Evidence map›Paper›PMID 40496579›Full record

ReviewHeart rhythm O22025

Ischemia induced repolarization dispersion changes and ventricular arrhythmia: Validation of Frank vectorcardiography parameters: A review.

Lennart Bergfeldt, Lennart Gransberg, Gunilla Lundahl

Abstract readReview
In one paragraph

Review in Heart rhythm O2, 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. Review
  2. Article
  3. Article
  4. 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

3 authors.

Lennart BergfeldtDepartment 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.
Gunilla LundahlDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Changes in dispersion of ventricular repolarization is a salient electrophysiological feature of acute myocardial ischemia and linked to life-threatening arrhythmias. In 9 studies, we applied Frank vectorcardiography not only for noninvasive monitoring of cardiac electrophysiology during acute ischemia induced during percutaneous coronary interventions, during clinical myocardial infarction, and in an occlusion-reperfusion pig model, but also for prognostic purposes after coronary events. Myocardial ischemia was in humans and pigs associated with significant changes in the ST segment, Tamplitude, Tarea, ventricular gradient, and T vector loop morphology. In the pig model, a link between dispersion changes and the occurrence and suppression (by spinal cord stimulation) of ventricular arrhythmias was found. Prognostically, after recent acute coronary events, the spatial peak and mean QRS-T angles were superior. In summary, vectorcardiography-based parameters were validated as reflecting changes in repolarization dispersion during myocardial ischemia in humans and pigs, and in pigs linked to the occurrence and suppression of ventricular arrhythmias.

Indexed as

Arrhythmia suppressionArrhythmogenesisDispersionMyocardial ischemiaPig modelSpinal cord stimulationVectorcardiography

Identifiers

PMID40496579
PMCPMC12147597

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.