Evidence map›Paper›PMID 35061716›Full record

Trial reportPloS one2022

Intermediate-term outcome of cryoballoon ablation of persistent atrial fibrillation and improvements in quality of life of patients.

Daniel Mol, Anchee M Boersma, Wouter R Berger, Muchtiar Khan, Gijsbert S de Ruiter, Geert-Jan P Kimman, Joris R de Groot, Jonas S S G de Jong

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05812261 (Lesion Characteristics After Pulsed-Field Ablation in Patients With Atrial Fibrillation and a Left Common Ostium), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 36% 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.

NCT05812261 completednot on this mapstarted 2023, after this paper: background citation

Lesion Characteristics After Pulsed-Field Ablation in Patients With Atrial Fibrillation and a Left Common Ostium

TypeobservationalSponsorOnze Lieve Vrouwe GasthuisRan2023 to 2024Enrolled24ConditionsAtrial Fibrillation, Pulmonary Vein Isolation, Ablation TherapyArmsCreating an electro-anatomical map
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Lesion characteristics after pulsed-field ablation in patients with paroxysmal atrial fibrillation and a left common ostium (PFALCO RE-MAP STUDY).Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  2. Quality of life before and after catheter ablation (pulmonary vein isolation) for atrial fibrillation: Results from the Netherlands Heart Registration.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026
    Article
  3. Do depressive and anxiety symptoms influence the quality of life of patients with atrial fibrillation after cryoballoon ablation: a comparison study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    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

8 authors at 3 institutions in 1 country.

Daniel MolDepartment of Cardiology, OLVG, Amsterdam, the Netherlands.ORCID 0000-0002-0746-4903
Anchee M BoersmaDepartment of Cardiology, OLVG, Amsterdam, the Netherlands.
Wouter R BergerDepartment of Cardiology, OLVG, Amsterdam, the Netherlands.
Muchtiar KhanDepartment of Cardiology, OLVG, Amsterdam, the Netherlands.
Gijsbert S de RuiterDepartment of Cardiology, OLVG, Amsterdam, the Netherlands.
Geert-Jan P KimmanDepartment of Cardiology, OLVG, Amsterdam, the Netherlands.
Joris R de GrootDepartment of Cardiology, Amsterdam University Medical Centres, Amsterdam, the Netherlands.
Jonas S S G de JongDepartment of Cardiology, OLVG, Amsterdam, the Netherlands.ORCID 0000-0003-2544-5279
OLVG · NLAmsterdam University Medical Centers · NLNoordwest Ziekenhuisgroep · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical outcome of pulmonary vein isolation (PVI) has been predominantly focused on the reoccurrence of atrial fibrillation (AF) and the maintenance of sinus rhythm. However, there has been a limited intermediate follow-up on health-related quality-of-life (HRQoL) of patients. Given the relatively high recurrence rate of persistent AF after PVI treatment, it is important to follow up with clinical outcomes on symptom improvement as well as health-related quality-of-life. This study was designed to investigate the recurrence rate of atrial tachyarrhythmia (ATa), AF-related symptoms and HRQoL after PVI in patients with persistent AF who were treated with the second generation cryoballoon.

methodsTotal 148 patients participated in the study who were treated by PVI between 2013 and 2017 for persistent AF. All patients visited the out-patient clinic 2-5 years after PVI. During this visit all patients filled-out an AF Effect on Quality-of-life (AFEQT) questionnaire and a seven-day Holter was applied. All rhythm recordings acquired post ablation were collected and analysed, and the modified European Heart Rhythm Association score (mEHRA) scores were calculated before and after the ablation.

resultsThe average age of patients was 63±9 year old and 44 (27.9%) were female. Mean CHA2DS2 VASc score was 1.9±1.4, and moderate and severe left atrial (LA) dilation was present in 53 (36.1%) and 15 (10.2%) patients, respectively. After a follow-up of 3.7±1.0 years, 81 (54.7%) patients had an ATa recurrence and 35 (23.6%) patients underwent a repeat LA ablation. However, the mEHRA score significantly improved in 80.4% of the patients (p <0.001), with the median overall AFEQT score of 88.9 [70.4-97.2].

conclusionsThere is a considerable ATa recurrence rate after PVI of persistent AF at intermediate-term follow-up. However, our data indicate that PVI significantly improved AF-related symptoms and resulted in a high HRQoL for 2-5 years in patients with persistent AF.

Indexed as

Catheter AblationCryosurgeryQuality of LifeAgedAtrial FibrillationFemaleFollow-Up StudiesHeart Conduction SystemHumansMaleMiddle Aged

Identifiers

PMID35061716
PMCPMC8782404
OpenAlexW4206421951

What OpenQuestion holds

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Registered trials

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.