Evidence map›Paper›PMID 38639363›Full record

ArticleJournal of the American Heart Association2024

Biomarker Periodic Repolarization Dynamics Indicates Enhanced Risk for Arrhythmias and Sudden Cardiac Death in Myocardial Infarction in Pigs.

Julia Bauer, Julia Vlcek, Valerie Pauly, Nora Hesse, Ruibing Xia, Li Mo, Aparna Sharma Chivukula, Hannes Villgrater, Marie Dressler, Bianca Hildebrand and 7 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 16% 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, 4 citations in OpenAlex.

  1. Article
  2. Editorial: Sudden cardiac death: mechanisms, risk and prevention.Frontiers in cardiovascular medicine · 2026
    Article
  3. Cardiac disease mechanobiology: advances using hiPSC-CMs.Frontiers in cardiovascular medicine · 2025
    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

17 authors at 3 institutions in 2 countries.

Julia BauerDepartment of Medicine I University Hospital, LMU Munich Munich Germany.
Julia VlcekDepartment of Medicine I University Hospital, LMU Munich Munich Germany.ORCID 0009-0005-4448-4056
Valerie PaulyDepartment of Medicine I University Hospital, LMU Munich Munich Germany.
Nora HesseDepartment of Medicine I University Hospital, LMU Munich Munich Germany.
Ruibing XiaDepartment of Medicine I University Hospital, LMU Munich Munich Germany.
Li MoDepartment of Medicine I University Hospital, LMU Munich Munich Germany.ORCID 0009-0000-6548-3099
Aparna Sharma ChivukulaDepartment of Medicine I University Hospital, LMU Munich Munich Germany.ORCID 0000-0002-3386-1654
Hannes VillgraterDepartment of Medicine I University Hospital, LMU Munich Munich Germany.ORCID 0009-0005-6796-4482
Marie DresslerDepartment of Medicine I University Hospital, LMU Munich Munich Germany.
Bianca HildebrandDepartment of Medicine I University Hospital, LMU Munich Munich Germany.
Eckhard WolfChair for Molecular Animal Breeding and Biotechnology, Gene Center and Department of Veterinary Sciences, LMU Munich Munich Germany.ORCID 0000-0002-0430-9510
Konstantinos D RizasDepartment of Medicine I University Hospital, LMU Munich Munich Germany.ORCID 0000-0002-5993-0339
Axel BauerGerman Center for Cardiovascular Research (DZHK), Partner Site Munich, Munich Heart Alliance Munich Germany.ORCID 0000-0001-9201-8555
Stefan KääbDepartment of Medicine I University Hospital, LMU Munich Munich Germany.ORCID 0000-0001-8824-3581
Philipp TomsitsDepartment of Medicine I University Hospital, LMU Munich Munich Germany.ORCID 0000-0002-5842-9083
Dominik SchüttlerDepartment of Medicine I University Hospital, LMU Munich Munich Germany.ORCID 0000-0002-2546-5862
Sebastian ClaussDepartment of Medicine I University Hospital, LMU Munich Munich Germany.ORCID 0000-0002-5675-6128
LMU Klinikum · DEBavarian State Research Center for Agriculture · DEUniversität Innsbruck · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriodic repolarization dynamics (PRD) is an electrocardiographic biomarker that captures repolarization instability in the low frequency spectrum and is believed to estimate the sympathetic effect on the ventricular myocardium. High PRD indicates an increased risk for postischemic sudden cardiac death (SCD). However, a direct link between PRD and proarrhythmogenic autonomic remodeling has not yet been shown. METHODS AND

resultsWe investigated autonomic remodeling in pigs with myocardial infarction (MI)-related ischemic heart failure induced by balloon occlusion of the left anterior descending artery (n=17) compared with pigs without MI (n=11). Thirty days after MI, pigs demonstrated enhanced sympathetic innervation in the infarct area, border zone, and remote left ventricle paralleled by altered expression of autonomic marker genes/proteins. PRD was enhanced 30 days after MI compared with baseline (pre-MI versus post-MI: 1.75±0.30 deg

conclusionsWe demonstrate that ischemic heart failure leads to significant proarrhythmogenic autonomic remodeling. The concomitant elevation of PRD levels in pigs with ischemic heart failure and pigs with MI-related ventricular fibrillation/SCD suggests PRD as a biomarker for autonomic remodeling and as a potential predictive biomarker for ventricular arrhythmias/survival in the context of MI.

Indexed as

BiomarkersDeath, Sudden, CardiacDisease Models, AnimalElectrocardiographyMyocardial InfarctionAction PotentialsAnimalsArrhythmias, CardiacAutonomic Nervous SystemHeart RateMaleRisk FactorsSwineSympathetic Nervous SystemVentricular FibrillationVentricular RemodelingBiomarkersautonomic remodelingischemic heart failureperiodic repolarization dynamicspig modelsudden cardiac death

Identifiers

PMID38639363
PMCPMC11179938
OpenAlexW4394954535

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.