Evidence map›Paper›PMID 34683135›Full record

ArticleJournal of personalized medicine2021

Cardiac Sympathetic Activity and Rhythm Control Following Pulmonary Vein Isolation in Patients with Paroxysmal Atrial Fibrillation-A Prospective

Philipp S Lange, Christian Wenning, Nemanja Avramovic, Patrick Leitz, Robert Larbig, Gerrit Frommeyer, Michael Schäfers, Lars Eckardt

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pulmonary vein isolation plus adjunctive therapy for the treatment of atrial fibrillation: a systematic review and meta-analysis.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Pooled it
  2. Review
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

8 authors at 2 institutions in 1 country.

Philipp S LangeDepartment of Cardiology II (Electrophysiology), University Hospital Münster, Albert-Schweitzer-Campus 1, D-48149 Münster, Germany.
Christian WenningDepartment of Nuclear Medicine, University Hospital Münster, D-48149 Münster, Germany.
Nemanja AvramovicDepartment of Nuclear Medicine, University Hospital Münster, D-48149 Münster, Germany.ORCID 0000-0001-8514-326X
Patrick LeitzDepartment of Cardiology II (Electrophysiology), University Hospital Münster, Albert-Schweitzer-Campus 1, D-48149 Münster, Germany.
Robert LarbigDepartment of Cardiology II (Electrophysiology), University Hospital Münster, Albert-Schweitzer-Campus 1, D-48149 Münster, Germany.ORCID 0000-0003-1413-5152
Gerrit FrommeyerDepartment of Cardiology II (Electrophysiology), University Hospital Münster, Albert-Schweitzer-Campus 1, D-48149 Münster, Germany.ORCID 0000-0002-1431-9886
Michael SchäfersDepartment of Nuclear Medicine, University Hospital Münster, D-48149 Münster, Germany.
Lars EckardtDepartment of Cardiology II (Electrophysiology), University Hospital Münster, Albert-Schweitzer-Campus 1, D-48149 Münster, Germany.
University Hospital Münster · DEUniversity of Münster · DE

Funding

Deutsche Forschungsgemeinschaft SFB656-C11
6 · The paper itself

Abstract

backgroundPulmonary vein isolation (PVI) and antiarrhythmic drug therapy are established treatment strategies to preserve sinus rhythm in atrial fibrillation (AF). However, the efficacy of both interventional and pharmaceutical therapy is still limited. Solid evidence suggests an important role of the cardiac sympathetic nervous system in AF. In this blinded, prospective observational study, we studied left ventricular cardiac sympathetic activity in patients treated with PVI and with antiarrhythmic drugs. Prospectively, Iodine-123-benzyl-guanidine single photon emission computer tomography (

resultsPVI with point-by-point radiofrequency ablation led to a significantly (

conclusionsPVI results in novel defects of cardiac sympathetic innervation. Differences in cardiac sympathetic innervation remodelling following PVI suggest an important role of the cardiac autonomous nervous system in the maintenance of sinus rhythm following PVI.

Indexed as

atrial fibrillationmIBGpulmonary vein isolationsympathetic innervation

Identifiers

PMID34683135
PMCPMC8549007
OpenAlexW3201753358

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.