Evidence map›Paper›PMID 29356016›Full record

ArticleClinical cardiology2018

Predictors of arrhythmia recurrence in patients with heart failure undergoing left atrial ablation for atrial fibrillation.

George Bazoukis, Konstantinos P Letsas, Gary Tse, Katerina K Naka, Panagiotis Korantzopoulos, Evangelia Ntzani, Konstantinos Vlachos, Athanasios Saplaouras, Eirini Pagkalidou, Lampros K Michalis and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Catheter ablation of atrial fibrillation in heart failure: clinical, prognostic, and echocardiographic outcome.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021
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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

12 authors at 4 institutions in 2 countries.

George BazoukisDepartment of Cardiology, Electrophysiology Laboratory, Evangelismos General Hospital of Athens, Athens, Greece.ORCID http://orcid.org/0000-0003-1009-9772
Konstantinos P LetsasDepartment of Cardiology, Electrophysiology Laboratory, Evangelismos General Hospital of Athens, Athens, Greece.
Gary TseDepartment of Medicine and Therapeutics, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, SAR, P.R. China; Li Ka Shing Institute of Health Sciences, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, SAR, P.R. China.ORCID http://orcid.org/0000-0001-5510-1253
Katerina K NakaSecond Department of Cardiology, University of Ioannina, School of Medicine, Ioannina, Greece.
Panagiotis KorantzopoulosFirst Department of Cardiology, University of Ioannina, School of Medicine, Ioannina, Greece.
Evangelia NtzaniDepartment of Hygiene and Epidemiology, University of Ioannina, School of Medicine, Ioannina, Greece.
Konstantinos VlachosDepartment of Cardiology, Electrophysiology Laboratory, Evangelismos General Hospital of Athens, Athens, Greece.
Athanasios SaplaourasDepartment of Cardiology, Electrophysiology Laboratory, Evangelismos General Hospital of Athens, Athens, Greece.
Eirini PagkalidouDepartment of Hygiene and Epidemiology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Lampros K MichalisDirector of the Second Department of Cardiology, University of Ioannina, School of Medicine, Ioannina, Greece.
Antonios SiderisDepartment of Cardiology, Electrophysiology Laboratory, Evangelismos General Hospital of Athens, Athens, Greece.
Michael EfremidisDepartment of Cardiology, Electrophysiology Laboratory, Evangelismos General Hospital of Athens, Athens, Greece.
Evangelismos Hospital · GRUniversity of Ioannina · GRAristotle University of Thessaloniki · GRChinese University of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) ablation is increasingly used in patients with reduced left ventricular ejection fraction (LVEF). The aim of the present study was to evaluate the long-term results of a single radiofrequency catheter ablation procedure in heart failure (HF) patients with AF. HYPOTHESIS: We tested the hypothesis that left atrial ablation is an effective therapeutic modality in patients with heart failure.

methodsOur study included HF patients with LVEF <50% who underwent catheter ablation for AF at our department between January 2010 and March 2017. All patients underwent our institution's protocol for follow-up post-ablation.

resultsThe study enrolled a total of 38 patients (mean age, 54.1 ± 12.2 years; 28 [73.7%] males; mean LVEF, 38.2% ± 6.3%). After a mean follow-up period of 38.2 months (range, 5-92 months), 28 patients (73.7%) were free from arrhythmia recurrence. In multivariate analysis, early arrhythmia recurrence (P = 0.03) and amiodarone antiarrhythmic drug administration (P = 0.003) remained independent predictors of arrhythmia recurrence.

conclusionsThe main findings of this study are that (1) a single radiofrequency catheter ablation procedure is an effective and safe modality for AF in patients with concomitant HF; (2) after a mean 3.3 years of follow-up, 73.7% of HF patients remained in sinus rhythm; and (3) early arrhythmia recurrence was a significant predictor of arrhythmia recurrence after the blanking period.

Indexed as

Atrial FibrillationCatheter AblationElectrocardiography, AmbulatoryFemaleFollow-Up StudiesGreeceHeart Conduction SystemHeart FailureHumansIncidenceMaleMiddle AgedPrognosisRecurrenceRetrospective StudiesRisk FactorsAtrial FibrillationCatheter AblationHeart Failure

Identifiers

PMID29356016
PMCPMC6489697
OpenAlexW2791153141

What Socratic holds

Textmetadata
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.