Evidence map›Paper›PMID 34291484›Full record

ArticleClinical cardiology2021

The efficacy and safety of left atrial low-voltage area guided ablation for recurrence prevention compared to pulmonary vein isolation alone in patients with persistent atrial fibrillation trial: Design and rationale.

Akihiro Sunaga, Masaharu Masuda, Koichi Inoue, Nobuaki Tanaka, Tetsuya Watanabe, Yoshio Furukawa, Yasuyuki Egami, Akio Hirata, Nobuhiko Makino, Hitoshi Minamiguchi and 17 more

Open access · goldAbstract readClinical Trial Protocol
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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Impact of renal function on the efficacy of low-voltage area ablation after pulmonary vein isolation: a sub-analysis of the SUPPRESS-AF trial.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 · 2025
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  7. Outcomes after redo ablation for the recurrence of atrial fibrillation: a systematic review and meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
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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

27 authors at 9 institutions in 1 country.

Akihiro SunagaDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Masaharu MasudaCardiovascular Center, Kansai Rosai Hospital, Amagasaki, Japan.
Koichi InoueCardiovascular Center, Sakurabashi-Watanabe Hospital, Osaka, Japan.
Nobuaki TanakaCardiovascular Center, Sakurabashi-Watanabe Hospital, Osaka, Japan.
Tetsuya WatanabeDivision of Cardiology, Osaka General Medical Center, Osaka, Japan.
Yoshio FurukawaDivision of Cardiology, Osaka General Medical Center, Osaka, Japan.
Yasuyuki EgamiDivision of Cardiology, Osaka Rosai Hospital, Sakai, Japan.
Akio HirataCardiovascular Division, Osaka Police Hospital, Osaka, Japan.
Nobuhiko MakinoCardiovascular Division, Osaka Police Hospital, Osaka, Japan.
Hitoshi MinamiguchiDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Takafumi OkaDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Tomoko MinamisakaDepartment of Cardiovascular Medicine, Yao Municipal Hospital, Yao, Japan.
Toshihiro TakedaDepartment of Medical Informatics, Osaka University Graduate School of Medicine, Suita, Japan.
Tomomi YamadaDepartment of Medical Innovation, Osaka University Hospital, Suita, Japan.
Tetsuhisa KitamuraDepartment of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Hirota KidaDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Bolrathanak OeunDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Taiki SatoDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Yohei SotomiDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Tomoharu DohiDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Katsuki OkadaDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Shinichiro SunaDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Hiroya MizunoDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Daisaku NakataniDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Shungo HikosoDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.ORCID https://orcid.org/0000-0003-2284-1970
Yasushi SakataDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
OCVC-SUPPRESS-AF investigators
The University of Osaka · JPOsaka Police Hospital · JPOsaka Prefectural Medical Center · JPSakurabashi Watanabe Hospital · JPKansai Rosai Hospital · JPOsaka National Hospital · JPOsaka Rosai Hospital · JPOsaka University Hospital · JPYao Tokushukai General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recurrence rates of atrial fibrillation (AF) after pulmonary vein isolation (PVI) are higher in patients with a left atrial low-voltage area (LVA) than those without. However, the efficacy of LVA guided ablation is still unknown. The purpose of this study-the Efficacy and Safety of Left Atrial Low-voltage Area Guided Ablation for Recurrence Prevention Compared to Pulmonary Vein Isolation Alone in Patients with Persistent Atrial Fibrillation trial (SUPPRESS-AF trial)-is to elucidate whether LVA guided ablation in addition to PVI is superior to PVI alone in patients with persistent AF. The Osaka Cardiovascular Conference will conduct a multicenter, randomized, open-label trial aiming to examine whether LVA guided ablation in addition to PVI is superior to PVI alone in patients with persistent AF and LVAs. The primary outcome is the recurrence of AF documented by scheduled or symptom-driven electrocardiography (ECG) during the 1 year follow-up period after the index ablation. The key secondary endpoints include all-cause death, symptomatic stroke, bleeding events, and other complications related to the procedure. A total of 340 patients with an LVA will be enrolled and followed up to 1 year. The SUPPRESS-AF trial is a randomized controlled trial designed to assess whether LVA guided ablation in addition to PVI is superior to PVI alone for patients with persistent AF and LVAs detected while undergoing their first catheter ablation.

Indexed as

Atrial FibrillationCatheter AblationPulmonary VeinsElectrophysiologic Techniques, CardiacHeart AtriaHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicRecurrenceTreatment Outcomeatrial fibrillationcatheter ablationlow-voltage area guided ablationrandomized control trialsubstrate modificationvoltage mapping

Identifiers

PMID34291484
PMCPMC8428000
OpenAlexW3183526113

What OpenQuestion holds

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LicenceCC BY
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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.