Evidence map›Paper›PMID 25873781›Full record

Trial reportActa myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology2014

The effect of atrial preference pacing on atrial fibrillation electrophysiological substrate in Myotonic Dystrophy type 1 population.

Vincenzo Russo, Gerardo Nigro, Federica DI Meo, Andrea Antonio Papa, Nadia Della Cioppa, Riccardo Proietti, Maria Giovanna Russo, Raffaele Calabrò, Luisa Politano

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Heart transplantation in a patient with Myotonic Dystrophy type 1 and end-stage dilated cardiomyopathy: a short term follow-up.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2018
    Article
  4. Article
  5. Is the epicardial left ventricular lead implantation an alternative approach to percutaneous attempt in patients with Steinert disease? A case report.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2017
    Article
  6. Complete resolution of left atrial appendage thrombosis with oral dabigatran etexilate in a patient with Myotonic Dystrophy type 1 and atrial fibrillation.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2017
    Article
  7. Increased heterogeneity of ventricular repolarization in myotonic dystrophy type 1 population.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2016
    Article
  8. Voltage-directed cavo-tricuspid isthmus ablation using a novel ablation catheter mapping technology in a myotonic dystrophy type I patient.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2016
    Article
  9. Article
  10. 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

9 authors.

Vincenzo RussoChair of Cardiology, Second University of Napoli, Monaldi Hospital, Napoli, Italy;
Gerardo NigroChair of Cardiology, Second University of Napoli, Monaldi Hospital, Napoli, Italy;
Federica DI MeoChair of Cardiology, Second University of Napoli, Monaldi Hospital, Napoli, Italy;
Andrea Antonio PapaChair of Cardiology, Second University of Napoli, Monaldi Hospital, Napoli, Italy;
Nadia Della CioppaChair of Cardiology, Second University of Napoli, Monaldi Hospital, Napoli, Italy;
Riccardo ProiettiCardiology Department, "Luigi Sacco" Hospital, Milano, Italy;
Maria Giovanna RussoChair of Cardiology, Second University of Napoli, Monaldi Hospital, Napoli, Italy;
Raffaele CalabròChair of Cardiology, Second University of Napoli, Monaldi Hospital, Napoli, Italy;
Luisa PolitanoCardiomyology and Medical Genetics, Department of Experimental Medicine, Second University of Napoli, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

P-wave dispersion is a non invasive indicator of intra-atrial conduction heterogeneity producing substrate for reentry, which is a pathophysiological mechanism of atrial fibrillation. The relationship between P-wave dispersion (PD) and atrial fibrillation (AF) in Myotonic dystrophy type 1 (DM1) patients is still unclear. Atrial Preference Pacing (APP) is an efficient algorithm to prevent paroxysmal AF in patients implanted with dual-chamber pacemaker. Aim of our study was to evaluate the possible correlation between atrial preference pacing algorithm, P-wave dispersion and AF burden in DM1 patients with normal cardiac function underwent permanent dual-chamber pacemaker implantation. We enrolled 50 patients with DM1 (age 50.3 ± 7.3; 11 F) underwent dual-chamber pacemaker implantation for various degree of atrioventricula block. The study population was randomized following 1 months stabilization period to APP algorithm features programmed OFF or ON. Patients were assessed every 3 months for the first year, and every 6 months thereafter up to 3 years. At each follow-up visit, we counted: the number of premature atrial beats, the number and the mean duration of AF episodes, AF burden and the percentage of atrial and ventricular pacing. APP ON Group showed lower number of AF episodes (117 ± 25 vs. 143 ± 37; p = 0.03) and AF burden (3059 ± 275 vs. 9010 ± 630 min; p < 0.04) than APP OFF Group. Atrial premature beats count (44903 ± 30689 vs. 13720 ± 7717 beats; p = 0.005) and Pwave dispersion values (42,1 ± 11 ms vs. 29,1 ± 4,2 ms, p = 0,003) were decreased in APP ON Group. We found a significant positive correlation between PD and AF burden (R = 0,8, p = 0.007). Atrial preference pacing algorithm, decreasing the number of atrial premature beats and the P-wave dispersion, reduces the onset and perpetuator factors of AF episodes and decreases the AF burden in DM1 patients underwent dual chamber pacemaker implantation for various degree of atrioventricular blocks and documented atrial fibrillation.

Indexed as

Atrial FibrillationMyotonic DystrophyAdultAlgorithmsCardiac Pacing, ArtificialEchocardiography, DopplerElectrocardiographyFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient SelectionTreatment Outcomeatrial fibrillationatrial preference pacingMyotonic Dystrophy

Identifiers

PMID25873781
PMCPMC4369849

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.