Evidence map›Paper›PMID 36756856›Full record

SynthesisClinical cardiology2023

Anteriolateral versus anterior-posterior electrodes in external cardioversion of atrial fibrillation: A systematic review and meta-analysis of clinical trials.

Karam R Motawea, Mostafa R Mostafa, Merna Aboelenein, Mohamed Magdi, Hager Fathy, Sarya Swed, Mohamed M Belal, Dina M Awad, Rowan H Elhalag, Nesreen E Talat and 9 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Clinical cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 7 institutions in 4 countries.

Karam R MotaweaFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Mostafa R MostafaDepartment of Medicine, Rochester Regional Health/Unity Hospital, Rochester, New York, USA.
Merna AboeleneinFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Mohamed MagdiDepartment of Medicine, Rochester Regional Health/Unity Hospital, Rochester, New York, USA.ORCID http://orcid.org/0000-0002-6102-479X
Hager FathyFaculty of Medicine, Minia University, Minya, Egypt.
Sarya SwedFaculty of Medicine, Aleppo University, Aleppo, Syria.
Mohamed M BelalFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Dina M AwadFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Rowan H ElhalagFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Nesreen E TalatFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Samah S RozanFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Abdulqadir J NashwanNursing Department, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0003-4845-4119
Naim BattikhJohn H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois, USA.
Bisher SawafDepartment of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Mhd K AlbuniDepartment of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Elias BattikhDepartment of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Gihan M MohamedDepartment of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Amr FarwatiDepartment of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Hani AiashCardiovascular Perfusion Department, Upstate Medical University, Syracuse, New York, USA.
Alexandria University · EGHamad Medical Corporation · QAUnity Health System · USJohn H. Stroger, Jr. Hospital of Cook County · USMinia University · EGSUNY Upstate Medical University · USUniversity of Aleppo · SY

Funding

Qatar National Library
6 · The paper itself

Abstract

The efficacy of anteriolateral versus anterior-posterior electrode positions in the success of atrial fibrillation's (AF) electrical cardioversion is unclear. Our aim is to perform a meta-analysis to compare the success rate of both electrode positions. PUBMED, WOS, OVID, and SCOPUS were searched. Inclusion criteria were clinical trials that compared anterior-lateral with anterior-posterior electrodes in external cardioversion of AF. After the full-text screening, 11 trials were included in the analysis. The total number of patients included in the study is 1845. The pooled analysis showed a statistically significant association between anterior-lateral electrode and increased cardioversion rate of AF (odds ratio [OR] = 1.40, 95% confidence interval [CI] = 1.02-1.92, p = .04). Subgroup analysis revealed a statistically significant association between the anterior-lateral electrode and increased cardioversion rate of AF in subgroups of less than five shocks, patients with 60 years old or more and patients with left atrial (LA) diameter >45 mm (OR = 1.72, 95% CI = 1.17-2.54, p = .006), (OR = 1.73, 95% CI = 1.18-2.54, p = .005), and (OR = 1.86, 95% CI = 1.04-3.34, p = .04), respectively. Anteriolateral electrode is more effective than anterior-posterior electrode in external cardioversion of AF, particularly in patients who have received less than 5 shocks, are 60 years old or older and have a LA diameter greater than 45 mm.

Indexed as

Atrial AppendageAtrial FibrillationElectric CountershockElectrodesHeart AtriaHumansMiddle AgedTreatment Outcomeanterior-lateral electrodeanterior-posterior electrodeatrial fibrillationcardioversion

Identifiers

PMID36756856
PMCPMC10106664
OpenAlexW4319656637

What OpenQuestion holds

Textmetadata
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.