Evidence map›Paper›PMID 28607613›Full record

ArticleJournal of arrhythmia2017

Complex fractionated atrial electrograms, high dominant frequency regions, and left atrial voltages during sinus rhythm and atrial fibrillation.

Naoko Sasaki, Ichiro Watanabe, Yasuo Okumura, Koichi Nagashima, Rikitake Kogawa, Kazumasa Sonoda, Kazuki Iso, Keiko Takahashi, Masaru Arai, Ryuta Watanabe and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Left atrial voltage mapping: defining and targeting the atrial fibrillation substrate.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2019
    Review
  5. Article
  6. Article
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

15 authors at 2 institutions in 1 country.

Naoko SasakiDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Ichiro WatanabeDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Yasuo OkumuraDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Koichi NagashimaDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Rikitake KogawaDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Kazumasa SonodaDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Kazuki IsoDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Keiko TakahashiDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Masaru AraiDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Ryuta WatanabeDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Sayaka KurokawaDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Kimie OhkuboDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Toshiko NakaiDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Atsushi HirayamaDivision of Cardiology, Department of Medicine, Nihon University School of Medicine, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-8610, Japan.
Mizuki NikaidoNihon Kohden Corporation, 1-11-15 Higashigotanda, Shinagawa-ku, Tokyo 141-0022, Japan.
Nihon University · JPNihon Kohden (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAblation targeting complex fractionated atrial electrograms (CFAEs) or high dominant frequency (DF) sites is generally effective for persistent atrial fibrillation (AF). CFAEs and/or high DF sites may exist in low-voltage regions, which theoretically represent abnormal substrates. However, whether CFAEs or high DF sites reflect low voltage substrates during sinus rhythm (SR) is unknown.

methodsSixteen patients with AF (8 with paroxysmal AF; 8, persistent AF) underwent high-density mapping of the left atrium (LA) with a 3-dimensional electroanatomic mapping system before ablation. The LA was divided into 7 segments and the mean bipolar voltage recorded during AF and SR, CFAEs (cycle lengths of 50-120 ms), and DF sites were assessed in each segment with either a duo-decapolar ring catheter (n=10) or a 64-pole basket catheter (n=6). Low-voltage areas were defined as those of <0.5 mV during AF and <1.0 mV during SR.

resultsRegional mean voltage recorded from the basket catheter showed good correlation between AF and SR (r=0.60,

conclusionsCFAEs and high DF areas during AF do not reflect damaged atrial myocardium as shown by the SR voltage. However, CFAEs and high DF sites may demonstrate different electrophysiologic properties because of different voltage amplitude during AF.

Indexed as

Atrial fibrillationComplex fractionated atrial electrogramDominant frequencySinus rhythm

Identifiers

PMID28607613
PMCPMC5459411
OpenAlexW2541405001

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.