Evidence map›Paper›PMID 35621197›Full record

ArticleJournal of the American Heart Association2022

Impact of Adenosine on Wavefront Propagation in Persistent Atrial Fibrillation: Insights From Global Noncontact Charge Density Mapping of the Left Atrium.

Michael T B Pope, Pawel Kuklik, Andre Briosa E Gala, Milena Leo, Michael Mahmoudi, John Paisey, Timothy R Betts

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 17% 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, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation.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 · 2024
    Article
  6. Review
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

7 authors at 4 institutions in 2 countries.

Michael T B PopeOxford University Hospitals NHS Foundation Trust Oxford United Kingdom.ORCID 0000-0002-4166-3746
Pawel KuklikDepartment of Cardiology Asklepios Clinic St. Georg Hamburg Germany.
Andre Briosa E GalaOxford University Hospitals NHS Foundation Trust Oxford United Kingdom.ORCID 0000-0002-9145-6374
Milena LeoOxford University Hospitals NHS Foundation Trust Oxford United Kingdom.ORCID 0000-0001-6991-6664
Michael MahmoudiUniversity of Southampton United Kingdom.
John PaiseyUniversity of Southampton United Kingdom.
Timothy R BettsOxford University Hospitals NHS Foundation Trust Oxford United Kingdom.ORCID 0000-0001-9063-9905
Oxford University Hospitals NHS Trust · GBUniversity Hospital Southampton NHS Foundation Trust · GBAsklepios Klinik St. Georg · DEUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Adenosine shortens action potential duration and refractoriness and provokes atrial fibrillation. This study aimed to evaluate the effect of adenosine on mechanisms of wavefront propagation during atrial fibrillation. Methods and Results The study included 22 patients undergoing catheter ablation for persistent atrial fibrillation. Left atrial mapping was performed using the AcQMap charge density system before and after administration of intravenous adenosine at 1 or more of 3 time points during the procedure (before pulmonary vein isolation, after pulmonary vein isolation, and after nonpulmonary vein isolation ablation). Wave-front propagation patterns were evaluated allowing identification and quantification of localized rotational activation (LRA), localized irregular activation, and focal firing. Additional signal processing was performed to identify phase singularities and calculate global atrial fibrillation cycle length and dominant frequency. A total of 35 paired maps were analyzed. Adenosine shortened mean atrial fibrillation cycle length from 181.7±14.3 to 165.1±16.3, (mean difference 16.6 ms; 95% CI, 11.3-21.9,

Indexed as

Atrial FibrillationCatheter AblationPulmonary VeinsAdenosineElectrophysiologic Techniques, CardiacHeart AtriaHeart RateHumansTreatment OutcomeAdenosineAcQMapadenosineatrial fibrillationlocalized rotational activation

Identifiers

PMID35621197
PMCPMC9238707
OpenAlexW4281629789

What OpenQuestion holds

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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.