Evidence map›Paper›PMID 35877591›Full record

ArticleJournal of cardiovascular development and disease2022

Unipolar Electrogram-Guided versus Lesion Size Index-Guided Catheter Ablation in Patients with Paroxysmal Atrial Fibrillation.

Guohua Fu, Bin He, Binhao Wang, Mingjun Feng, Xianfeng Du, Jing Liu, Yibo Yu, Fang Gao, Weidong Zhuo, Yi Xu and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 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
1.6field-weighted citation impact, top 15% 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, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. 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
  4. Review
  5. Article
  6. 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

12 authors at 1 institution in 1 country.

Guohua FuArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.ORCID 0000-0002-7588-9452
Bin HeArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.
Binhao WangArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.ORCID 0000-0001-5341-3878
Mingjun FengArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.
Xianfeng DuArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.ORCID 0000-0002-5521-7974
Jing LiuArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.
Yibo YuArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.
Fang GaoArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.
Weidong ZhuoArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.
Yi XuArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.
Yingbo QiArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.
Huimin ChuArrhythmia Center, Ningbo First Hospital, Ningbo 315000, China.ORCID 0000-0002-2791-6831
Ningbo First Hospital · CN

Funding

Basic Public Welfare Research Project of Zhejiang Province LGJ20H20001Key Laboratory of Precision Medicine for Atherosclerotic Diseases of Zhejiang Province, China 2022E10026
6 · The paper itself

Abstract

Background: This research explores the relationship between the unipolar electrogram (UP-EGM) and lesion size index (LSI) in different regions of continuous circular lesions (CCLs) and to assess the safety and efficacy of UP-EGM-guided versus LSI-guided radiofrequency catheter ablation (RFCA) in patients with paroxysmal atrial fibrillation (PAF). Methods: A total of 120 patients with drug-refractory PAF who underwent index RFCA were scheduled to be consecutively included from March 2020 to April 2021. All the patients were randomly divided 1:1 into two groups: the UP-EGM group and the LSI group. The first-pass PVI rate, acute PVI rate, and the sinus rhythm maintenance rate were compared. Results: A total of 120 patients with PAF were included in the study: the UP-EGM group (n = 60) and the LSI group (n = 60). All the LSI values in the UP-EGM group were less than those in the corresponding regions in the LSI group (all p < 0.001). There were no significant differences in the first-pass PVI rate and acute PVI rate between the two groups. After a mean follow-up period of 11.31 ± 1.70 months, the sinus rhythm maintenance rate in the UP-EGM group was comparable to that in the LSI group (90% vs. 91.7%, p = 0.752). Conclusion: UP-EGM-guided and LSI-guided RFCA are both effective and safe in patients with PAF. However, UP-EGM may be more suitable than LSI for guiding individual RFCA.

Indexed as

lesion indexparoxysmal atrial fibrillationpulmonary vein isolationunipolar electrogram

Identifiers

PMID35877591
PMCPMC9320701
OpenAlexW4285731131

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.