper›PMID 37900391›Full record

ReviewCureus2023

Polypharmacy, Gender Disparities, and Ethnic and Racial Predispositions in Long QT Syndrome: An In-Depth Review.

Bruno Lima, Soha Razmjouei, Muhammad Talha Bajwa, Zoha Shahzad, Oluwasegun A Shoewu, Osama Ijaz, Pooja Mange, Shandesh Khanal, Tsion Gebregiorgis

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. 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
2.0field-weighted citation impact, top 12% 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, 9 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

9 authors at 5 institutions in 5 countries.

Bruno LimaMedicine, University of Grande Rio, Rio Grande, USA.
Soha RazmjoueiAnesthesiology, Case Western Reserve University School of Medicine, Cleveland, USA.
Muhammad Talha BajwaInternal Medicine, Services Hospital Lahore, Lahore, PAK.
Zoha ShahzadInternal Medicine, Fatima Jinnah Medical University, Lahore, PAK.
Oluwasegun A ShoewuFamily Medicine, Hackensack University Medical Center, Hackensack, USA.
Osama IjazInternal Medicine, Services Hospital Lahore, Lahore, PAK.
Pooja MangeInternal Medicine, K.J. Somaiya Hospital and Research Center, Mumbai, IND.
Shandesh KhanalInternal Medicine, Lumbini Medical College, Kathmandu, NPL.
Tsion GebregiorgisGeneral Practice, Addis Ababa University Medical Faculty, Addis Ababa, ETH.
K. J. Somaiya Hospital & Research Centre · INFatima Jinnah Medical University · PKServices Hospital · PKAddis Ababa University · ETHackensack University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long QT syndrome (LQTS) is a complex disorder of cardiac electrophysiology. It is characterized by delayed myocardial polarization leading to QT prolongation and alterations on the ST segment and T wave visible on electrocardiogram (ECG). Syncope is a common manifestation, and torsade de pointes (TdP) can lead to sudden cardiac death. Three major LQTS genes (KCI31, KCNH2, and SCN5) lead to most of the cases of LQTS. Lifestyle modifications, beta blockers, and implantable cardioverter defibrillator (ICD) placement are the main treatments for LQTS. Polypharmacy, including QT-prolonging drugs, has been shown to worsen LQTS. The impact on potassium channels and the human ether-a-go-go-related gene (hERG) is the mechanism behind the QT interval prolongation caused by these medications. There is an increased incidence of LQTS among African-American men and women as compared to Caucasians. Women with LQTS tend to have a higher mortality rate from the condition, especially during menstruation and shortly after giving birth. Genetic testing is reserved to those patientswho exhibit either a strong clinical index of suspicion or experience persistent QT prolongation despite their lack of symptoms. Knowing the genetics, racial, and gender discrepancies can help improve patient management and a better comprehension on each case. Proper understanding of how ion channels function and their interaction with medications will lead to a better comprehension and to develop effective forms to treat those patients.

Indexed as

gender disparitygenetic mechanismspolypharmacyracial predispositionschwartz score

Identifiers

PMID37900391
PMCPMC10600617
OpenAlexW4387044918

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.