ReviewCirculation. Arrhythmia and electrophysiology2021
Shared Decision Making in Cardiac Electrophysiology Procedures and Arrhythmia Management.
2 registry-linked trialsAbstract readReview
In one paragraph
Review in Circulation. Arrhythmia and electrophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.
0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.
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.
Engaging Patients to Help Achieve Increased Patient Choice and Engagement for AFib Stroke Prevention
A Multicenter, Randomized, Double-blind, Research Study comparinG the Efficacy and Safety of cardioneuroablaTion vs Permanent Pacing in Patients With an implantabLE PACEmaker for Symptomatic Bradycardia.
Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Use of digital patient decision-support tools for atrial fibrillation treatments: a systematic review and meta-analysis.BMJ evidence-based medicine · 2025Pooled it
- Guideline
- 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.Journal of the American College of Cardiology · 2024Guideline
- Facilitating Shared Decision Making Among Black Patients at Risk for Sudden Cardiac Arrest : A Randomized Clinical Trial.Annals of internal medicine · 2023Trial
- Randomized Clinical Trial to Evaluate an Atrial Fibrillation Stroke Prevention Shared Decision-Making Pathway.Journal of the American Heart Association · 2023Trial
- The Information Needs and Experiences of Cardiac Implantable Electronic Device Caregivers: A Qualitative Analysis of Social Media Data.Journal of clinical psychology in medical settings · 2026Article
- Understanding patient preferences, experiences and engagement with ambulatory heart rhythm monitoring: a scoping review.BMJ open · 2026Article
- Same-day discharge after electrophysiological and cardiac implantable electronic device procedures: a clinical consensus statement of the European Heart Rhythm Association (EHRA) and the Association of Cardiovascular Nursing & Allied Professions (ACNAP) of the ESC.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 · 2026Review
- Evaluating a digital decision aid for atrial fibrillation rhythm control in a hybrid implementation-effectiveness trial.NPJ digital medicine · 2026Article
- Shared Decision-Making and Patient Decision Aids for Percutaneous Left Atrial Appendage Occlusion.JAMA network open · 2026Article
- Cardiac implantable electronic device upgrades and downgrades: a Clinical Consensus Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Asia Pacific Heart Rhythm Association (APHRS), Canadian Heart Rhythm Society (CHRS), Heart Rhythm Society (HRS), and the Latin American Heart Rhythm Society (LAHRS).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 · 2025Article
- A case report of sinus node-sparing hybrid ablation for refractory sinus tachycardia following cardioneuroablation for sinus node dysfunction.BMC cardiovascular disorders · 2025Article
- Article
- Double trouble: Hybrid management of inappropriate sinus tachycardia and sinus bradycardia in the era of cardioneuromodulation.HeartRhythm case reports · 2025Article
- Development and validation of risk stratification and shared decision-making tool for catheter ablation for atrial fibrillation in patients with heart failure: a multicentre cohort study.EClinicalMedicine · 2025Article
- European Society of Cardiology (ESC) clinical consensus statement on indications for conduction system pacing, with special contribution of the European Heart Rhythm Association of the ESC and endorsed by the Asia Pacific Heart Rhythm Society, the Canadian Heart Rhythm Society, the Heart Rhythm Society, and the Latin American Heart Rhythm Society.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 · 2025Article
- Patient Information Needs and Decision-Making Before a Cardiac Implantable Electronic Device: A Qualitative Study Utilizing Social Media Data.Journal of clinical psychology in medical settings · 2025Article
- Cardioneuroablation in the Management of Vagally Mediated Bradyarrhythmias-A Comprehensive Review of Ongoing Randomized Controlled Trials.Journal of clinical medicine · 2025Review
- Shared Decision-Making Aid for Stroke-Prevention Strategies in Patients With Atrial Fibrillation Receiving Maintenance Hemodialysis (SIMPLIFY-HD): A Mixed-Methods Study.Canadian journal of kidney health and disease · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
42 authors.
Mina K ChungCleveland Clinic, Cleveland, OH (M.K.C., K.M., E.V.S., S.Y.W.).ORCID 0000-0002-7835-6045
Angela FagerlinUniversity of Utah, Salt Lake City, UT (A.F., R.K.D., E.O., B.A.S.).ORCID 0000-0002-9192-2777
Paul J WangStanford University, Stanford, CA (P.J.W., T.B., Y.L., K.P., R.S.S.).ORCID 0000-0002-5467-5877
Tinuola B AjayiBoston University and Boston Medical Center, Boston, MA (T.B.A., E.J.B.).ORCID 0000-0002-1568-7103
Larry A AllenUniversity of Colorado, Aurora, CO (L.A.A., M.B., D.D.M.).ORCID 0000-0003-2540-3095
Tina BaykanerStanford University, Stanford, CA (P.J.W., T.B., Y.L., K.P., R.S.S.).ORCID 0000-0002-0476-2972
Emelia J BenjaminBoston University and Boston Medical Center, Boston, MA (T.B.A., E.J.B.).ORCID 0000-0003-4076-2336
Megan BrandaUniversity of Colorado, Aurora, CO (L.A.A., M.B., D.D.M.).ORCID 0000-0003-0779-6876
Kerri L CavanaughVanderbilt University Medical Center, Nashville, TN (K.L.C., G.H.C., D.M.R.).ORCID 0000-0002-4031-1714
Lin Y ChenUniversity of Minnesota, Minneapolis, MN (L.Y.C.).ORCID 0000-0002-0700-814X
George H CrossleyVanderbilt University Medical Center, Nashville, TN (K.L.C., G.H.C., D.M.R.).
