Evidence map›Paper›PMID 28765753›Full record

ReviewJournal of arrhythmia2017

Adenosine-guided radiofrequency catheter ablation of atrial fibrillation: A meta-analysis of randomized control trials.

Konstantinos P Letsas, Stamatis Georgopoulos, Michael Efremidis, Tong Liu, George Bazoukis, Konstantinos Vlachos, Nikolaos Karamichalakis, Louiza Lioni, Antonios Sideris, Joachim R Ehrlich

Open access · goldAbstract readReview
In one paragraph

Review 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

10 authors at 3 institutions in 3 countries.

Konstantinos P LetsasLaboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens, Greece.
Stamatis GeorgopoulosLaboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens, Greece.
Michael EfremidisLaboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens, Greece.
Tong LiuDepartment of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, People׳s Republic of China.
George BazoukisLaboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens, Greece.
Konstantinos VlachosLaboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens, Greece.
Nikolaos KaramichalakisLaboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens, Greece.
Louiza LioniLaboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens, Greece.
Antonios SiderisLaboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens, Greece.
Joachim R EhrlichElectrophysiology Section, St. Josefs-Hospital, Wiesbaden, Germany.
Evangelismos Hospital · GRSecond Hospital of Tianjin Medical University · CNSt. Josefs Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognostic significance of adenosine-mediated dormant pulmonary vein conduction, and whether such dormant conduction should be eliminated, remains controversial. We sought to perform a meta-analysis of data from eligible studies to delineate the prognostic impact of adenosine-guided radiofrequency catheter ablation of atrial fibrillation.

methodsA systematic literature search was performed using online databases in order to identify relevant studies from January 2004 to September 2016. Ten studies [six observational and four randomized control trials (RCTs)] were included in the analysis.

resultsFive studies (two observational and three RCTs) compared the efficacy of adenosine-mediated elimination of dormant conduction versus no adenosine test. Overall, the adenosine-guided ablation strategy displayed better long-term outcomes as compared with no adenosine testing (RR 1.08, 95% CI 1.01-1.14,

conclusionsAdenosine-guided radiofrequency catheter ablation of atrial fibrillation does not provide additional benefit in terms of freedom of arrhythmia recurrence.

Indexed as

AblationAdenosineAtrial fibrillationDormant conductionPulmonary veins

Identifiers

PMID28765753
PMCPMC5529608
OpenAlexW2603787676

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.