Evidence map›Paper›PMID 29602766›Full record

Observational studyJournal of the American Heart Association2018

Predictors of Acute Failure Ablation of Intra-atrial Re-entrant Tachycardia in Patients With Congenital Heart Disease: Cardiac Disease, Atypical Flutter, and Previous Atrial Fibrillation.

Ivo Roca-Luque, Nuria Rivas-Gándara, Laura Dos-Subirà, Jaume Francisco-Pascual, Antònia Pijuan-Domenech, Jordi Pérez-Rodon, Alba Santos-Ortega, Ferran Roses-Noguer, Ignacio Ferreira-Gonzalez, David García-Dorado García and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Tachyarrhythmias in congenital heart disease.Frontiers in cardiovascular medicine · 2024
    Review
  4. Article
  5. Article
  6. Arrhythmic syncope: From diagnosis to management.World journal of cardiology · 2023
    Review
  7. Article
  8. Review
  9. Cardiac monitoring for patients with palpitations.World journal of cardiology · 2021
    Review
  10. Diagnostic and Therapeutic Approach to Arrhythmias in Adult Congenital Heart Disease.Current treatment options in cardiovascular medicine · 2019
    Review
  11. Observational
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

11 authors at 1 institution in 1 country.

Ivo Roca-LuqueArrhythmia Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain ivroca@vhebron.net.
Nuria Rivas-GándaraArrhythmia Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Laura Dos-SubiràGrown-Up Congenital Heart Disease Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Jaume Francisco-PascualArrhythmia Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Antònia Pijuan-DomenechGrown-Up Congenital Heart Disease Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Jordi Pérez-RodonArrhythmia Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Alba Santos-OrtegaArrhythmia Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Ferran Roses-NoguerArrhythmia Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Ignacio Ferreira-GonzalezEpidemiology Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
David García-Dorado GarcíaArrhythmia Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Angel Moya MitjansArrhythmia Unit, Cardiology Service, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Vall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntra-atrial re-entrant tachycardia (IART) in patients with congenital heart disease (CHD) increases morbidity and mortality. Radiofrequency catheter ablation has evolved as the first-line treatment. The aim of this study was to analyze the acute success and to identify predictors of failed IART radiofrequency catheter ablation in CHD. METHODS AND

resultsThe observational study included all consecutive patients with CHD who underwent a first ablation procedure for IART at a single center from January 2009 to December 2015 (94 patients, 39.4% female, age: 36.55±14.9 years). In the first procedure, 114 IART were ablated (acute success: 74.6%; 1.21±0.41 IART per patient) with an acute success of 74.5%. Cavotricuspid isthmus-related IART was the only arrhythmia in 51%; non-cavotricuspid isthmus-related IART was the only mechanism in 27.7% and 21.3% of the patients had both types of IART. Predictors of acute radiofrequency catheter ablation failure were as follows: nonrelated cavotricuspid isthmus IART (odds ratio 7.3; confidence interval [CI], 1.9-17.9;

conclusionsAlthough ablation in CHD is a challenging procedure, acute success of 75% can be achieved in moderate-highly complex CHD patients in a referral center. Predictors of failed ablation are IART different from cavotricuspid isthmus, previous atrial fibrillation, and markers of complex CHD (transposition of great arteries, systemic ventricle dilation).

Indexed as

AdolescentAdultAgedAged, 80 and overAtrial FibrillationAtrial FlutterChildChild, PreschoolEchocardiographyElectrocardiographyElectrophysiologic Techniques, CardiacFemaleHeart Defects, CongenitalHumansMaleMiddle Agedablationcongenital heart diseaseflutter

Identifiers

PMID29602766
PMCPMC5907589
OpenAlexW2794567324

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.