Evidence map›Paper›PMID 25390649›Full record

ArticlePloS one2014

Effects of radiofrequency catheter ablation of atrial fibrillation on soluble P-selectin, von Willebrand factor and IL-6 in the peripheral and cardiac circulation.

Jelena Kornej, Borislav Dinov, Andrew D Blann, Sascha Rolf, Arash Arya, Josephine Schmidl, Daniela Husser, Gerhard Hindricks, Andreas Bollmann, Gregory Y H Lip

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
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  5. Review
  6. Radiofrequency ablation reduces expression of SELF by upregulating the expression of microRNA-26a/b in the treatment of atrial fibrillation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Berberine protects vascular endothelial cells in hypertensive rats.International journal of clinical and experimental medicine · 2015
    Article
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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

10 authors at 2 institutions in 2 countries.

Jelena KornejUniversity of Leipzig, Heart Center, Department of Electrophysiology, Leipzig, Germany; University of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham, United Kingdom.
Borislav DinovUniversity of Leipzig, Heart Center, Department of Electrophysiology, Leipzig, Germany.
Andrew D BlannUniversity of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham, United Kingdom.
Sascha RolfUniversity of Leipzig, Heart Center, Department of Electrophysiology, Leipzig, Germany.
Arash AryaUniversity of Leipzig, Heart Center, Department of Electrophysiology, Leipzig, Germany.
Josephine SchmidlUniversity of Leipzig, Heart Center, Department of Electrophysiology, Leipzig, Germany.
Daniela HusserUniversity of Leipzig, Heart Center, Department of Electrophysiology, Leipzig, Germany.
Gerhard HindricksUniversity of Leipzig, Heart Center, Department of Electrophysiology, Leipzig, Germany.
Andreas BollmannUniversity of Leipzig, Heart Center, Department of Electrophysiology, Leipzig, Germany.
Gregory Y H LipUniversity of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham, United Kingdom.
Leipzig Heart Institute · DEUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCatheter ablation (CA) of atrial fibrillation (AF) is associated with inflammatory response, endothelial damage and with increased risk of thrombosis. However, whether these processes differ in peripheral and cardiac circulation is unknown.

methodsPlasma markers (von Willebrand factor (vWf), soluble P-selectin (sPsel) and interleukin-6 (IL-6)) were measured by ELISA at three time points in 80 patients (62±10 years, 63% males, 41% paroxysmal AF) undergoing CA. These were at baseline--from femoral vein (FV) and left atrium (LA) before ablation; directly after ablation--from the pulmonary vein (PV), LA and FV; and 24 hours after procedure--from a cubital vein (CV).

resultsThe levels of vWF and IL6--but not sP-sel--increased significantly 24 h after procedure (p<0.001). Baseline vWF was significantly associated with persistent AF (Beta = .303, p = 0.006 and Beta = .300, p = 0.006 for peripheral and cardiac levels, respectively), while persistent AF (Beta = .250, p = 0.031) and LAA flow pattern (Beta = .386, p<0.001) remained associated with vWF in cardiac blood after ablation. Advanced age was significantly associated with IL6 levels at baseline and after ablation in peripheral and cardiac blood. There were no clinical, procedural or anti-coagulation characteristics associated with sP-sel levels in cardiac blood, while peripheral sP-sel levels were associated with hypertension before (Beta = -.307, p = 0.007) and with persistent AF after ablation (Beta = -.262, p = 0.020).

conclusionsvWF levels are higher in persistent AF and are associated with LAA rheological pattern after AF ablation. Increase of peripheral vWF and IL6 levels after procedure supports current AF ablation management with careful control of post-procedural anticoagulation to avoid ablation-related thromboembolism.

Indexed as

Catheter AblationAgedAtrial FibrillationBlood CoagulationBlood PlateletsCardiovascular DiseasesCoronary CirculationEchocardiographyEndothelium, VascularFemaleFemoral VeinHeart AtriaHumansInflammationInterleukin-6MaleInterleukin-6P-Selectinvon Willebrand Factor

Identifiers

PMID25390649
PMCPMC4229097
OpenAlexW2082285347

What OpenQuestion 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 OpenQuestion graph.