Evidence map›Paper›PMID 31934784›Full record

ArticleCirculation. Arrhythmia and electrophysiology2020

Evaluation of ECG Imaging to Map Hemodynamically Stable and Unstable Ventricular Arrhythmias.

Adam J Graham, Michele Orini, Ernesto Zacur, Gurpreet Dhillon, Holly Daw, Neil T Srinivasan, Claire Martin, Jem Lane, Josephine S Mansell, Alex Cambridge and 13 more

Abstract read
PubMed Publisher
In one paragraph

Article in Circulation. Arrhythmia and electrophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–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

28 citing papers in PubMed.

  1. Electromechanical wave imaging vs electrocardiographic imaging: a direct comparison of non-invasive ventricular activation mapping modalities.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  2. Article
  3. Review
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  6. Article
  7. Review
  8. Article
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  10. Article
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  13. Technical development and feasibility of a reusable vest to integrate cardiovascular magnetic resonance with electrocardiographic imaging.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
    Observational
  14. Article
  15. Article
  16. The scar: the wind in the perfect storm-insights into the mysterious living tissue originating ventricular arrhythmias.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023
    Review
  17. Article
  18. Forward-Solution Noninvasive Computational Arrhythmia Mapping: The VMAP Study.Circulation. Arrhythmia and electrophysiology · 2022
    Article
  19. Cardiac radioablation in the treatment of ventricular tachycardia.Clinical and translational radiation oncology · 2021
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Adam J GrahamBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Michele OriniBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Ernesto ZacurInstitute of Biomedical Engineering, University of Oxford, United Kingdom (E.Z.).
Gurpreet DhillonBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Holly DawBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Neil T SrinivasanBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Claire MartinBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Jem LaneBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Josephine S MansellBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Alex CambridgeBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Jason GarciaBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Francesca PuglieseBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Oliver SegalBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Syed AhsanBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Martin LoweBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Malcolm FinlayBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Mark J EarleyBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Anthony ChowBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Simon SportonBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Mehul DhinojaBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Ross J HunterBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Richard J SchillingBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).
Pier D LambiaseBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom (A.J.G., M.O., G.D., H.D., N.T.S., C.M., J.L., J.S.M., A.C., J.G., F.P., O.S., S.A., M.L., M.F., M.J.E., A.C., S.S., M.D., R.J.H., R.J.S., P.D.L.).

Funding

British Heart Foundation PG/16/81/32441
6 · The paper itself

Abstract

backgroundECG imaging (ECGI) has been used to guide treatment of ventricular ectopy and arrhythmias. However, the accuracy of ECGI in localizing the origin of arrhythmias during catheter ablation of ventricular tachycardia (VT) in structurally abnormal hearts remains to be fully validated.

methodsDuring catheter ablation of VT, simultaneous mapping was performed using electroanatomical mapping (CARTO, Biosense-Webster) and ECGI (CardioInsight, Medtronic) in 18 patients. Sites of entrainment, pace-mapping, and termination during ablation were used to define the VT site of origin (SoO). Distance between SoO and the site of earliest activation on ECGI were measured using co-registered geometries from both systems. The accuracy of ECGI versus a 12-lead surface ECG algorithm was compared.

resultsA total of 29 VTs were available for comparison. Distance between SoO and sites of earliest activation in ECGI was 22.6, 13.9 to 36.2 mm (median, first to third quartile). ECGI mapped VT sites of origin onto the correct AHA segment with higher accuracy than a validated 12-lead ECG algorithm (83.3% versus 38.9%;

conclusionsThis simultaneous assessment demonstrates that CardioInsight localizes VT circuits with sufficient accuracy to provide a region of interest for targeting mapping for ablation. Resolution is not sufficient to guide discrete radiofrequency lesion delivery via catheter ablation without concomitant use of an electroanatomical mapping system but may be sufficient for segmental ablation with radiotherapy.

Indexed as

Catheter AblationAdultAgedAged, 80 and overAlgorithmsElectrocardiographyEpicardial MappingFemaleHumansMaleMiddle AgedTachycardia, Ventricularcatheter ablationconsensuselectrodesmagnetic resonance imagingtachycardia, ventricular

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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.