Evidence map›Paper›PMID 36556020›Full record

ArticleJournal of clinical medicine2022

NT-pro-BNP as a Predictor for Recurrence of Atrial Fibrillation after Primary Cryoballoon Pulmonary Vein Isolation.

Hermann Blessberger, Thomas Lambert, Alexander Nahler, Denis Hrncic, Simon Hönig, Julian Maier, Stefan Rechberger, Armin Windhager, Christian Reiter, Joerg Kellermair and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. The relationship between systemic immune-inflammation index and recurrence after cryoballoon ablation for paroxysmal atrial fibrillation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
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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 at 3 institutions in 1 country.

Hermann BlessbergerDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.ORCID 0000-0003-1943-0927
Thomas LambertDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Alexander NahlerDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Denis HrncicDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Simon HönigDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Julian MaierDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Stefan RechbergerDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Armin WindhagerDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Christian ReiterDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Joerg KellermairDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Juergen KammlerDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Helga WagnerInstitute of Applied Statistics, Johannes Kepler University Linz, 4040 Linz, Austria.ORCID 0000-0002-7003-9512
Clemens SteinwenderDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Kepler Universitätsklinikum · ATParacelsus Medical University · ATJohannes Kepler University of Linz · AT

Funding

Austrian Science Fund FWF DOC 33
6 · The paper itself

Abstract

NT-pro-BNP is produced in the cardiac atria and ventricles in response to increased wall stress. It may be a marker of both AF disease progression and co-morbidities that affect success after pulmonary vein isolation (PVI). This single-center retrospective study analyzed the association between pre-procedural NT-pro-BNP serum levels and the long-term outcome after a first-ever PVI in cryo-technique. Patients were followed by searching the hospital information system and conducting structured telephone interviews. Treatment failure was defined as any relapse of atrial fibrillation (AF) occurring 90 days after the index PVI at the earliest. Kaplan−Meier survival curves and Cox proportional hazards models were computed to assess the impact of NT-pro-BNP on AF recurrence. Following 374 patients over a median of 3.8 years (range: 0.25−9.4 years), baseline NT-pro-BNP was associated with the combined endpoint in univariate analysis (HR 1.04 per 100 pg/mL increase, 95% CI: 1.02−1.07, p < 0.001). Results were virtually unchanged in the multivariate model or if the data were log-transformed. Intraprocedural left atrial pressure correlated positively with log NT-pro-BNP. NT-pro-BNP was associated with AF relapse during a long-term follow-up after first-ever cryo-PVI in our cohort of patients with predominantly normal left ventricular function. This lab parameter is easy to obtain and has significant potential to guide treatment decisions.

Indexed as

atrial fibrillationcryoballoonlong-term follow-upNT-pro-BNPpulmonary vein isolationsuccess rate

Identifiers

PMID36556020
PMCPMC9783297
OpenAlexW4311391409

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.