Evidence map›Paper›PMID 40536454›Full record

ArticleJACC. Clinical electrophysiology2025

Age-Specific Mechanisms of Sudden Death Associated With Epilepsy.

Lauri Holmstrom, Audrey Uy-Evanado, Arayik Sargsyan, Harpriya Chugh, Habiba Aziz, Vinicius F Calsavara, Alex A T Bui, Angelo Salvucci, Jonathan Jui, Kyndaron Reinier and 2 more

Abstract read
In one paragraph

Article in JACC. Clinical electrophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

12 authors.

Lauri HolmstromCenter for Cardiac Arrest Prevention, Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, California, USA.
Audrey Uy-EvanadoCenter for Cardiac Arrest Prevention, Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, California, USA.
Arayik SargsyanCenter for Cardiac Arrest Prevention, Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, California, USA.
Harpriya ChughCenter for Cardiac Arrest Prevention, Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, California, USA.
Habiba AzizCenter for Cardiac Arrest Prevention, Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, California, USA.
Vinicius F CalsavaraDepartment of Computational Biomedicine, Cedars-Sinai Health System, Los Angeles, California, USA.
Alex A T BuiDepartments of Radiological Sciences, Bioengineering & Bioinformatics, University of California-Los Angeles, Los Angeles, California, USA.
Angelo SalvucciVentura County Health Care Agency, Ventura, California, USA.
Jonathan JuiDepartment of Emergency Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Kyndaron ReinierCenter for Cardiac Arrest Prevention, Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, California, USA.
Lisa M BatemanDepartment of Neurology, Cedars-Sinai Health System, Los Angeles, California, USA.
Sumeet S ChughCenter for Cardiac Arrest Prevention, Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, California, USA. Electronic address: sumeet.chugh@cshs.org.

Funding

Prediction of imminent sudden cardiac death based on warning signsR01HL147358 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CHUGH, SUMEET S. · 2020 to 2023
$3.2M
Community-Based Evaluation of Sudden Cardiac Death in Hispanics/LatinosR01HL145675 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CHUGH, SUMEET S. · 2019 to 2023
$2.4M
NHLBI NIH HHS R01 HL145675NHLBI NIH HHS R01 HL147358
6 · The paper itself

Abstract

backgroundEpilepsy is associated with an increased risk of sudden cardiac death (SCD), which can occur at any age. Due to low numbers of SCD events in longitudinal cohort studies of epilepsy, studies of age-specific clinical profiles have not been performed.

objectivesIn this study, the authors investigated the detailed clinical characteristics of SCD associated with epilepsy in the general population, across all ages.

methodsIndividuals with a pre-SCD diagnosis of epilepsy were identified from all out-of-hospital SCD cases prospectively ascertained in Portland, Oregon since 2002 (catchment population ∼1 million) and Ventura County, California since 2015 (catchment population ∼850,000). Lifetime clinical records were evaluated for a detailed assessment of the clinical profile.

resultsFrom a total of 8,287 SCD cases, we identified 356 (4.3%) with a pre-SCD history of epilepsy. The proportion of previously diagnosed epilepsy in overall SCD cases was highest among younger subjects and progressively decreased with age (from 35.3% in 1 to 10 years to 2.5% in >80 years) (P < 0.001). There was a distinct shift in the clinical profile demarcated by the 50 to 60 years decade: Younger subjects had the highest prevalence of drug-resistant epilepsy and prearrest seizures (P < 0.001). Older subjects had a significantly higher prevalence of stroke and mood disorders, and these differences were specific for SCD in epilepsy (P < 0.001).

conclusionsThere were significant clinical profile differences by age among individuals with epilepsy, which were observed to be specific for SCD. Age-specific mechanisms should facilitate the development of targeted prevention strategies for SCD in epilepsy.

Indexed as

Death, Sudden, CardiacEpilepsyAdolescentAdultAgedAged, 80 and overAge FactorsCaliforniaChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedOregonepilepsypopulationpreventionrisksudden death

Identifiers

PMID40536454
PMCPMC12354302

What OpenQuestion holds

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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.