Evidence map›Paper›PMID 28616550›Full record

ArticleInternational journal of cardiology. Heart & vasculature2016

Is HATCH score a reliable predictor of atrial fibrillation after cavotricuspid isthmus ablation for typical atrial flutter?

Javier García-Seara, Francisco Gude Sampedro, Jose L Martínez Sande, Xesus Alberte Fernández López, Moisés Rodríguez Mañero, Laila González Melchor, Belén Alvarez Alvarez, Diego Iglesias Alvarez, José Ramón González Juanatey

Abstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Predicting recurrent atrial fibrillation after catheter ablation: a systematic review of prognostic models.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 · 2020
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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

9 authors.

Javier García-SearaUnidad de Arritmias, Servicio de Cardiología, Hospital Clínico y Universitario de Santiago de Compostela, Spain.
Francisco Gude SampedroUnidad de Epidemiología, Servicio de Cardiología, Hospital Clínico y Universitario de Santiago de Compostela, Spain.
Jose L Martínez SandeUnidad de Arritmias, Servicio de Cardiología, Hospital Clínico y Universitario de Santiago de Compostela, Spain.
Xesus Alberte Fernández LópezUnidad de Arritmias, Servicio de Cardiología, Hospital Clínico y Universitario de Santiago de Compostela, Spain.
Moisés Rodríguez MañeroUnidad de Arritmias, Servicio de Cardiología, Hospital Clínico y Universitario de Santiago de Compostela, Spain.
Laila González MelchorUnidad de Arritmias, Servicio de Cardiología, Hospital Clínico y Universitario de Santiago de Compostela, Spain.
Belén Alvarez AlvarezServicio de Cardiología, Hospital Clínico y Universitario de Santiago de Compostela, Spain.
Diego Iglesias AlvarezServicio de Cardiología, Hospital Clínico y Universitario de Santiago de Compostela, Spain.
José Ramón González JuanateyServicio de Cardiología, Hospital Clínico y Universitario de Santiago de Compostela, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe determined the effectiveness of the HATCH score in patients with typical atrial flutter (AFl) undergoing cavotricuspid isthmus (CTI) ablation to predict long-term atrial fibrillation (AF).

methodsWe conducted an observational retrospective single-center cohort study including all patients admitted to our hospital for a CTI ablation between 1998 and 2010. The patients were divided into four categories: 1) new-onset AF (no prior AF and AF during follow-up (FU)); 2) old AF (prior AF and no AF during FU); 3) prior and post AF (AF prior and post CTI ablation); and 4) no AF.

resultsFour hundred and eight patients were included. In patients without prior AF, the hazard ratio (HR) for new-onset AF during FU was 0.98 (CI 95%: 0.65-1.50; p = 0.95) and 1.00 (CI 95%: 0.57-1.77; p = 0.98) for HATCH ≥ 2 and HATCH ≥ 3, respectively. In patients with prior AF, the HR for AF was 1.41 (CI 95%: 0.87-2.28; p = 0.17) and 1.79 (CI 95%: 0.96-3.35; p = 0.06), for HATCH ≥ 2 and HATCH ≥ 3, respectively. Left atrial enlargement was positively correlated with the occurrence of AF during FU, especially in the subgroup without prior AF, which had a HR of 2.44 (CI 95%: 1.35-4.40; p = 0.003), a HR of 2.88 (CI 95%: 1.36-6.10; p = 0.006) and a HR of 3.68 (CI 95%: 1.71-7.94; p = 0.001), for slight, moderate and severely dilated left atrial dimension, respectively, compared with a normal value.

conclusionsHATCH score did not predict AF in patients with typical AFl who underwent CTI ablation. Basal left atrium dimension could help predict new-onset AF.

Indexed as

AAD, antiarrhythmic drugsAF, atrial fibrillationAFl, atrial flutterAtrial fibrillationAtrial flutterCavotricuspid isthmus ablationCHA2DS2VAScCTI, cavotricuspid isthmusHATCHLAD, left atrial dimension

Identifiers

PMID28616550
PMCPMC5454134

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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 OpenQuestion graph.