Evidence map›Paper›PMID 33694091›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2022

Advanced glycation end products predict long-term outcome of catheter ablation in paroxysmal atrial fibrillation.

Allan Bohm, Lubos Urban, Lubomira Tothova, Ljuba Bacharova, Peter Musil, Jan Kyselovic, Peter Michalek, Tomas Uher, Branislav Bezak, Peter Olejnik and 1 more

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In one paragraph

Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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 6 institutions in 1 country.

Allan BohmNational Institute of Cardiovascular Diseases, Pod Krasnou horkou 1, SK-83348, Bratislava, Slovakia. allan.bohm@gmail.com.ORCID http://orcid.org/0000-0002-7237-3223
Lubos UrbanNational Institute of Cardiovascular Diseases, Pod Krasnou horkou 1, SK-83348, Bratislava, Slovakia.
Lubomira TothovaInstitute of Molecular Biomedicine, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Ljuba BacharovaFaculty of Medicine, Comenius University, Bratislava, Slovakia.
Peter MusilFaculty of Medicine, Comenius University, Bratislava, Slovakia.
Jan KyselovicFaculty of Medicine, Comenius University, Bratislava, Slovakia.
Peter MichalekPremedix Academy, Bratislava, Slovakia.
Tomas UherPremedix Academy, Bratislava, Slovakia.
Branislav BezakNational Institute of Cardiovascular Diseases, Pod Krasnou horkou 1, SK-83348, Bratislava, Slovakia.
Peter OlejnikNational Institute of Cardiovascular Diseases, Pod Krasnou horkou 1, SK-83348, Bratislava, Slovakia.
Robert HatalaNational Institute of Cardiovascular Diseases, Pod Krasnou horkou 1, SK-83348, Bratislava, Slovakia.
Comenius University Bratislava · SKNational Institute of Cardiovascular Diseases · SKMedirex Group Academy · SKInternational Laser Center · SKSlovak Academy of Sciences · SKSlovak Medical University · SK

Funding

Agentúra Ministerstva Školstva, Vedy, Výskumu a Športu SR 030UK-4/2019Agentúra Ministerstva Školstva, Vedy, Výskumu a Športu SR 1/0338/17
6 · The paper itself

Abstract

purposeOxidative stress is an important contributor to the etiology of atrial fibrillation (AF). Our aim was to study oxidative stress biomarkers in patients undergoing pulmonary vein isolation (PVI) for paroxysmal AF with radiofrequency catheter ablation and to assess its prognostic value in predicting long-term PVI outcome.

methodsIn this prospective cohort study, we included 62 patients (mean age 55±8 years, 12 females and 50 males) with paroxysmal AF and implanted ECG loop recorders who underwent PVI. Plasmatic concentrations of advanced glycation end-products (AGEs), fructosamine, advanced oxidation protein products, and thiobarbituric-acid reacting substances were measured before PVI. AF burden (percentage of time spent in AF) was continually assessed during the follow-up period (1063±271 days).

resultsNineteen patients (31%) were defined as optimal responders (oR) with AF burden < 0.5% after PVI. Remaining 43 patients (69%) were defined as sub-optimal responders. Concentration of AGEs was significantly lower in oR by 3.7 g/g (CI: -6.5 to -1.7; P=0.0003). After adjustment for age, sex, BMI, left atrial size, arterial hypertension, and AF burden before PVI, only low concentration of AGEs remained significantly associated with oR (odds ratio: 1.3; P=0.04). AGEs concentration achieved area under the curve of 0.78 for predicting optimal long-term PVI response.

conclusionsAGEs concentration before PVI was associated with long-term PVI outcome in patients with paroxysmal AF. Further research will show if this biomarker could contribute to optimal patient selection for catheter ablation.

Indexed as

Atrial FibrillationCatheter AblationPulmonary VeinsFemaleGlycation End Products, AdvancedHumansMaleMiddle AgedProspective StudiesRecurrenceTreatment OutcomeGlycation End Products, AdvancedAdvanced glycation end-productsAtrial fibrillationCatheter ablationOxidative stress

Identifiers

PMID33694091
OpenAlexW3134762771

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.