Evidence map›Paper›PMID 34113872›Full record

ArticleHeart rhythm O22020

Catheter ablation of atrial fibrillation in patients with diabetes mellitus.

Allen Wang, Tracy Truong, Eric Black-Maier, Cynthia Green, Kristen B Campbell, Adam S Barnett, Janice Febre, Zak Loring, Sana M Al-Khatib, Brett D Atwater and 12 more

Open access · goldAbstract read
In one paragraph

Article in Heart rhythm O2, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  12. Risk factors for the recurrence of atrial fibrillation after catheter ablation: a meta-analysis.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Impact of atrial fibrillation phenotype and left atrial volume on outcome after pulmonary vein isolation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  18. 2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  19. Review
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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

22 authors at 4 institutions in 1 country.

Allen WangDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Tracy TruongDepartment of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, North Carolina.
Eric Black-MaierDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Cynthia GreenDepartment of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, North Carolina.
Kristen B CampbellDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Adam S BarnettDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Janice FebreDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Zak LoringDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Sana M Al-KhatibDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Brett D AtwaterDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
James P DaubertDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Camille Frazier-MillsDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Donald D HeglandDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Kevin P JacksonDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Larry R JacksonDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Jason I KoontzDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Robert K LewisDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Sean D PokorneyDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Albert Y SunDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Kevin L ThomasDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Tristam D BahnsonDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Jonathan P PicciniDuke Center for Atrial Fibrillation, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Duke Medical Center · USClinical Research Institute · USDuke University · USDuke University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes mellitus (DM) is an independent risk factor for atrial fibrillation (AF). Few studies have compared clinical outcomes after catheter ablation between patients with and those without DM.

objectiveThe purpose of this study was to compare AF ablation outcomes in patients with and those without DM.

methodsWe performed a retrospective analysis of 351 consecutive patients who underwent first-time AF ablation. Clinical outcomes included freedom from recurrent atrial arrhythmia, symptom burden (Mayo AF Symptom Inventory score), cardiovascular and all-cause hospitalizations, and periprocedural complications.

resultsPatients with DM (n = 65) were older, had a higher body mass index, more persistent AF, more hypertension, and larger left atrial diameter (

conclusionAlthough safety outcomes associated with AF ablation were similar between patients with and those without DM, arrhythmia-free survival was significantly lower among patients with DM. Poor glycemic control seems to an important risk factor for AF recurrence.

Indexed as

Atrial fibrillationCatheter ablationDiabetes mellitusGlycemic controlOutcomes

Identifiers

PMID34113872
PMCPMC8183889
OpenAlexW3024917826

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.