Evidence map›Paper›PMID 37576113›Full record

ArticleFrontiers in cardiovascular medicine2023

Atrial fibrillation activation patterns predict freedom from arrhythmias after catheter ablation: utility of ExTRa mapping™.

Daisetsu Aoyama, Shinsuke Miyazaki, Kanae Hasegawa, Ryohei Nomura, Shota Kakehashi, Moe Mukai, Machiko Miyoshi, Junya Yamaguchi, Yusuke Sato, Yuichiro Shiomi and 4 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

1 citing paper in PubMed.

  1. Review
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

14 authors.

Daisetsu AoyamaDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Shinsuke MiyazakiDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Kanae HasegawaDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Ryohei NomuraDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Shota KakehashiDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Moe MukaiDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Machiko MiyoshiDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Junya YamaguchiDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Yusuke SatoDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Yuichiro ShiomiDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Hiroyuki IkedaDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Kentaro IshidaDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Hiroyasu UzuiDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Hiroshi TadaDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mechanisms underlying atrial fibrillation (AF) are widely complex and vary tremendously among individuals. Objectives: This retrospective study aimed to investigate the association between AF activation patterns and clinical outcomes post-ablation. Methods: Fifty-five AF patients (64.0 ± 12.9 years; 41 men; 17 paroxysmal) underwent bi-atrial endocardial driver mapping during AF pre-ablation with a real-time phase mapping system (ExTRa Mapping). The nonpassively activated ratio (%NP) of meandering rotors and multiple wavelets relative to the recording time was evaluated in 26 atrial segments [15 in the left atrium (LA) and 11 in the right atrium]. Irrespective of the mapping results, all patients underwent standard AF ablation via cryoballoons and/or radiofrequency catheters. Results: In a median follow-up interval of 27(14-30) months, 69.1% of patients were free from recurrent arrhythmias and antiarrhythmic drugs at one year post-procedure. Patients with recurrent AF were more likely to have non-paroxysmal AF, a significantly larger LA size, and higher LA maximal %NP(LA Conclusion: Baseline AF activation pattern mapping may aid in predicting freedom from arrhythmias after standard AF ablation procedures.

Indexed as

activation patternatrial fibrillationcatheter ablationheart atriaheart conduction systemrotors

Identifiers

PMID37576113
PMCPMC10416434

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