Evidence map›Paper›PMID 37526378›Full record

ArticleClinical cardiology2023

The infrastructure of electrophysiology centers impacts the management of cardiac tamponade-Results from a national survey.

Laura Rottner, Stefan Reubold, Sophie Schönhofer, Bruno Reißmann, Feifan Ouyang, Julius Obergassel, Ilaria My, Fabian Moser, Jan-Per Wenzel, Marc Lemoine and 5 more

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. [Management of pericardial tamponade in the electrophysiology laboratory].Herzschrittmachertherapie & Elektrophysiologie · 2026
    Review
  2. 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

15 authors at 4 institutions in 2 countries.

Laura RottnerDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.ORCID https://orcid.org/0000-0002-1389-8564
Stefan ReuboldDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Sophie SchönhoferAsklepios Klinik Harburg, Hamburg, Germany.
Bruno ReißmannDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Feifan OuyangDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Julius ObergasselDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.ORCID http://orcid.org/0000-0002-3905-0203
Ilaria MyDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Fabian MoserDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Jan-Per WenzelDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Marc LemoineDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Daniel StevenUniversity Heart Center, University of Cologne, Cologne, Germany.
Philipp SommerHerz- und Diabeteszentrum NRW, Bad Oeynhausen, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
Paulus KirchhofDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Andreas RilligDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Andreas MetznerDepartment of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
Asklepios Klinikum Harburg · DEHeart and Diabetes Center North Rhine-Westphalia · DEUniversity of Birmingham · GBUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough electrophysiological (EP) centers have institutional standards, evidence on management of cardiac tamponade is lacking. AIM AND

methodsA physician-based survey was conducted by sending out questionnaires to all hospitals in Germany performing EP procedures. To evaluate the infrastructure of EP centers and the impact of center volume and onsite cardiac surgery on the management of cardiac tamponade, the results of the survey were analyzed for low-volume (0-250 procedures per year), mid-volume (250-500 procedures), and high-volume (>500 procedures) centers, as well as for centers with and without onsite cardiac surgery.

resultsA total of 341 centers were identified and 189/341 (55%) returned data sets were analyzed. Most types of EP procedures are performed across all kinds of centers. Ablation of ventricular tachycardia (VT) is concentrated in higher volume centers and in centers with onsite cardiac surgery. None of the participating low-volume centers and only 13% of centers without onsite cardiac surgery responded to performing epicardial VT ablation. Irrespective of center volume and onsite cardiac surgery, neither body mass index nor age was reported to be an exclusion criterion for ablation procedures. Higher volume centers and centers with onsite cardiac surgery more often have dedicated EP laboratories and EP-nursing teams. Also, differences regarding periprocedural safety precautions and management of cardiac tamponade were found for low-, mid-, and high-volume centers, as well as for centers with and without onsite cardiac surgery.

conclusionWhile center volume and onsite cardiac surgery do not impact patient selection, there are differences in ablation spectrum, infrastructure, periprocedural safety precautions, and treatment of tamponade.

Indexed as

Cardiac TamponadeCatheter AblationTachycardia, VentricularArrhythmias, CardiacElectrophysiologyGermanyHumansTreatment Outcomecardiac tamponadecatheter ablationinstitutional infrastructuresurvey

Identifiers

PMID37526378
PMCPMC10577558
OpenAlexW4385441600

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.