Evidence mapPaperPMID 42440803Full record

ArticleJournal of arrhythmia2026

Utility of Post-Procedural HFA-PEFF Reassessment for Long-Term Heart Failure Risk Stratification After Atrial Fibrillation Ablation.

Hironori Ishiguchi, Yasuhiro Yoshiga, Masakazu Fukuda, Shintaro Hashimoto, Goki Nakashima, Takuya Omuro, Akihiko Shimizu, Motoaki Sano

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Article in Journal of arrhythmia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited 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

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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

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Hironori IshiguchiDivision of Cardiology, Department of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.ORCID https://orcid.org/0000-0003-4597-7862
Yasuhiro YoshigaDivision of Cardiology, Department of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Masakazu FukudaDivision of Cardiology, Department of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.ORCID https://orcid.org/0000-0003-2241-7256
Shintaro HashimotoDivision of Cardiology, Department of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Goki NakashimaDivision of Cardiology, Department of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Takuya OmuroFaculty of Health Sciences, Department of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Akihiko ShimizuDepartment of Cardiology Ube Central Hospital Ube Japan.
Motoaki SanoDivision of Cardiology, Department of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The utility of post-procedural HFA-PEFF reassessment for long-term heart failure (HF) risk stratification after atrial fibrillation (AF) ablation remains uncertain. Methods: In this single-center retrospective cohort study, we evaluated pre-procedural and post-procedural HFA-PEFF scores in 856 patients with preserved left ventricular ejection fraction (≥ 50%) undergoing index AF ablation. HF hospitalization from 1 year after ablation was compared across risk strata (low, 0-1; intermediate, 2-4; high, 5-6 points) for both scores. Discrimination was assessed using time-dependent receiver operating characteristic analysis at 2-5 years. Results: Post-procedural HFA-PEFF was assessed at a median of 91 (interquartile range, 87-97) days after ablation, and 92.8% of reassessments were obtained during sinus rhythm or atrial pacing. The HFA-PEFF score decreased significantly from 3 (2-4) to 2 (1-4) ( Conclusions: In patients with preserved left ventricular ejection fraction undergoing AF ablation, post-procedural HFA-PEFF reassessment may add value for long-term HF hospitalization risk stratification, particularly in those with high baseline HFA-PEFF scores.

Indexed as

atrial fibrillationcatheter ablationheart failure with preserved ejection fractionHFA‐PEFF score

Identifiers

PMID42440803
PMCPMC13334285

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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.