Evidence map›Paper›PMID 39387743›Full record

ArticleJACC. Clinical electrophysiology2024

Mechanisms of Chemical Atrial Defibrillation by Flecainide and Ibutilide.

Pei-Chi Yang, Luiz Belardinelli, Colleen E Clancy

Abstract read
In one paragraph

Article in JACC. Clinical electrophysiology, 2024. 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
–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.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Pei-Chi YangDepartment of Physiology and Membrane Biology, Center for Precision Medicine and Data Science, School of Medicine, University of California-Davis, Davis, California, USA. Electronic address: pcyang@ucdavis.edu.
Luiz BelardinelliInCarda Therapeutics, Newark, California, USA.
Colleen E ClancyDepartment of Physiology and Membrane Biology, Center for Precision Medicine and Data Science, School of Medicine, University of California-Davis, Davis, California, USA. Electronic address: ceclancy@ucdavis.edu.

Funding

Development of the Predictive NeuroCardiovascular SimulatorOT2OD026580 · OD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CLANCY, COLLEEN E, GRANDI, ELEONORA · 2018 to 2021
$5.7M
In silico Safety PharmacologyR01HL128537 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CLANCY, COLLEEN E, SANTANA, LUIS F · 2016 to 2024
$5.7M
Predictive multiscale in silico cardio-pharmacologyU01HL126273 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CLANCY, COLLEEN E · 2015 to 2019
$3.8M
Multi-Scale Modeling of Vascular Signaling UnitsR01HL152681 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CLANCY, COLLEEN E, SANTANA, LUIS F · 2020 to 2023
$2.4M
Digital Twins from the Atom to the RhythmR01HL174001 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI COLLEEN E CLANCY, Luis F Santana · 2024 to 2026
$2.4M
NHLBI NIH HHS R01 HL128537NHLBI NIH HHS R01 HL152681NHLBI NIH HHS R01 HL174001NHLBI NIH HHS U01 HL126273NIH HHS OT2 OD026580
6 · The paper itself

Abstract

backgroundEffective and safe pharmacological approaches for atrial defibrillation offer several potential advantages over techniques like ablation. Pharmacological therapy is noninvasive, involving no risk associated with the procedure or resulting complications. Moreover, acute drug intervention with existing drugs is likely to be low cost and broadly accessible, thereby addressing a central tenet of health equity.

objectivesThis study aims to investigate ibutilide-mediated action potential prolongation to promote use-dependent effects of flecainide on Na

methodsThe authors utilize a modeling and simulation approach to predict the specific combinations of sodium- and potassium-channel blocking drugs to chemically terminate atrial re-entry.

resultsComputational modeling and simulation show that acute application of flecainide and ibutilide is a promising example of drug repurposing that may constitute a promising combination for chemical atrial defibrillation.

conclusionsWe predict the drug concentrations that promote efficacy of flecainide and ibutilide used in combination for atrial chemical defibrillation. We also predict the potential safety pharmacology impact of this drug combination on ventricular electrophysiology.

Indexed as

Anti-Arrhythmia AgentsFlecainideHeart AtriaSulfonamidesAction PotentialsAtrial FibrillationComputer SimulationHumansPotassium Channel BlockersAnti-Arrhythmia AgentsFlecainideibutilidePotassium Channel BlockersSulfonamidesatrial arrhythmiasflecainideion channelpharmacologysafety pharmacology

Identifiers

PMID39387743
PMCPMC12007615

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.