Evidence map›Paper›PMID 34988530›Full record

ArticleHeart rhythm O22021

Atrial fibrillation in cardiac resynchronization therapy.

Mark K Elliott, Vishal S Mehta, Dejana Martic, Baldeep S Sidhu, Steven Niederer, Christopher A Rinaldi

Open access · goldAbstract read
In one paragraph

Article in Heart rhythm O2, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Outcomes of patients with cardiogenic shock and atrial fibrillation receiving pulmonary vein isolation or AV node ablation and cardiac resynchronization.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  5. Associations between cardiac resynchronization therapy and clinical outcomes according to the atrial fibrillation status in patients with heart failure with reduced ejection fraction.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
    Observational
  6. Brazilian Atrial Fibrillation Guidelines - 2025.Arquivos brasileiros de cardiologia · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
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

6 authors at 2 institutions in 1 country.

Mark K ElliottSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Vishal S MehtaSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Dejana MarticDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Baldeep S SidhuSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Steven NiedererSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Christopher A RinaldiSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
King's College London · GBGuy's and St Thomas' NHS Foundation Trust · GB

Funding

Using Atrial Mechanics To Identify Fibrosis In Patients with Atrial FibrillationR01HL152256 · NHLBI · STANFORD UNIVERSITY · PI ENNIS, DANIEL B · 2020 to 2023
$2.8M
NHLBI NIH HHS R01 HL152256
6 · The paper itself

Abstract

Patients with atrial fibrillation (AF) were largely excluded from the major clinical trials of cardiac resynchronization therapy (CRT), despite the presence of AF in up to 40% of patients receiving CRT in clinical practice. AF appears to attenuate the response to CRT, by the combination of a reduction in biventricular pacing and the loss of atrioventricular synchrony. In addition, remodeling secondary to CRT may influence the progression of AF. Management options for patients with AF and CRT include rate control, with drugs or atrioventricular node ablation, or rhythm control, with electrical cardioversion and antiarrhythmic therapy, or AF catheter ablation. The evidence for these therapies in patients with CRT is largely limited to observational studies or inferred from randomized studies in the general heart failure population. In this review, we explore the complex interaction between AF, heart failure, and CRT and discuss the evidence for the treatment options in this difficult patient cohort.

Indexed as

AF ablationAtrial fibrillationAV node ablationCardiac resynchronization therapyPulmonary vein isolationRate controlRhythm control

Identifiers

PMID34988530
PMCPMC8710632
OpenAlexW4200320856

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.