Evidence map›Paper›PMID 39527076›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2024

aTrial arrhythmias in inhEriTed aRrhythmIa Syndromes: results from the TETRIS study.

Giulio Conte, Marco Bergonti, Vincent Probst, Hiroshi Morita, Jacob Tfelt-Hansen, Elijah R Behr, Kusano Kengo, Elena Arbelo, Lia Crotti, Georgia Sarquella-Brugada and 38 more

Abstract readMulticenter Study
In one paragraph

Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. Clinical profile and prognosis of brugada syndrome SCN5A variant carriers with negative sodium channel blocker challenge.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  4. Supraventricular tachycardias in ion channel diseases.Herzschrittmachertherapie & Elektrophysiologie · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Increased pacemaker implantation and mortality rates in relatives of patients with early-onset sinus node dysfunction: can genetics explain all?Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    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

48 authors.

Giulio ConteDivision of Cardiology, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Via Tesserete 48, CH-6900 Lugano, Switzerland.ORCID 0000-0003-2248-3456
Marco BergontiDivision of Cardiology, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Via Tesserete 48, CH-6900 Lugano, Switzerland.ORCID 0000-0001-9864-1938
Vincent ProbstCardiology Department, L'institut du thorax CHU de Nantes, Nantes, France.ORCID 0000-0002-5492-8619
Hiroshi MoritaDepartment of Cardiovascular Therapeutics, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.ORCID 0000-0001-6419-1246
Jacob Tfelt-HansenERN GUARDHEART.ORCID 0000-0003-3895-9316
Elijah R BehrERN GUARDHEART.ORCID 0000-0002-8731-2853
Kusano KengoDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.ORCID 0000-0002-5760-9285
Elena ArbeloERN GUARDHEART.ORCID 0000-0003-0424-6393
Lia CrottiIRCCS, Istituto Auxologico Italiano, Center for Cardiac Arrhythmias of Genetic Origin and Laboratory of Cardiovascular Genetics, Milan, Italy.ORCID 0000-0001-8739-6527
Georgia Sarquella-BrugadaERN GUARDHEART.ORCID 0000-0002-6857-8904
Arthur A M WildeDepartment of Cardiology, Amsterdam University Medical Center, Amsterdam, The Netherlands.ORCID 0000-0002-0528-0852
Leonardo CalòCardiology Department, Policlinico Casilino, Rome, Italy.ORCID 0000-0002-6062-5286
Andrea SarkozyCardiology Department,University Hospital Antwerp, Antwerp, Belgium.ORCID 0000-0001-6327-0487
Carlo de AsmundisERN GUARDHEART.ORCID 0000-0001-9351-0760
Greg MellorCardiology Department, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.ORCID 0000-0002-8246-9974
Federico MiglioreDepartment of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, Padova, Italy.ORCID 0000-0001-8574-9421
Kostantinos LetsasArrhythmia Unit, Onassis Cardiac Surgery Center, Athens, Greece.ORCID 0000-0001-8924-8261
Alessandro VicentiniDivisione di Cardiologia, IRCCS Policlinico S. Matteo, Pavia, Italy.ORCID 0000-0001-7424-3943
Moises LevinsteinCardiology Department, Nacional de Cardiología 'Ignacio Chávez', Mexico City, Mexico.
Paola BerneCardiology Department, Ospedale Santissima Annunziata, Azienda Ospedaliera Universitaria, Sassari, Italy.ORCID 0000-0003-1160-4064
Shih-Ann ChenHeart Rhythm Center, Taipei Veterans General Hospital and Cardiovascular Center, Taichung Veterans General Hospital, National Yang Ming Chiao Tung University and National Chung Hsing University, Taipei, Taiwan.ORCID 0000-0002-6674-5625
Christian VeltmannHeart Center Bremen, Electrophysiology Bremen, Bremen, Germany.ORCID 0000-0001-7587-1124
Elżbieta Katarzyna BiernackaCardiology Department, Cardinal Wyszyński National Institute of Cardiology, Warsaw, Poland.ORCID 0000-0003-3215-5085
Paula CarvalhoCardiology Department, University Hospital San Luigi Gonzaga di Orbassano, Orbassano, Italy.ORCID 0000-0001-8443-9050
Mihoko KabawataDepartment of Cardiovascular Disease, AOI Universal Hospital, Kanagawa, Japan.
Kyoko SojemaDepartment Cardiovascular Medicine, Kyorin University, Kyorin, Japan.
Maria Cecilia GonzalezPediatric Cardiology and Electrophysiology, Sainte Justine-University of Montreal, Montreal, Canada.ORCID 0000-0002-4289-049X
Gary TseFaculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0001-5510-1253
Aurélie TholletCardiology Department, L'institut du thorax CHU de Nantes, Nantes, France.ORCID 0000-0002-3776-6072
Jesper SvaneCardiology Department, Rigshospitalet-Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0002-5082-2817
Maria Luce CaputoDivision of Cardiology, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Via Tesserete 48, CH-6900 Lugano, Switzerland.ORCID 0000-0003-1190-5967
Chiara ScroccoCardiovascular and Genomics Research Institute, St. George's, University of London and St. George's University Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0001-7739-4042
Tsukasa KamakuraDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.ORCID 0000-0003-2964-2544
Livia Franchetti PardoDivision of Cardiology, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Via Tesserete 48, CH-6900 Lugano, Switzerland.ORCID 0009-0006-8646-7008
Sharen LeeFaculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0002-2401-2837
Christian Krijger JuárezDepartment of Cardiology, Amsterdam University Medical Center, Amsterdam, The Netherlands.ORCID 0000-0003-1603-7484
Annamaria MartinoCardiology Department, Policlinico Casilino, Rome, Italy.
Li-Wei LoHeart Rhythm Center, Cardiovascular Center, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID 0000-0001-9102-227X
Cinzia MonacoHeart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium.ORCID 0000-0002-5373-1689
Álvaro E Reyes-QuinteroCentro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico.ORCID 0000-0001-9732-8755
Nicolò MartiniDepartment of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, Padova, Italy.ORCID 0000-0003-3288-9791
Tardu OezkartalDivision of Cardiology, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Via Tesserete 48, CH-6900 Lugano, Switzerland.ORCID 0000-0001-8391-8164
Catherine KlersyBiostatistics & Clinical Trial Center, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.ORCID 0000-0003-0314-8548
Josep BrugadaArrhythmia Section, Cardiology Department, Hospital Clinic, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0002-5662-8302
Peter J SchwartzIRCCS, Istituto Auxologico Italiano, Center for Cardiac Arrhythmias of Genetic Origin and Laboratory of Cardiovascular Genetics, Milan, Italy.ORCID 0000-0003-0367-1048
Pedro BrugadaHeart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium.ORCID 0000-0003-3172-6106
Bernard BelhassenHeart Institute, Hadassah Medical Center, Jerusalem, Israel.ORCID 0000-0002-7468-2054
Angelo AuricchioDivision of Cardiology, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Via Tesserete 48, CH-6900 Lugano, Switzerland.ORCID 0000-0003-2116-6993

