Evidence map›Paper›PMID 40455968›Full record

ReviewThe Journal of physiology2026

Repolarization adaptation to rapid change in heart rate in human models - a review.

Lennart Bergfeldt, Karl-Jonas Axelsson, Pia Dahlberg, Farzad Vahedi, Gunilla Lundahl, Lennart Gransberg

Abstract readReview
In one paragraph

Review in The Journal of physiology, 2026. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Lennart BergfeldtDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-0161-9388
Karl-Jonas AxelssonDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Pia DahlbergDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0003-3344-1796
Farzad VahediDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Gunilla LundahlDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Lennart GransbergDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

Hjärt-Lungfonden (Swedish Heart-Lung Foundation) 20230703Swedish Government and County Councils ALF-agreement ALFGBG-1006070
6 · The paper itself

Abstract

Hysteresis is a ubiquitous phenomenon and a salient feature of the adaptation of cardiac ventricular repolarization (VR) duration to changes in heart rate (HR), an expression of ultra-rapid cardiac memory. Against a background of a handful of previous studies, this review focuses on non-invasive electrophysiological assessment of the adaptation of VR duration and heterogeneity (aka dispersion) to changes in HR. Four different modalities were used: atrial pacing (incremental and step up/down), ventricular pacing (step up/down), and atropine-induced continuous HR increase in healthy subjects and patients who either had permanent pacemakers or were scheduled for ablation of supraventricular tachycardia or had long QT syndrome type 1 (LQT1). Vectorcardiography according to Frank, with orthogonal leads X, Y, and Z, was used for signal recording and beat-to-beat analysis. The RR interval (instantaneous HR) was the input. VR duration was assessed by the QT and QT

Indexed as

Adaptation, PhysiologicalHeart RateHumanscardiac memoryhysteresislong QT syndromeQT intervalrepolarization dispersionventricular repolarization adaptation

Identifiers

PMID40455968
PMCPMC13481019

What OpenQuestion holds

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Registered trials

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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.