Evidence map›Paper›PMID 37700942›Full record

ReviewCureus2023

Effectiveness of Catheter Ablation in Left Ventricular Ejection Fraction, Stroke, Quality of Life, All-Cause Mortality, Sinus Rhythm Maintenance, and Hospitalization Rates as Compared to Medical Therapy.

Mrinal J P Oble, Shamsun Nahar Sonia, Sherie George, Srushti R Shahi, Zahra Ali, Abdelrahman Abaza, Aneeque Jamil, Sai Dheeraj Gutlapalli, Marya Ali, Jihan Mostafa

Open 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. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 78% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 0 citations in OpenAlex.

  1. Pooled it
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 5 institutions in 4 countries.

Mrinal J P ObleInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Shamsun Nahar SoniaInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Sherie GeorgeInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Srushti R ShahiSchool of Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Zahra AliSchool of Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Abdelrahman AbazaPathology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, California, USA.
Aneeque JamilInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Sai Dheeraj GutlapalliInternal Medicine/Clinical Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Marya AliPsychiatry, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Jihan MostafaInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
California Institute of Behavioral Neurosciences and Psychology (United States) · USBolan University of Medical and Health Sciences · PKMount Sinai Health System · USNishtar Medical College and Hospital · PKSt. Martinus University · CW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial fibrillation (AF) in the setting of heart failure (HF) accounts for a significant proportion of mortality. AF can be managed either with rate control or rhythm control strategies. Rate control involves the use of beta blockers or calcium channel blockers. Rhythm control methods use antiarrhythmic drugs or catheter ablation (CA) to abolish the rhythm. Articles from PubMed and Google Scholar were chosen for review. The literature was reviewed for data from the last 10 years to be chosen for interpretation. Clinical trials, meta-analyses, and systematic analysis were included in this study. Various health parameters such as all-cause mortality, hospitalization rates, sinus rhythm (SR) maintenance, quality of life improvement, stroke risk, left ventricular ejection fraction (LVEF) improvement, and healthcare costs were analyzed. We demonstrated that CA was superior to medical therapy in reducing all-cause mortality and hospitalization. It leads to significant improvement in LVEF as SR was maintained consistently. Overall, quality of life improved in those who underwent ablation as compared to those who did not. Stroke risk reduction was seen in observational studies only. We recommend CA as first-line therapy for treating patients with AF in the setting of HF. More clinical trials are needed to determine the effectiveness of ablation in reducing stroke risk.

Indexed as

all-cause mortalityanti-arrhythmic drugsatrial fibrilationatrial remodelingcatheter ablationheart failurehospitalizationlvef (left ventricular ejection fraction)medical therapy

Identifiers

PMID37700942
PMCPMC10494759
OpenAlexW4385783997

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.