Evidence map›Paper›PMID 32913306›Full record

ArticleScientific reports2020

Usefulness of heart rhythm complexity in heart failure detection and diagnosis.

Cheng-Hsuan Tsai, Hsi-Pin Ma, Yen-Tin Lin, Chi-Sheng Hung, Shan-Hsuan Huang, Bei-Lin Chuang, Chen Lin, Men-Tzung Lo, Chung-Kang Peng, Yen-Hung Lin

Abstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Complexity of Nuclear States forEntropy (Basel, Switzerland) · 2026
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  10. [Exploratory study on quantitative analysis of nocturnal breathing patterns in patients with acute heart failure based on wearable devices].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2023
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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

10 authors.

Cheng-Hsuan TsaiDepartment of Internal Medicine, National Taiwan University Hospital JinShan Branch, New Taipei, Taiwan.
Hsi-Pin MaDepartment of Electrical Engineering, National Tsing Hua University, Hsinchu, Taiwan.
Yen-Tin LinDepartment of Internal Medicine, Taoyuan General Hospital, Taoyuan, Taiwan.
Chi-Sheng HungDepartment of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, 7 Chung-Shan South Road, Taipei, Taiwan.
Shan-Hsuan HuangDepartment of Electrical Engineering, National Tsing Hua University, Hsinchu, Taiwan.
Bei-Lin ChuangDepartment of Electrical Engineering, National Tsing Hua University, Hsinchu, Taiwan.
Chen LinDepartment of Biomedical Sciences and Engineering, National Central University, Chungli, Taiwan.
Men-Tzung LoDepartment of Biomedical Sciences and Engineering, National Central University, Chungli, Taiwan.
Chung-Kang PengDivision of Interdisciplinary Medicine and Biotechnology, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA.
Yen-Hung LinDepartment of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, 7 Chung-Shan South Road, Taipei, Taiwan. austinr34@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure (HF) is a major cardiovascular disease worldwide, and the early detection and diagnosis remain challenges. Recently, heart rhythm complexity analysis, derived from non-linear heart rate variability (HRV) analysis, has been proposed as a non-invasive method to detect diseases and predict outcomes. In this study, we aimed to investigate the diagnostic value of heart rhythm complexity in HF patients. We prospectively analyzed 55 patients with symptomatic HF with impaired left ventricular ejection fraction and 97 participants without HF symptoms and normal LVEF as controls. Traditional linear HRV parameters and heart rhythm complexity including detrended fluctuation analysis (DFA) and multiscale entropy (MSE) were analyzed. The traditional linear HRV, MSE parameters and DFAα1 were significantly lower in HF patients compared with controls. In regression analysis, DFAα1 and MSE scale 5 remained significant predictors after adjusting for multiple clinical variables. Among all HRV parameters, MSE scale 5 had the greatest power to differentiate the HF patients from the controls in receiver operating characteristic curve analysis (area under the curve: 0.844). In conclusion, heart rhythm complexity appears to be a promising tool for the detection and diagnosis of HF.

Indexed as

Heart RateArrhythmias, CardiacCardiovascular Physiological PhenomenaCase-Control StudiesFemaleFollow-Up StudiesHeart FailureHumansIncidenceMaleMiddle AgedPrognosisProspective StudiesStroke VolumeTaiwan

Identifiers

PMID32913306
PMCPMC7483411

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.