Evidence map›Paper›PMID 34386123›Full record

ArticleJournal of arrhythmia2021

An impact of superior vena cava isolation in non-paroxysmal atrial fibrillation patients with low voltage areas.

Takuya Omuro, Yasuhiro Yoshiga, Takeshi Ueyama, Akihiko Shimizu, Makoto Ono, Masakazu Fukuda, Takayoshi Kato, Hironori Ishiguchi, Shohei Fujii, Masahiro Hisaoka and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Prevalence and multiple predictors of left atrial low voltage in paroxysmal and non-paroxysmal atrial fibrillation patients undergoing ablation: a systematic review and meta-analysis.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
    Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

12 authors at 1 institution in 1 country.

Takuya OmuroFaculty of Health Sciences Yamaguchi University Graduate School of Medicine Ube Japan.
Yasuhiro YoshigaDepartment of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.ORCID https://orcid.org/0000-0002-4060-7195
Takeshi UeyamaDepartment of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Akihiko ShimizuFaculty of Health Sciences Yamaguchi University Graduate School of Medicine Ube Japan.
Makoto OnoDepartment of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Masakazu FukudaDepartment of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Takayoshi KatoDepartment of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Hironori IshiguchiDepartment of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Shohei FujiiDepartment of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Masahiro HisaokaDepartment of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Shigeki KobayashiDepartment of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Masafumi YanoDepartment of Medicine and Clinical Science Yamaguchi University Graduate School of Medicine Ube Japan.
Yamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to investigate the correlation between left atrial low-voltage areas (LVAs) and an arrhythmogenic superior vena cava (SVC) and the impact on the efficacy of an empiric SVC isolation (SVCI) along with a pulmonary vein isolation (PVI) of non-paroxysmal atrial fibrillation (non-PAF) with or without LVAs.

methodsWe retrospectively enrolled 153 consecutive patients with non-PAF who underwent a PVI alone (n = 51) or empiric PVI plus an SVCI (n = 102). Left atrial voltage maps were constructed during sinus rhythm to identify the LVAs (<0.5 mV). An arrhythmogenic SVC was defined as firing from the SVC and an SVC associated with the maintenance of AF-like rapid SVC activity.

resultsAn arrhythmogenic SVC and LVAs were identified in 28% and 65% of patients with a PVI alone and 36% and 73% of patients with a PVI plus SVCI, respectively (

conclusionsThe presence of LVAs was associated with an arrhythmogenic SVC. An SVCI may have the potential to compensate for an impaired outcome after a PVI in non-PAF patients with LVAs.

Indexed as

arrhythmiaatrial fibrillationcatheter ablationelectrophysiologypulmonary vein isolation

Identifiers

PMID34386123
PMCPMC8339082
OpenAlexW3162276311

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.