Evidence map›Paper›PMID 35419669›Full record

ReviewJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2022

Management of atrial fibrillation: two decades of progress - a scientific statement from the European Cardiac Arrhythmia Society.

Samuel Lévy, Gerhard Steinbeck, Luca Santini, Michael Nabauer, Diego Penela, Bharat K Kantharia, Sanjeev Saksena, Riccardo Cappato

Erratum issuedAbstract readReview
PubMed Publisher
In one paragraph

Review in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  6. Cardiac deceleration capacity: do we have a new indicator for pulmonary vein isolation?Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
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  7. Article
  8. Review
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  11. Implications of the cadaveric heart dissection for cardiac electrophysiology and atrial fibrillation ablation: global electrophysiology perspective.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Article
  12. Article
  13. Review
  14. Evaluation of an Optimized Workflow for the Radiofrequency Catheter Ablation of Paroxysmal Atrial Fibrillation.Medical science monitor : international medical journal of experimental and clinical research · 2024
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  15. Review
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  19. Relationship between coronary blood flow and improvement of cardiac function after catheter ablation for persistent atrial fibrillation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 4 countries.

Samuel LévyMarseille School of Medicine, Aix-Marseille University, Marseille, France. samuel@samuel-levy.com.ORCID http://orcid.org/0000-0001-7753-1043
Gerhard SteinbeckLudwig-Maximilians-University, Munich, Germany.
Luca SantiniCardiology Division, G. B. Grassi Hospital, Via G. Passeroni 28, Ostia Lido, RM, Italy.ORCID http://orcid.org/0000-0001-9048-2039
Michael NabauerKlinikum Der Universität München, Ludwig-Maximilians-University, Munich, Germany.ORCID http://orcid.org/0000-0001-5893-7478
Diego PenelaArrhythmia & Electrophysiology Center IRCCS Multimedica Via Milanese 300, Sesto San Giovanni, Milan, Italy.
Bharat K KanthariaCardiovascular and Heart Rhythm Consultants, 30 West 60th Street, Suite 1U, New York, NY, 10023, USA.ORCID http://orcid.org/0000-0002-4207-0387
Sanjeev SaksenaRutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Riccardo CappatoArrhythmia & Electrophysiology Center IRCCS Multimedica Via Milanese 300, Sesto San Giovanni, Milan, Italy.
Ludwig-Maximilians-Universität München · DEMultiMedica · ITAix-Marseille Université · FRHeart Rhythm Society · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is the most common sustained arrhythmia encountered in clinical practice. The aim of this review was to evaluate the progress made in the management of AF over the two last decades.

resultsClinical classification of AF is usually based on the presence of symptoms, the duration of AF episodes and their possible recurrence over time, although incidental diagnosis is not uncommon. The majority of patients with AF have associated cardiovascular diseases and more recently the recognition of modifiable risk factors both cardiovascular and non-cardiovascular which should be considered in its management. Among AF-related complications, stroke and transient ischaemic accidents (TIAs) carry considerable morbidity and mortality risk. The use of implantable devices such as pacemakers and defibrillators, wearable garments and subcutaneous cardiac monitors with recording capabilities has enabled to access the burden of "subclinical AF". The recent introduction of non-vitamin K antagonists has led to improve the prevention of stroke and peripheral embolism. Agents capable of reversing non-vitamin K antagonists have also become available in case of clinically relevant major bleeding. Transcatheter closure of left atrial appendage represents an option for patients unable to take oral anticoagulation. When treating patients with AF, clinicians need to select the most suitable strategy, i.e. control of heart rate and/or restoration and maintenance of sinus rhythm. The studies comparing these two strategies have not shown differences in terms of mortality. If an AF episode is poorly tolerated from a haemodynamic standpoint, electrical cardioversion is indicated. Otherwise, restoration of sinus rhythm can be obtained using intravenous pharmacological cardioversion and oral class I or class III antiarrhythmic is used to prevent recurrences. During the last two decades after its introduction in daily practice, catheter ablation has gained considerable escalation in popularity. Progress has also been made in AF associated with heart failure with reduced or preserved ejection fraction.

conclusionsSignificant progress has been made within the past 2 decades both in the pharmacological and non-pharmacological managements of this cardiac arrhythmia.

Indexed as

Atrial FibrillationCatheter AblationStrokeAnti-Arrhythmia AgentsAnticoagulantsCardiac Conduction System DiseaseHumansAnti-Arrhythmia AgentsAnticoagulantsAF ablationAF and heart failureAssociated conditionsAtrial fibrillationOral anticoagulantsPredisposing factorsStroke prevention

Identifiers

PMID35419669
OpenAlexW4223953006

What OpenQuestion holds

Textmetadata
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.