Evidence map›Paper›PMID 40820759›Full record

ArticleJournal of cardiovascular electrophysiology2025

Association of Risk Factors and Cardiac Outcomes in Patients With Primary Prevention of Sudden Cardiac Death: HINODE Study Sub Analysis.

Hiroshi Hayashi, Wataru Shimizu, Yuki Iwasaki, Kenji Ando, Kengo Kusano, Toru Asai, Koichi Inoue, Yukihiro Inamura, Takanori Ikeda, Takeshi Mitsuhashi and 7 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Hiroshi HayashiDepartment of Cardiovascular Medicine, Nippon Medical School, Bunkyo, Japan.ORCID 0000-0001-8202-9867
Wataru ShimizuDepartment of Cardiovascular Medicine, Nippon Medical School, Bunkyo, Japan.
Yuki IwasakiDepartment of Cardiovascular Medicine, Nippon Medical School, Bunkyo, Japan.
Kenji AndoDepartment of Cardiology, Kokura Memorial Hospital, Fukuoka, Japan.
Kengo KusanoDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
Toru AsaiDepartment of Cardiology, Ichinomiya Municipal Hospital, Ichinomiya, Japan.
Koichi InoueCardiovascular Division, National Hospital Organization Osaka National Hospital, Osaka, Japan.ORCID 0000-0003-2315-7425
Yukihiro InamuraDepartment of Cardiology, Japanese Red Cross Saitama Hospital, Saitama, Japan.ORCID 0000-0002-7027-2613
Takanori IkedaDivision of Cardiovascular Medicine, Toho University Faculty of Medicine, Tokyo, Japan.
Takeshi MitsuhashiDepartment of Cardiology, Hoshi General Hospital, Fukushima, Japan.
Toyoaki MuroharaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Nobuhiro NishiiDepartment of Cardiovascular Therapeutics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.ORCID 0000-0003-3183-5660
Akihiko NogamiInstitute of Arrhythmia, Tokyo Heart Rhythm Hospital, Tokyo, Japan.ORCID 0000-0003-0359-4601
Torri SchwartzBoston Scientific, St. Paul, Minnesota, USA.
Torsten KayserBoston Scientific, Diegem, Belgium.
Yasushi SakataDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Kazutaka AonumaDepartment of Cardiology, Mito Saiseikai General Hospital, Ibaraki, Japan.

Funding

The HINODE trial was funded by Boston Scientific Corporation.
6 · The paper itself

Abstract

introductionPrimary analysis of the HINODE study revealed that mortality and ventricular tachyarrhythmia event rates for patients with primary prevention of sudden cardiac death in Japan were comparable to those of Western patients. Sub-analysis aimed to evaluate event rates in relation to accumulated risk factors (RFs) (left ventricular ejection fraction ≤ 35%, New York Heart Association class III/IV, left bundle branch block/wide QRS, renal dysfunction, diabetes, atrial fibrillation, myocardial infarction, age > 70 years, and smoking). METHODS AND

resultsImplantable cardioverter defibrillator (ICD) (N = 102) and cardiac resynchronization therapy-defibrillator (CRT-D) (N = 69) enrollees were evaluated for first appropriately treated ventricular tachycardia or fibrillation (VT/VF), recurrent heart failure (HF) hospitalizations, and all-cause mortality. Event rates were compared for patients with lower-risk (2-3 RFs) and higher-risk (4-5 RFs) using time to event analyses. The ICD-cohort contained 50 (49%) lower-risk and 52 (51%) higher-risk patients, and the CRT-D-cohort 21 (30%) lower-risk and 48 (70%) higher-risk patients. Over 24 months, no significant difference was observed in the VT/VF event rate among the higher-risk group compared to the lower-risk group for either device cohort (ICD: 17% vs. 10%, p = 0.61; CRT-D: 6% vs. 5%, p = 0.79). Similarly, no significant difference was observed in the rate of all-cause mortality, although higher-risk patients trended towards more mortality (ICD: 15% vs. 7%, p = 0.15; CRT-D: 13% vs. 5%, p = 0.33) For the ICD cohort, the risk of HF hospitalization was 2.24 (95% CI: 1.24-4.03) times greater in the higher-risk group compared to the lower-risk group and among those hospitalized for HF, the length of stay was significantly longer for the higher-risk group (median 27 days per year vs. 10 days per year, p = 0.013). No significant difference in the rate of HF hospitalizations was detected for the CRT-D cohort.

conclusionThe implantation of ICD should be considered despite the number of RFs to prevent sudden cardiac death. Proper CRT-D implantation may reduce the number of RFs over time and shorten the duration of HF-hospitalization.

Indexed as

Cardiac Resynchronization TherapyDeath, Sudden, CardiacElectric CountershockHeart FailurePrimary PreventionTachycardia, VentricularVentricular FibrillationAgedDefibrillators, ImplantableFemaleHumansJapanMaleMiddle AgedRecurrenceRisk Assessmentcardiac resynchronization therapy–defibrillatorimplantable cardioverter defibrillatorrisk factor analysis

Identifiers

PMID40820759
PMCPMC12614128

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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.