Evidence map›Paper›PMID 33559195›Full record

ArticleClinical cardiology2021

A predictive model using left atrial function and B-type natriuretic peptide level in predicting the recurrence of early persistent atrial fibrillation after radiofrequency ablation.

Zhenni Yang, Min Xu, Chuxu Zhang, Huannian Liu, Xiaoliang Shao, Yuetao Wang, Ling Yang, Junhua Yang

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Left atrial appendage morphofunctional indices could be predictive of arrhythmia recurrence post-atrial fibrillation ablation: a meta-analysis.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023
    Review
  8. Review
  9. 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

8 authors at 2 institutions in 1 country.

Zhenni YangDepartment of Cardiovascular Division of The Third Affiliated Hospital of Soochow University, Chang Zhou City, Jiangsu Province, China.ORCID https://orcid.org/0000-0003-4527-7356
Min XuDepartment of Cardiovascular Division of The Third Affiliated Hospital of Soochow University, Chang Zhou City, Jiangsu Province, China.
Chuxu ZhangDepartment of Cardiovascular Division of Changzhou Hospital Traditional Chinese Medicine, Chang Zhou City, Jiangsu Province, China.
Huannian LiuDepartment of Cardiovascular Division of Changzhou Cancer Hospital Affiliated to Soochow University, Chang Zhou City, Jiangsu Province, China.
Xiaoliang ShaoDepartment of Nuclear Medicine of The Third Affiliated Hospital of Soochow University, Chang Zhou City, Jiangsu Province, China.
Yuetao WangDepartment of Nuclear Medicine of The Third Affiliated Hospital of Soochow University, Chang Zhou City, Jiangsu Province, China.
Ling YangDepartment of Cardiovascular Division of The Third Affiliated Hospital of Soochow University, Chang Zhou City, Jiangsu Province, China.
Junhua YangDepartment of Cardiovascular Division of The First Affiliated Hospital of Soochow University, Su Zhou City, Jiangsu Province, China.
Soochow University · CNHangzhou Hospital of Traditional Chinese Medicine · CN

Funding

Changzhou City Health Bureau WZ201804Changzhou City Technology Bureau CJ20190086National Natural Science Foundation of China 81471690
6 · The paper itself

Abstract

aimA predictive model using left atrial function indexes obtained by real-time three-dimensional echocardiography (RT-3DE) and the blood B-type natriuretic peptide (BNP) level was constructed, and its value in predicting recurrence in patients with early persistent atrial fibrillation (AF) after radiofrequency ablation was explored.

methodsA total of 228 patients with early persistent AF who were scheduled to receive the first circular pulmonary vein ablation (CPVA) were enrolled. Clinical data of patients were collected: (1) The blood BNP level was measured before radiofrequency ablation; (2) RT-3DE was used to obtain the left atrial (LA) time-volume curve; (3) The clinical characteristics, BNP level and LA function parameters were compared, and logistic regression was used to construct a prediction model with combined parameters; (4) The receiver operating characteristic (ROC) curve was used to examine the diagnostic efficacy of the model.

results(1) 215 patients with early persistent AF completed CPVA and the follow-up. After 3-6 months of follow-up, the patients were divided into sinus rhythm group (160 cases) and recurrence group (55 cases); (2) The recurrence group showed higher minimum LA volume index, diastolic ejection index, and preoperative BNP (all p ≤ .001), while the sinus rhythm group exhibited higher expansion index (PI) and left atrial appendage peak emptying velocity (p ≤ .001); (3) In univariate analysis, BNP level had the best diagnostic performance in predicting the recurrence of AF(AUC = 0.703). We constructed a model based on LA function and BNP level to predict the recurrence of persistent AF after CPVA. This combined model was better than BNP alone in predicting the recurrence of persistent AF after CPVA (AUC: 0.814 vs. 0.703, z = 2.224, p = .026).

conclusionThe combined model of LA function and blood BNP level has good predictive value for the recurrence of early persistent AF after CPVA.

Indexed as

Atrial FibrillationCatheter AblationRadiofrequency AblationAtrial Function, LeftHumansNatriuretic Peptide, BrainRecurrenceTreatment OutcomeNatriuretic Peptide, Brainatrial fibrillationB-type natriuretic peptidecircular pulmonary vein ablationechocardiographyprediction modelrecurrence

Identifiers

PMID33559195
PMCPMC7943902
OpenAlexW3126916990

What OpenQuestion holds

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LicenceCC BY
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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.