Rebecca K DelaneyUniversity of Utah, Salt Lake City, UT (A.F., R.K.D., E.O., B.A.S.).ORCID 0000-0002-1589-1374
Lee L EckhardtUniversity of Wisconsin-Madison, Madison, WI (L.L.E., M.M.K., K.M.O., J.M.W.).ORCID 0000-0001-5792-064X
Kathleen L GradyNorthwestern University, Chicago, IL (K.L.G., R.P.).ORCID 0000-0002-6570-5365
Ian G HargravesMayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.).
Mellanie True HillsStopAfib.org, Decatur, TX (M.T.H.).ORCID 0000-0001-8298-4418
Matthew M KalscheurUniversity of Wisconsin-Madison, Madison, WI (L.L.E., M.M.K., K.M.O., J.M.W.).ORCID 0000-0001-6300-3696
Daniel B KramerBeth Israel Deaconess Medical Center, Boston, MA (D.B.K.).ORCID 0000-0003-4241-3586
Marleen KunnemanMayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.).ORCID 0000-0001-5334-1085
Rachel LampertYale School of Medicine, New Haven, CT (R.L.).ORCID 0000-0003-3313-0939
Aisha T LangfordNew York University Langone Health, New York, NY (A.T.L.).ORCID 0000-0003-1758-691X
Krystina B LewisUniversity of Ottawa, ON, Canada (K.B.L., D.S.).ORCID 0000-0001-6761-7548
Ying LuStanford University, Stanford, CA (P.J.W., T.B., Y.L., K.P., R.S.S.).ORCID 0000-0002-7698-8962
John M MandrolaBaptist Health Medical Group, Louisville, KY (J.M.M.).ORCID 0000-0001-5093-9946
Kathryn MartinezCleveland Clinic, Cleveland, OH (M.K.C., K.M., E.V.S., S.Y.W.).ORCID 0000-0001-9177-480X
Daniel D MatlockUniversity of Colorado, Aurora, CO (L.A.A., M.B., D.D.M.).ORCID 0000-0001-9597-9642
Sarah R McCarthyMayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.).ORCID 0000-0001-5489-6875
Victor M MontoriMayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.).ORCID 0000-0003-0595-2898
Peter A NoseworthyMayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.).ORCID 0000-0002-4308-0456
Kate M OrlandUniversity of Wisconsin-Madison, Madison, WI (L.L.E., M.M.K., K.M.O., J.M.W.).ORCID 0000-0003-4510-448X
Elissa OzanneUniversity of Utah, Salt Lake City, UT (A.F., R.K.D., E.O., B.A.S.).ORCID 0000-0001-5352-9459
Rod PassmanNorthwestern University, Chicago, IL (K.L.G., R.P.).ORCID 0000-0001-8718-1534
Krishna PundiStanford University, Stanford, CA (P.J.W., T.B., Y.L., K.P., R.S.S.).ORCID 0000-0002-1230-367X
Dan M RodenVanderbilt University Medical Center, Nashville, TN (K.L.C., G.H.C., D.M.R.).ORCID 0000-0002-6302-0389
Elizabeth V SaarelCleveland Clinic, Cleveland, OH (M.K.C., K.M., E.V.S., S.Y.W.).ORCID 0000-0002-3743-465X
Monika M SchmidtU.S. Department of Veterans Affairs, Nashville, TN (M.M.S.).ORCID 0000-0001-6414-7974
Samuel F SearsEast Carolina University, Greenville, NC (S.F.S.).ORCID 0000-0002-7863-3591
Dawn StaceyUniversity of Ottawa, ON, Canada (K.B.L., D.S.).ORCID 0000-0002-2681-741X
Randall S StaffordStanford University, Stanford, CA (P.J.W., T.B., Y.L., K.P., R.S.S.).ORCID 0000-0003-1805-1271
Benjamin A SteinbergUniversity of Utah, Salt Lake City, UT (A.F., R.K.D., E.O., B.A.S.).ORCID 0000-0002-4729-7820
Sojin Youn WassCleveland Clinic, Cleveland, OH (M.K.C., K.M., E.V.S., S.Y.W.).ORCID 0000-0001-9354-0011
Jennifer M WrightUniversity of Wisconsin-Madison, Madison, WI (L.L.E., M.M.K., K.M.O., J.M.W.).ORCID 0000-0002-7134-4033
Funding
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9MNESTcc Renewal -Continuation of the National Evaluation System for Health Technology (NEST) Coordinating Center (CC)U01FD006292 · FDA · MEDICAL DEVICE INNOVATION CONSORTIUM · PI SMITH, RICHARD · 2018 to 2025
$76.1MCTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7MClinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5MClinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1MIDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6MTRAINING IN CARDIOVASCULAR RESEARCHT32HL007576 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Stavros George Drakos, Robin M Shaw · 1985 to 2026
