Evidence map›Paper›PMID 34061373›Full record

Observational studyClinical cardiology2021

The immediate trends in atrial electrical remodeling for paroxysmal atrial fibrillation across different modes of catheter ablation.

Qian Hou, Liang Feng, Jing Yang, Yue Liu, Ling You, Lianxia Wang, Yan Zhang, Qian Liu, Yuliang Zhao, Ruiqin Xie

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 2 institutions in 1 country.

Qian HouDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Liang FengDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Jing YangDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yue LiuDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Ling YouDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Lianxia WangDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yan ZhangDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Qian LiuDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yuliang ZhaoDepartment of Otorhinolaryngology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Ruiqin XieDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Second Hospital of Hebei Medical University · CNHebei Medical University · CN

Funding

Hebei Provincial Government Funds Specialty Capacity Building and Specialty Leader training project (361004) 361004Medical Applicable Technology Tracking Project of Hebei Provincial Health Commission (G2018025) G2018025This work was supported by grants from the the second hospital of hebei medical university to Dr. Qian Hou. 2HC202060
6 · The paper itself

Abstract

backgroundCatheter ablation has emerged as a major strategy for paroxysmal atrial fibrillation (PAF). Atrial electrical remodeling (AER) plays a critical role in the recurrence of PAF after ablation. HYPOTHESIS: To characterize the immediate trends of AER during ablations in patients with PAF, and assess the relationship between immediate trends and recurrence.

methodsWe performed this prospective observational study of 135 patients to investigate AER following three ablation modes: radiofrequency ablation (RFA), cryoablation (CA) and 3D mapping-guided cryoablation (3D-CA). The atrial effective refractory period (AERP) and atrial conduction time (ACT) were measured via electrophysiology before and immediately after ablation, and P-wave indices were measured via electrocardiography before and within 24 h after ablation. Follow-up visits were conducted for at least 1 year or until relapse.

resultsDifferent approaches of ablation caused a fairly significant increase in the shortest P-wave duration and AERP in both the proximal coronary sinus (PCS) and distal coronary sinus (DCS) but caused a shortened P-wave dispersion. No different effect was found at the AERP among the three modes. Compared to patients who received CA, among patients who received RFA, a significant reduction in total ACT and right ACT was seen. Statistically, there was a weakly positive association between changes in total ACT and early recurrence.

conclusionsInjury during ablation for PAF was associated with an increase in the AERP but not in the ACT. Total ACT and right ACT were shorter after RFA than after CA. The increase in total ACT were slightly predictive of early recurrence.

Indexed as

Atrial FibrillationAtrial RemodelingCatheter AblationElectrocardiographyHeart AtriaHumansRecurrenceTreatment Outcomeatrial electrical remodelingcatheter ablationimmediate trendsparoxysmal atrial fibrillation

Identifiers

PMID34061373
PMCPMC8259153
OpenAlexW3164032364

What OpenQuestion holds

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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.