Evidence map›Paper›PMID 37227537›Full record

ReviewJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2024

The omnipolar mapping technology-a new mapping tool to overcome "bipolar blindness" resulting in true high-density maps.

Sebastian Dittrich, Cornelia Scheurlen, Jan-Hendrik van den Bruck, Karlo Filipovic, Jonas Wörmann, Susanne Erlhöfer, Jan-Hendrik Schipper, Jakob Lüker, Daniel Steven, Arian Sultan

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Clinical and experimental evaluation of averaged impedance drop during radiofrequency catheter ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Integration of automated peak frequency annotation with voltage mapping for identifying ventricular tachycardia ablation sites.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Review
  15. The usefulness of "reversed U-curve" HD grid mapping.Indian pacing and electrophysiology journal
    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

10 authors at 1 institution in 1 country.

Sebastian DittrichDepartment of Electrophysiology, Heart Center, University of Cologne, Cologne, Germany. sebastian.dittrich1@uk-koeln.de.ORCID http://orcid.org/0000-0002-4545-6971
Cornelia ScheurlenDepartment of Electrophysiology, Heart Center, University of Cologne, Cologne, Germany.
Jan-Hendrik van den BruckDepartment of Electrophysiology, Heart Center, University of Cologne, Cologne, Germany.
Karlo FilipovicDepartment of Electrophysiology, Heart Center, University of Cologne, Cologne, Germany.
Jonas WörmannDepartment of Electrophysiology, Heart Center, University of Cologne, Cologne, Germany.
Susanne ErlhöferDepartment of Electrophysiology, Heart Center, University of Cologne, Cologne, Germany.
Jan-Hendrik SchipperDepartment of Electrophysiology, Heart Center, University of Cologne, Cologne, Germany.
Jakob LükerDepartment of Electrophysiology, Heart Center, University of Cologne, Cologne, Germany.
Daniel StevenDepartment of Electrophysiology, Heart Center, University of Cologne, Cologne, Germany.
Arian SultanDepartment of Electrophysiology, Heart Center, University of Cologne, Cologne, Germany.
University of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOmnipolar mapping (OT) is a novel tool to acquire omnipolar signals for electro-anatomical mapping, displaying true voltage and real-time wavefront direction and speed independent of catheter orientation. The aim was to analyze previously performed left atrial (LA) and left ventricular (LV) maps for differences using automated OT vs. standard bipolar settings (SD) and HD wave (HDW) algorithm.

methodsPreviously obtained SD and HDW maps of the LA and LV using a 16-electrode, grid-shaped catheter were retrospectively analyzed by applying automated OT, comparing voltage, point density, pulmonary vein (PV) gaps, and LV scar area.

resultsIn this analysis, 135 maps of 45 consecutive patients (30 treated for LA, 15 for LV arrhythmia) were included. Atrial maps revealed significantly higher point densities using OT (21471) vs. SD (6682) or HDW (12189, p < 0.001). Mean voltage was significantly higher using OT (0.75 mV) vs. SD (0.61 mV) or HDW (0.64 mV, p < 0.001). OT maps detected significantly more PV gaps per patient vs. SD (4 vs. 2), p = 0.001. In LV maps, OT revealed significantly higher point densities (25951) vs. SD (8582) and HDW (17071), p < 0.001. Mean voltage was significantly higher for OT (1.49 mV) vs. SD (1.19 mV) and HDW (1.2 mV), p < 0.001. Detected scar area was significantly smaller using OT (25.3%) vs. SD (33.9%, p < 0.001).

conclusionOT mapping leads to significantly different substrate display, map density, voltage, detection of PV gaps, and scar size, compared to SD and HDW in LA and LV procedures. Successful CA might be facilitated due to true HD maps.

Indexed as

Atrial FibrillationCatheter AblationCicatrixHeart AtriaHumansRetrospective StudiesTechnology3D mappingAtrial fibrillationAtrial tachycardiaCatheter ablationHigh-density mappingVentricular tachycardia

Identifiers

PMID37227537
PMCPMC10901967
OpenAlexW4378172940

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.