Evidence map›Paper›PMID 38265350›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2024

Epilepsy's effect on cardiac rhythm and the autonomic nervous system.

Tulin Gesoglu Demir, Fatih Gungoren, Ozlem Uzunkaya Ethemoglu, Dilek Agircan

Open access · diamondAbstract read
In one paragraph

Article in Revista da Associacao Medica Brasileira (1992), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
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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 2 institutions in 2 countries.

Tulin Gesoglu DemirHarran University, Faculty of Medicine, Department of Neurology - Şanlıurfa, Turkey.ORCID http://orcid.org/0000-0002-9341-5525
Fatih GungorenMedical Park Florya Hospital, Department of Cardiology - İstanbul, Turkey.ORCID http://orcid.org/0000-0002-8053-017X
Ozlem Uzunkaya EthemogluHarran University, Faculty of Medicine, Department of Neurology - Şanlıurfa, Turkey.ORCID http://orcid.org/0000-0003-1164-9879
Dilek AgircanHarran University, Faculty of Medicine, Department of Neurology - Şanlıurfa, Turkey.ORCID http://orcid.org/0000-0001-5055-1933
Harran University · TRUniversity of Lagos · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSudden unexpected death in epilepsy is the most common cause of death in young patients with epilepsy. The aim of this study was to evaluate changes in interictal electrocardiogram parameters and sympathetic skin responses as markers of autonomic dysfunction in patients with epilepsy and to determine their effects on the type and duration of epilepsy, frequency of seizures, and responses to treatment.

methodsA total of 97 patients with epilepsy and 94 healthy controls were recruited. We recorded their clinical and demographic characteristics and analyzed sympathetic skin response latency and amplitude, electrocardiogram recordings, and seven cardiac rhythm parameters: P-wave duration, PR segment, QRS duration, QT interval, QT interval distribution, Tpe duration, and Tpe/QT interval ratio.

resultsP-wave durations, T-wave durations, QT and QT interval durations, and Tpe and sympathetic skin response latency were significantly longer among patients with epilepsy than the controls, and their heart rate was significantly lower. However, sympathetic skin response latency and heart rate were negatively correlated, and T-wave duration, QT duration, QT interval duration, and Tpe were positively correlated.

conclusionOur results from interictal electrocardiograms indicate clinically significant arrhythmias among patients with epilepsy and the correlation of such arrhythmias with sympathetic skin responses. Thus, noninvasive tests that evaluate the autonomic system should be used to predict the risk of sudden unexpected death in epilepsy among patients with epilepsy.

Indexed as

Autonomic Nervous System DiseasesSudden Unexpected Death in EpilepsyAutonomic Nervous SystemDeath, SuddenHeart RateHumansSeizures

Identifiers

PMID38265350
PMCPMC10807047
OpenAlexW4391091687

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.