$10.6MFunctional Genomics of Atrial Fibrillation in Human AtriaR01HL111314 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BARNARD, JOHN, CHUNG, MINA KAY · 2012 to 2019
$6.1MA Multicenter Trial of a Shared DECision Support Intervention for Patients offered implantable Cardioverter-DEfibrillators: DECIDE - ICD TrialR01HL136403 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MATLOCK, DANIEL D · 2017 to 2021
$3.8MSignificance of Atrial Fibrillation and Atrial Fibrillation Burden Detected by Novel ECG Monitoring in Community-Dwelling ElderlyR01HL126637 · NHLBI · UNIVERSITY OF MINNESOTA · PI CHEN, LIN YEE · 2016 to 2020
$3.7MMechanical circulatory support: Measures of adjustment and quality of lifeR01HL130502 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GRADY, KATHLEEN L, HAHN, ELIZABETH A · 2016 to 2020
$3.6MThe Trajectories and Clinical Experiences of ICD Therapy (TRACER-ICD) StudyR01AG068141 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KRAMER, DANIEL BRUCE · 2021 to 2025
$3.4MAHRQ HHS R01 HS025402American Heart Association-American Stroke Association 18SFRN34110082BLRD VA IK6 BX006185FDA HHS U01 FD006292NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR002548NCATS NIH HHS UM1 TR004528NCRR NIH HHS UL1 RR024989NHLBI NIH HHS K01 HL135467NHLBI NIH HHS K01 HL136656NHLBI NIH HHS K23 HL143156NHLBI NIH HHS K23 HL145017NHLBI NIH HHS K24 HL155813NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL111314NHLBI NIH HHS R01 HL126637NHLBI NIH HHS R01 HL130502NHLBI NIH HHS R01 HL131535NHLBI NIH HHS R01 HL136403NHLBI NIH HHS R01 HL139738NHLBI NIH HHS R01 HL141288NHLBI NIH HHS R01 HL141434NHLBI NIH HHS R01 HL143070NHLBI NIH HHS R01 HL158071NHLBI NIH HHS T32 HL007576NIA NIH HHS R01 AG047416NIA NIH HHS R01 AG062436NIA NIH HHS R01 AG066010NIA NIH HHS R01 AG066914NIA NIH HHS R01 AG068141NIA NIH HHS R21 AG062580
Abstract
Shared decision making (SDM) has been advocated to improve patient care, patient decision acceptance, patient-provider communication, patient motivation, adherence, and patient reported outcomes. Documentation of SDM is endorsed in several society guidelines and is a condition of reimbursement for selected cardiovascular and cardiac arrhythmia procedures. However, many clinicians argue that SDM already occurs with clinical encounter discussions or the process of obtaining informed consent and note the additional imposed workload of using and documenting decision aids without validated tools or evidence that they improve clinical outcomes. In reality, SDM is a process and can be done without decision tools, although the process may be variable. Also, SDM advocates counter that the low-risk process of SDM need not be held to the high bar of demonstrating clinical benefit and that increasing the quality of decision making should be sufficient. Our review leverages a multidisciplinary group of experts in cardiology, cardiac electrophysiology, epidemiology, and SDM, as well as a patient advocate. Our goal is to examine and assess SDM methodology, tools, and available evidence on outcomes in patients with heart rhythm disorders to help determine the value of SDM, assess its possible impact on electrophysiological procedures and cardiac arrhythmia management, better inform regulatory requirements, and identify gaps in knowledge and future needs.
Indexed as
Clinical Decision-MakingDecision Making, SharedDecision Support TechniquesElectrophysiologic Techniques, CardiacArrhythmias, CardiacEvidence-Based MedicineHumansPatient ParticipationPatient SafetyPredictive Value of TestsPrognosisRisk AssessmentRisk Factorsarrhythmias, cardiacdecision making, shareddocumentationelectrophysiologyinformed consent
Identifiers
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Read underepoch 390
Registered trials
NCT04096781ClinicalTrials.gov
NCT05896592ClinicalTrials.gov
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.