Evidence map›Paper›PMID 39393443›Full record

ArticleInternational journal of cardiology2025

Drug-induced increase in dispersion of ventricular repolarization in patients with heart failure with preserved ejection fraction.

Fatimah Alhurayri, Heather A Jaynes, Brian R Overholser, Kevin M Sowinski, Richard J Kovacs, James E Tisdale

Abstract read
In one paragraph

Article in International journal of cardiology, 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
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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

6 authors.

Fatimah AlhurayriCollege of Pharmacy, Purdue University, Indianapolis, IN, United States.
Heather A JaynesCollege of Pharmacy, Purdue University, Indianapolis, IN, United States.
Brian R OverholserCollege of Pharmacy, Purdue University, Indianapolis, IN, United States; Division of Clinical Pharmacology, School of Medicine, Indiana University, Indianapolis, IN, United States.
Kevin M SowinskiCollege of Pharmacy, Purdue University, Indianapolis, IN, United States; Division of Clinical Pharmacology, School of Medicine, Indiana University, Indianapolis, IN, United States.
Richard J KovacsKrannert Cardiovascular Research Center, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, United States.
James E TisdaleCollege of Pharmacy, Purdue University, Indianapolis, IN, United States; Division of Clinical Pharmacology, School of Medicine, Indiana University, Indianapolis, IN, United States. Electronic address: jtisdale@purdue.edu.

Funding

Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
EXTRAMURAL RESEARCH FACILITIES IMPROVEMENT: NEUROLOGICAL DISORDERS:ALZ, PDC06RR020128 · NCRR · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI FIFE, ROSE S · 2004 to 2004
$3.7M
Novel Approaches for Minimizing Drug-Induced QT Interval LengtheningR01HL153114 · NHLBI · PURDUE UNIVERSITY · PI TISDALE, JAMES E. · 2020 to 2024
$2.4M
NCATS NIH HHS UL1 TR001108NCRR NIH HHS C06 RR020128NHLBI NIH HHS R01 HL153114
6 · The paper itself

Abstract

backgroundHeart failure (HF) with preserved ejection fraction (HFpEF) is associated with enhanced response to drug-induced QT interval lengthening. We determined the influence of HFpEF on drug-induced lengthening of dispersion of repolarization, a measure of proarrhythmic risk.

methodsWe administered intravenous ibutilide 0.003 mg/kg to 10 patients with HFpEF and 10 age- and sex-matched controls without HF. Twelve‑lead electrocardiograms were obtained prior to ibutilide and serially for 8 h post-ibutilide. Tpeak-Tend, a measure of dispersion of ventricular repolarization, and heart rate-corrected J-Tpeak (J-Tpeakc), representing early repolarization, were measured by an investigator blinded to study groups.

resultsBaseline (pre-ibutilide) Tpeak-Tend and J-Tpeakc were not significantly different in the HFpEF and control groups. Maximum Tpeak-Tend was longer in the HFpEF group than in the control group (85 ± 10 vs 73 ± 8 ms, p = 0.01). Additionally, % change from baseline in Tpeak-Tend was greater in the HFpEF group [median (IQR) 17 (11) vs 8 (3)%, p = 0.003]. The area under the effect curve from 0 to 8 hours following ibutilide (including the 10-minute infusion) (AUEC

conclusionHFpEF is associated with enhanced response to drug-induced increases in dispersion of repolarization.

Indexed as

ElectrocardiographyHeart FailureStroke VolumeSulfonamidesAgedAged, 80 and overAnti-Arrhythmia AgentsFemaleHumansMaleMiddle AgedAnti-Arrhythmia AgentsibutilideSulfonamidesDispersion of repolarizationHeart failure with preserved ejection fractionJ-TpeakcTpeak-tend

Identifiers

PMID39393443
PMCPMC11578758

What Socratic 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 Socratic graph.