Evidence map›Paper›PMID 32683763›Full record

Observational studyEuropean journal of heart failure2020

Ventricular tachyarrhythmia detection by implantable loop recording in patients with heart failure and preserved ejection fraction: the VIP-HF study.

Dirk J van Veldhuisen, Gijs van Woerden, Thomas M Gorter, Vanessa P M van Empel, Olivier C Manintveld, Robert G Tieleman, Alexander H Maass, Kevin Vernooy, B Daan Westenbrink, Isabelle C van Gelder and 1 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European journal of heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.7field-weighted citation impact, top 5% of its field
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

34 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Article
  5. Article
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  10. Implantable cardiac monitor in heart failure: just a toy or a useful tool?European heart journal supplements : journal of the European Society of Cardiology · 2025
    Article
  11. Reply to: Insights on increased epicardial adipose tissue and left atrial mechanical dysfunction in heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  12. Review
  13. Review
  14. [European journal of nuclear medicine and molecular imaging · 2024
    Article
  15. Observational
  16. Article
  17. Article
  18. Review
  19. Article
  20. Atrial Fibrillation can adversely impact Heart Failure with Preserved Ejection Fraction by its association with Heart Failure Progression and Mortality: A Post-Hoc Propensity Score-Matched Analysis of the TOPCAT Americas Trial.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Dirk J van VeldhuisenDepartment of Cardiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Gijs van WoerdenDepartment of Cardiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Thomas M GorterDepartment of Cardiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Vanessa P M van EmpelDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Medical University Centre Maastricht, Maastricht, The Netherlands.
Olivier C ManintveldDepartment of Cardiology, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands.
Robert G TielemanDepartment of Cardiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Alexander H MaassDepartment of Cardiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Kevin VernooyDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Medical University Centre Maastricht, Maastricht, The Netherlands.
B Daan WestenbrinkDepartment of Cardiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Isabelle C van GelderDepartment of Cardiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Michiel RienstraDepartment of Cardiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
University of Groningen · NLMaastricht University · NLUniversity Medical Center Groningen · NLErasmus University Rotterdam · NLMartini Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe primary aim of the VIP-HF study was to examine the incidence of sustained ventricular tachyarrhythmias (VTs) in heart failure (HF) with mid-range (HFmrEF) or preserved ejection fraction (HFpEF). Secondary aims were to examine the incidence of non-sustained VTs, bradyarrhythmias, HF hospitalizations and mortality. METHODS AND

resultsThis was an investigator-initiated, prospective, multicentre, observational study of patients with HF and left ventricular ejection fraction (LVEF) >40%. Patients underwent extensive phenotyping, after which an implantable loop recorder was implanted. We enrolled 113 of the planned 250 patients [mean age 73 ± 8 years, 51% women, New York Heart Association class II/III 54%/46%, median N-terminal pro B-type natriuretic peptide 1367 (710-2452) pg/mL and mean LVEF 54 ± 6%; 75% had LVEF >50%]. Eighteen percent had non-sustained VTs and 37% had atrial fibrillation on Holter monitoring. During a median follow-up of 657 (219-748) days, the primary endpoint of sustained VT was observed in one patient. The incidence of the primary endpoint was 0.6 (95% confidence interval 0.2-3.5) per 100 person-years. The incidence of the secondary endpoint of non-sustained VT was 11.5 (7.1-18.7) per 100 person-years. Five patients developed bradyarrhythmias [3.2 (1.4-7.5) per 100 person-years], three were implanted with a pacemaker. In total, 23 patients (20%) were hospitalized for HF [16.3 (10.9-24.4) per 100 person-years]. Fourteen patients (12%) died [8.7 (5.2-14.7) per 100 person-years]; 10 due to cardiovascular causes, and four sudden deaths, one with implantable loop recorder-confirmed bradyarrhythmias as terminal event, three others undetermined.

conclusionDespite the lower than expected number of included patients, the incidence of sustained VTs in HFmrEF/HFpEF was low. Clinically relevant bradyarrhythmias were more often observed than expected.

Indexed as

Heart FailureTachycardia, VentricularAgedAged, 80 and overAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsFemaleHumansMalePrognosisProspective StudiesRetrospective StudiesStroke VolumeVentricular Function, LeftAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsBradyarrhythmiasHeart failure with mid-range ejection fractionHeart failure with preserved ejection fractionSudden deathVentricular tachyarrhythmias

Identifiers

PMID32683763
PMCPMC7693069
OpenAlexW3043571852

What Socratic holds

Textmetadata
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 Socratic graph.