Evidence map›Paper›PMID 21118728›Full record

ArticleHeart rhythm2011

Patterns of baseline autonomic nerve activity and the development of pacing-induced sustained atrial fibrillation.

Mark J Shen, Eue-Keun Choi, Alex Y Tan, Seongwook Han, Tetsuji Shinohara, Mitsunori Maruyama, Lan S Chen, Changyu Shen, Chun Hwang, Shien-Fong Lin and 1 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Heart rhythm, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

32 citing papers in PubMed, 62 citations in OpenAlex.

  1. Article
  2. Ganglionated plexus ablation and pulmonary vein isolation: the future of AF ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  3. Review
  4. Colchicine in Cardiac Surgery: The COCS Randomized Clinical Trial.Journal of cardiovascular development and disease · 2022
    Article
  5. Immune remodeling and atrial fibrillation.Frontiers in physiology · 2022
    Review
  6. Immunothrombosis and new-onset atrial fibrillation in the general population: the Rotterdam Study.Clinical research in cardiology : official journal of the German Cardiac Society · 2022
    Article
  7. The cardiac autonomic nervous system: an introduction.Herzschrittmachertherapie & Elektrophysiologie · 2021
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Atrial fibrillation and chronic kidney disease: A bad combination.Kidney research and clinical practice · 2018
    Article
  13. Ganglionated plexi as neuromodulation targets for atrial fibrillation.Journal of cardiovascular electrophysiology · 2017
    Review
  14. Review
  15. Article
  16. Review
  17. Effects of carvedilol on cardiac autonomic nerve activities during sinus rhythm and atrial fibrillation in ambulatory dogs.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2014
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Mark J ShenKrannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.
Eue-Keun Choi
Alex Y Tan
Seongwook Han
Tetsuji Shinohara
Mitsunori Maruyama
Lan S Chen
Changyu Shen
Chun Hwang
Shien-Fong Lin
Peng-Sheng Chen
Indiana University – Purdue University Indianapolis · USIndiana University School of MedicineBeth Israel Deaconess Medical Center · US

Funding

WAVE DYNAMICS IN NORMAL AND DISEASED RABBIT HEARTSP01HL078931 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WEISS, JAMES · 2005 to 2015
$20.7M
Thoracic Veins and Sustained Atrial FibrillationR01HL071140 · NHLBI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CHEN, PENG-SHENG · 2002 to 2014
$4.7M
Fibrillation and DefibrillationR01HL078932 · NHLBI · TRUSTEES OF INDIANA UNIVERSITY · PI CHEN, PENG-SHENG · 2005 to 2010
$2.3M
NHLBI NIH HHS P01 HL078931NHLBI NIH HHS P01 HL78931NHLBI NIH HHS R01 HL071140NHLBI NIH HHS R01 HL078932NHLBI NIH HHS R01 HL71140NHLBI NIH HHS R01 HL78932
6 · The paper itself

Abstract

backgroundWhether autonomic nerve activity is important in the development of pacing-induced sustained atrial fibrillation (AF) is unclear.

objectiveThe purpose of this study was to test the hypothesis that patterns of baseline autonomic nerve activity are important in the development of pacing-induced sustained AF.

methodsRadiotransmitters were implanted in 12 ambulatory dogs to record left stellate ganglion nerve activity (SGNA) and vagal nerve activity (VNA). Sustained (>48 hours) AF was induced with intermittent rapid atrial pacing.

resultsAt baseline (before pacing), 1-minute integrated nerve activity between SGNA and VNA demonstrated either a single linear relationship with excellent correlation (group 1, N = 3, r = 0.816 ± 0.105) or nonlinear relationships with poor correlation (group 2, N = 9, r = 0.316 ± 0.162, P <.05 vs group 1). Group 1 dogs had higher VNA (97.0 ± 11.5 mV-s) compared to group 2 (33.4 ± 21.7 mV-s, P <.001). Group 1 dogs had more frequent sympathovagal co-activation episodes than did group 2 (50 ± 19 per day vs 15 ± 6 per day, P <.05) and more paroxysmal atrial tachycardia (PAT; 5 ± 1 per day vs 2 ± 1 per day, P <.05) at baseline. Sustained AF occurred after 16 ± 4 days (range 13-20 days) of pacing in group 1 and after 46 ± 18 days (range 23-72 days) of pacing in group 2 (P <.05). In the week before development of sustained AF, VNA of group 2 dogs was significantly increased compared to baseline (P <.05).

conclusionAmbulatory dogs with good linear sympathovagal correlation and higher vagal tone at baseline have more PAT episodes at baseline and faster induction of sustained AF by rapid pacing. Rapid atrial pacing increased the VNA of the remaining dogs before induction of sustained AF.

Indexed as

Cardiac Pacing, ArtificialAnimalsAtrial FibrillationAutonomic Nervous SystemDisease Models, AnimalDogsElectrocardiographyFemaleHeart AtriaMale

Identifiers

PMID21118728
PMCPMC3065927
OpenAlexW1994892764

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.