Evidence map›Paper›PMID 36698924›Full record

ArticleFrontiers in cardiovascular medicine2022

Periodontitis was associated with worse clinical outcomes after catheter ablation for paroxysmal atrial fibrillation.

Akira Tashiro, Taishi Yonetsu, Norio Aoyama, Yuka Shiheido-Watanabe, Takayuki Niida, Shinsuke Miyazaki, Yasuhiro Maejima, Masahiko Goya, Mitsuaki Isobe, Takanori Iwata and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. 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

11 authors at 3 institutions in 1 country.

Akira TashiroDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Taishi YonetsuDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Norio AoyamaDepartment of Periodontology, Kanagawa Dental University, Yokosuka, Japan.
Yuka Shiheido-WatanabeDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Takayuki NiidaDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Shinsuke MiyazakiDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Yasuhiro MaejimaDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Masahiko GoyaDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Mitsuaki IsobeSakakibara Heart Institute, Tokyo, Japan.
Takanori IwataDepartment of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Tetsuo SasanoDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Tokyo Medical and Dental University · JPKanagawa Dental University · JPSakakibara Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Periodontitis (PD), a common chronic inflammatory disease, may be associated with the subsequent development of atrial fibrillation (AF) through a mechanism of systemic inflammation. However, little is known about the impact of PD on the recurrence of atrial fibrillation after catheter ablation (CA). Methods: A total of 132 patients (age 62.2 ± 10.6 years; 72.7% male) who underwent periodontal examinations and the first CA for paroxysmal atrial fibrillation (PAF) were investigated. Clinical periodontal examination was performed by independent trained periodontists, and patients were diagnosed with PD when the maximum periodontal probing depth was equal to or greater than 4 mm and bleeding on probing was evident. Of these, 71 patients (54%) were categorized as those with PD (PD group) and the other 61 (46%) as those without PD (non-PD group). Pulmonary vein isolation was performed in a standard fashion. Results: Kaplan-Meier curve analysis revealed worse atrial arrhythmia recurrence-free survival probabilities after CA for PAF in the PD group than in the non-PD group (64.8% versus 80.3%, respectively; Conclusion: Periodontitis was independently associated with an increased risk of arrhythmia recurrence after the first CA for PAF. Our results may suggest that the periodontal status is potentially a modifiable determinant of the outcomes after PAF ablation, and further prospective studies are warranted.

Indexed as

arrhythmia recurrenceatrial fibrillationcatheter ablationoral health statusparoxysmal atrial fibrillation (PAF)periodontitis (PD)

Identifiers

PMID36698924
PMCPMC9868319
OpenAlexW4313826000

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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.