Evidence map›Paper›PMID 37700118›Full record

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

Accuracy of symptoms and pulse checking for detecting atrial fibrillation following catheter ablation.

Timothy M Markman, Carli Peters, Simone Tate, Gustavo S Guandalini, Matthew C Hyman, Robert D Schaller, Gregory E Supple, Michael P Riley, Fermin Garcia, Saman Nazarian and 6 more

Abstract read
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In one paragraph

Article 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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 76% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

16 authors at 1 institution in 1 country.

Timothy M MarkmanCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Carli PetersCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Simone TateCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Gustavo S GuandaliniCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Matthew C HymanCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Robert D SchallerCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Gregory E SuppleCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Michael P RileyCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Fermin GarciaCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Saman NazarianCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
David LinCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Sanjay DixitCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Andrew E EpsteinCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
David J CallansCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Francis E MarchlinskiCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
David S FrankelCardiovascular Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. david.frankel@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0001-9276-4857
University of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is growing interest in the possibility of discontinuing oral anticoagulation following successful catheter ablation of atrial fibrillation (AF). However, it remains unknown whether patients can accurately detect arrhythmia recurrences following ablation. We therefore sought to characterize the accuracy of pulse checking and arrhythmia symptoms for the identification of AF following ablation.

methodsThis prospective cohort study included patients at the Hospital of the University of Pennsylvania with an insertable cardiac monitor (ICM) treated with catheter ablation for AF who recorded the results from minimum twice daily pulse checks and additionally with arrhythmia symptoms into a diary for 2 months following their procedure. Accuracy of this self-assessment protocol was determined by comparison to ICM-detected AF.

resultsA total of 55 patients (age 69 ± 8 years, 30 (55%) male, CHA

conclusionsOur data indicate that a strategy of pulse checks and symptom assessment is insufficient to identify all episodes of AF in many patients following catheter ablation.

Indexed as

Atrial FibrillationCatheter AblationAgedElectrocardiography, AmbulatoryFemaleHeart RateHumansMaleMiddle AgedProspective StudiesAtrial fibrillationCatheter ablationContinuous monitoringInsertable cardiac monitorOral anticoagulationPulse checking

Identifiers

PMID37700118
OpenAlexW4386646935

What OpenQuestion holds

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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.