Funding

Swiss National Science Foundation PZ00P3_180055
6 · The paper itself

Abstract

aimsLittle is known about the distribution and clinical course of patients with inherited arrhythmia syndrome (IAS) and concomitant atrial arrhythmias (AAs). The aim of the study is (i) to characterize the distribution of AAs in patients with IAS and (ii) evaluate the long-term clinical course of these patients. METHODS AND

resultsAn international multicentre study was performed and involved 28 centres in 16 countries. Inclusion criteria were (i) IAS and (ii) electrocardiographic documentation of AAs. The primary endpoint was a composite of sudden cardiac death, sustained ventricular arrhythmias (VAs), or appropriate implantable cardioverter defibrillator (ICD) interventions. Strokes, inappropriate ICD shocks due to AAs, and the occurrence of sinus node dysfunction were assessed. A total of 522 patients with IAS and AAs were included. Most patients were diagnosed with Brugada syndrome (n = 355, 68%) and long QT syndrome (n = 93, 18%). The remaining patients (n = 71, 14%) presented with short QT syndrome, early repolarization syndrome, catecholaminergic polymorphic ventricular tachycardia, progressive cardiac conduction diseases, or idiopathic ventricular fibrillation. Atrial fibrillation was the most prevalent AA (82%), followed by atrial flutter (9%) and atrial tachycardia (9%). Atrial arrhythmia was the first clinical manifestation of IAS in 52% of patients. More than one type of AA was documented in 23% of patients. Nine patients (3%) experienced VA before the diagnosis of IAS due the use of anti-arrhythmic medications taken for the AA. The incidence of the primary endpoint was 1.4% per year, with a two-fold increase in patients who experienced their first AA before the age of 20 (odds ratio 2.2, P = 0.043). This was consistent across the different forms of IAS. Inappropriate ICD shock due to AAs was reported in 2.8% of patients, strokes in 4.4%, and sinus node dysfunction in 9.6%.

conclusionAmong patients with IAS and AAs, AA is the first clinical manifestation in about half of the cases, with more than one form of AAs present in one-fourth of the patients. The occurrence of AA earlier in life may be associated with a higher risk of VAs. The occurrence of stroke and sinus node dysfunction is not infrequently in this cohort.

Indexed as

Atrial FibrillationAdolescentAdultAgedArrhythmias, CardiacAtrial FlutterBrugada SyndromeDeath, Sudden, CardiacDefibrillators, ImplantableElectric CountershockElectrocardiographyEuropeFemaleHumansLong QT SyndromeMaleAtrial arrhythmiasAtrial fibrillationBrugada syndromeChannelopathiesInherited arrhythmia syndromeLong QT syndromeSudden cardiac deathVentricular arrhythmias

Identifiers

PMID39527076
PMCPMC11630530

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