Evidence map›Paper›PMID 36066610›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2023

10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic.

Lars Eckardt, Florian Doldi, Sonia Busch, David Duncker, H Estner, M Kuniss, A Metzner, C Meyer, H-R Neuberger, R Tilz and 3 more

Abstract read
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Cryocure-VT: the safety and effectiveness of ultra-low-temperature cryoablation of monomorphic ventricular tachycardia in patients with ischaemic and non-ischaemic cardiomyopathies.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
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
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  8. Relevance of mexiletine in the era of evolving antiarrhythmic therapy of ventricular arrhythmias.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Review
  9. Article
  10. Antiarrhythmic Treatment in Heart Failure.Current heart failure reports · 2024
    Review
  11. Major in-hospital complications after catheter ablation of cardiac arrhythmias: individual case analysis of 43 031 procedures.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 · 2023
    Article
  12. Review
  13. Electrophysiology fellowship experience and requirements: an EHRA survey.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 · 2023
    Article
  14. 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

13 authors.

Lars Eckardt *Klinik Für Kardiologie II: Rhythmologie, Universitätsklinikum Münster, Albert-Schweitzer Campus 1, 48149, Münster, Germany. lars.eckardt@ukmuenster.de.ORCID http://orcid.org/0000-0002-3735-8503
Florian Doldi *Klinik Für Kardiologie II: Rhythmologie, Universitätsklinikum Münster, Albert-Schweitzer Campus 1, 48149, Münster, Germany.
Sonia BuschII Medizinische Klinik Für Kardiologie, Pneumologie Und Angiologie, Krankenhaus Coburg, Coburg, Germany.
David DunckerKlinik Für Kardiologie Und Angiologie, Zentrum Innere Medizin, Medizinische Hochschule Hannover, Hannover, Germany.
H EstnerMedizinische Klinik Und Poliklinik, Interventionelle Elektrophysiologie, Klinikum Der Universität München, Campus Großhadern, Munich, Germany.
M KunissAbteilung Kardiologie, Kerckhoff Klinik GmbH, Bad Nauheim, Germany.
A MetznerKlinik Und Poliklinik Für Kardiologie, Universitäres Herz- Und Gefäßzentrum UKE Hamburg, Hamburg, Germany.
C MeyerKlinik Für Kardiologie, Angiologie, Intensivmedizin, cNEP Research Consortium EVK, Düsseldorf, Germany.
H-R NeubergerKlinik Für Kardiologie-Rhythmologie, Klinikum Traunstein, Traunstein, Germany.
R TilzMedizinische Klinik II (Kardiologie, Angiologie, Intensivmedizin), UKSH, Lübeck, Germany.
F VossInnere Medizin III, Krankenhaus der Barmherzigen Brüder Trier, Trier, Germany.
D Steven *Klinik III Für Innere Medizin, Abteilung Für Elektrophysiologie, Herzzentrum Uniklinik Köln, Cologne, Germany.
P Sommer *Klinik Für Elektrophysiologie/Rhythmologie, Herz Und Diabeteszentrum NRW, Bad Oeynhausen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study provides an update of survey-based data providing an overview of interventional electrophysiology over the last decade. Overall infrastructure, procedures, and training opportunities in Germany were assessed.

methodsBy analyzing mandatory quality reports, German cardiology centres performing electrophysiological studies were identified to repeat a questionnaire from 2010 and 2015.

resultsA complete questionnaire was returned by 192 centers performing about 75% of all ablations in Germany in 2020. In the presence of the COVID-19 pandemic, a total of 76.304 procedures including 68.407 ablations were reported representing a 38% increase compared to 2015. The median number of ablations increased from 180 in 2010 to 377 in 2020. AF was the most common arrhythmia ablated (51 vs. 35% in 2010). PVI with radiofrequency point-by-point ablation (64%) and cryo-balloon ablation (34%) were the preferred strategies. Less than 50 (75) PVI were performed by 31% (36%) of all centres. Only 25 and 24% of participating centres fulfilled EHRA and national requirements for training centre accreditation, respectively. There was a high number of EP centres with no fellows (38%). The proportion of female fellows in EP increased from 26% in 2010 to 33% in 2020.

conclusionComparing 2020, 2010 and 2015, an increasing number of EP centres and procedures were registered. In 2020, more than every second ablation was for therapy of AF. In the presence of an increasing number of procedures, training opportunities were still limited, and most centres did not fulfill recommended EHRA or national requirements for accreditation.

Indexed as

Atrial FibrillationCatheter AblationCOVID-19Cardiac ElectrophysiologyFemaleFollow-Up StudiesHumansPandemicsSurveys and QuestionnairesTreatment OutcomeCatheter ablationInterventional electrophysiologySurveyTraining requirements

Identifiers

PMID36066610
PMCPMC9446632

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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.