Evidence map›Paper›PMID 29946559›Full record

ArticleInternational journal of cardiology. Heart & vasculature2018

The long-term efficacy of concomitant maze IV surgery in patients with atrial fibrillation.

Camilla Skals Engelsgaard, Kenneth Bruun Pedersen, Lars Peter Riber, Peter Appel Pallesen, Axel Brandes

Open access · goldAbstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Long-Term Outcomes of Concomitant Modified Cox-Maze and Mitral Surgery.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2025
    Article
  4. Article
  5. Article
  6. Surgery-related cardiac stress: A susceptibility test of late atrial fibrillation recurrence?International journal of cardiology. Heart & vasculature · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. How to make catheter ablation available world-wide?International journal of cardiology. Heart & vasculature · 2019
    Article
  12. Facilitated electrical cardioversion: does the selection of the antiarrhythmic drug matter?International journal of cardiology. Heart & vasculature · 2019
    Article
  13. Risk profiling in atrial fibrillation: Value of assessment of vascular blush.International journal of cardiology. Heart & vasculature · 2019
    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

5 authors at 1 institution in 1 country.

Camilla Skals EngelsgaardDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Kenneth Bruun PedersenDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Lars Peter RiberDepartment of Thoracic Surgery, Odense University Hospital, Odense, Denmark.
Peter Appel PallesenDepartment of Thoracic Surgery, Odense University Hospital, Odense, Denmark.
Axel BrandesDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Odense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is the most common cardiac arrhythmia, and associated with increased risk of morbidity and mortality. AF surgery is widely used for rhythm control of AF, but previous studies have shown varying results. This study sought to investigate the long-term efficacy of concomitant maze IV (CMIV) surgery in an unselected AF population and identify predictors of late AF recurrence.

methodsIn total 144 consecutive patients, who underwent CMIV between January 2006 and December 2010 were enrolled. By data from electronic medical records, registers, and rhythm prints, late AF recurrences and heart rhythm at latest follow-up were retrospectively registered. All patients still alive were invited to an ambulant follow-up to update rhythm status.

resultsDuring a median (IQR) follow-up of 7.39 (2.67) years, 114 (79.2%) patients had recurrence. The cumulative incidence of sinus rhythm (SR) without antiarrhythmic drugs (AADs) was 52.3% after 1 year. Long-term results after 2, 5 and 7 years were 47.9%, 32.6% and 25.1%, respectively. At latest follow-up 34.7% were in SR off AADs. No difference in 10-year event-free survival stratified by recurrence were found (

conclusionCMIV in the present cohort provided limited long-term success in obtaining SR. SAF, longer AF duration, and postoperative ATA were associated with late AF recurrence.

Indexed as

AblationAtrial fibrillationCardiac arrhythmiaLate recurrenceMaze surgeryPredictors

Identifiers

PMID29946559
PMCPMC6016068
OpenAlexW2800569200

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.