Evidence map›Paper›PMID 37641724›Full record

ReviewCureus2023

The Effectiveness of Ablation Therapy for Atrial Fibrillation: A Systematic Review.

Arturo P Jaramillo, Luisa Jaramillo, Rebeca R Briones Andriuoli, Jhoanny C Revilla, Javier Castells, Sabina Ibrahimli, Jossua L Villacres, Neyla Garzon Mora

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07604727 (AV Nodal Ablation With Conduction System Pacing Versus Cardiac Resynchronization for Symptomatic Heart Failure Patients With Atrial Fibrillation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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.

NCT07604727 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

AV Nodal Ablation With Conduction System Pacing Versus Cardiac Resynchronization for Symptomatic Heart Failure Patients With Atrial Fibrillation: The APAF-CSP All-cause Mortality and Quality of Life Trial

TypeinterventionalSponsorUniversity Medical Center GroningenRan2026 to 2030Enrolled292ConditionsAtrial Fibrillation (AF), Heart Failure, Cardiac PacingArmsConduction System Pacing, Cardiac resynchronization therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 5 institutions in 4 countries.

Arturo P JaramilloGeneral Medicine, Universidad Estatal de Guayaquil, Machala, ECU.
Luisa JaramilloInternal Medicine, Universidad Católica Santiago de Guayaquil, Guayaquil, ECU.
Rebeca R Briones AndriuoliPediatrics, Maimonides Medical Center, New York, USA.
Jhoanny C RevillaMedicine, Universidad del Zulia, Maracaibo, VEN.
Javier CastellsMedicine, Universidad Católica Santiago de Guayaquil, Guayaquil, ECU.
Sabina IbrahimliCardiology, First Moscow State Medical University, Moscow, RUS.
Jossua L VillacresInternal Medicine, Universidad Católica Santiago de Guayaquil, Guayaquil, ECU.
Neyla Garzon MoraMedicine, Universidad Católica Santiago de Guayaquil, Guayaquil, ECU.
Sechenov University · RUMaimonides Medical Center · USUniversisdad Católica de Santiago de Guayaquil · ECUniversity of Guayaquil · ECUniversity of Zulia · VE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is expected that the prevalence of atrial fibrillation (AF), the most prevalent cardiac arrhythmia among people aged 65 to 85, would be mostly classified using the CHAS2DS2-VASc approach for anticoagulation therapy. A high number of people in the entire world will be living with AF by 2030. Long-term follow-up data are sparse, although radiofrequency catheter ablation (CA) for symptomatic AF patients has the potential to be a curative therapy. Although women are referred later and less often than men, the outcomes following ablation are comparable across both genders. Health-related quality of life suffers from AF, and patients often find themselves less active as a result of their condition. AF may have a wide variety of symptoms and signs from the clinic's point of view. Women are more likely to exhibit symptoms than men; one reason for this is that women have an average QT interval that is 10-20 milliseconds longer than men, which is more likely to exacerbate tachycardia symptoms. In search of medical databases for relevant medical literature, we looked at PubMed/Medline, the Cochrane Library, and Google Scholar. Ten publications were gathered after the papers were located, assessed, and qualifying criteria applied were used to select them. The finished articles were done to give an overview of the effectiveness of ablation therapy for AF. Some studies showed that there was no statistical significance between invasive and pharmacological treatments. Other research found no difference in the recurrence of atrial arrhythmia between pulmonary vein isolation (PVI) CA alone and PVI + enhancement magnetic resonance imaging (MRI)-guided fibrosis ablation in individuals with persistent AF. The oldest individuals in studies comparing CA to medical treatment for AF demonstrated no improvement in prognosis after CA. Also, complications from therapy and CA's efficacy in preventing future atrial arrhythmias were similarly low across all age groups. Based on the above, we concluded that more studies are required to establish the most effective approach to treating AF to apply it in daily practice and gain more knowledge about it.

Indexed as

atrial fibrillation (af)atrial fibrillation recurrencecardiac ablationcardiac arrythmianon valvular atrial fibrillation

Identifiers

PMID37641724
PMCPMC10460603
OpenAlexW4386086161

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.