Evidence map›Paper›PMID 40467617›Full record

Observational studyScientific reports2025

Association of ventricular arrhythmias with lamotrigine: an observational cohort study.

Sodam Kim, Landon Welch, Bertha De Los Santos, Przemysław B Radwański, Mark A Munger, Kibum Kim

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2025. 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
–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

4 citing papers in PubMed.

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

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Sodam KimDepartment of Pharmacy Systems and Outcomes and Policy, University of Illinois at Chicago, 833 S Wood Street, Chicago, IL, 60612, USA.ORCID http://orcid.org/0009-0002-0124-0404
Landon WelchDepartment of Pharmacotherapy, University of Utah Health, Salt Lake City, UT, USA.
Bertha De Los SantosDepartment of Pharmacy Systems and Outcomes and Policy, University of Illinois at Chicago, 833 S Wood Street, Chicago, IL, 60612, USA.
Przemysław B RadwańskiDepartment of Physiology and Cell Biology, The Ohio State University, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-0750-2308
Mark A MungerDepartment of Pharmacotherapy, University of Utah Health, Salt Lake City, UT, USA. mmunger@hsc.utah.edu.ORCID http://orcid.org/0000-0001-9543-1898
Kibum KimDepartment of Pharmacy Systems and Outcomes and Policy, University of Illinois at Chicago, 833 S Wood Street, Chicago, IL, 60612, USA. kkim204@uic.edu.ORCID http://orcid.org/0000-0002-8676-7434

Funding

Regulation and dysregulation of sodium channels by by calmodulinR01HL155378 · NHLBI · OHIO STATE UNIVERSITY · PI RADWANSKI, PRZEMYSLAW · 2021 to 2025
$2.5M
Defining Novel Mechanisms of Sudden Death in Dravet Syndrome: Dysregulation of Sodium Channels in the HeartR01NS121234 · NINDS · OHIO STATE UNIVERSITY · PI Przemyslaw Radwanski · 2022 to 2026
$2.1M
NHLBI NIH HHS R01 HL155378NHLBI NIH HHS R01HL155378NINDS NIH HHS R01 NS121234
6 · The paper itself

Abstract

Whether lamotrigine (LTG) is associated with ventricular tachycardia (VT) in bipolar disorder (BPD), partial seizures (PSZ) and generalized tonic-clonic seizures (GTSZ) with and without structural heart disease (SHD) remains controversial leading to a real-world comparative cohort observational study. A retrospective observational comparative safety study was performed using a large healthcare claims database of adult participants, analyzing the risk of VT incidence. Patients diagnosed with BPD, PSZ or GTSZ where free from supraventricular (SVT) or VT during the 6-month baseline period. Exposure to LTG versus commonly prescribed alternative agents was the CTR. One-year cumulative VT incidence was calculated for GTSZ, PSZ and BPD using Kaplan-Meier estimator adjusted for baseline characteristics. The analytic cohort included 153,852 LTG and 213,593 CTR for BPD, 10,275 LTG and 24,971 CTR for PSZ, and 5,860 LTG and 17,506 CTR for GTSZ. The 1-year VT cumulative incidence from LTG or CTR free from was 0.79% vs. 0.68% in BPD, 0.76% vs. 0.58% in PSZ, and 0.93% vs. 0.40% in GTSZ cohorts, The adjusted HR [95% CI] estimates were 1.326 [1.122-1.568, p < 0.01], 1.403 [0.920-2.138, p = 0.11], and 1.180 [0.607-2.295, p = 0.63]. In adult participants with BPD, LTG has a statistically significant association to increase VT risk compared to commonly prescribed alternatives.

Indexed as

AnticonvulsantsLamotrigineTachycardia, VentricularAdultAgedBipolar DisorderCohort StudiesFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesSeizuresAnticonvulsantsLamotrigineCohort studyLamotrigineNeurologyVentricular tachycardia

Identifiers

PMID40467617
PMCPMC12137814

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.