Evidence map›Paper›PMID 37745133›Full record

ArticleFrontiers in cardiovascular medicine2023

Feasibility and safety of the direct current cardioversion at the time of left atrial appendage occlusion for patients with atrial fibrillation.

Xian Sai Meng, Tao Chen, Xin Yan Wang, Xu Lu, Jia Hu, Juan Shen, Jun Guo

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

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

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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. 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

7 authors.

Xian Sai Meng *Department of Cardiovascular, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, China.
Tao Chen *Department of Cardiovascular, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, China.
Xin Yan WangDepartment of Cardiovascular, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, China.
Xu LuDepartment of Cardiovascular, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, China.
Jia HuDepartment of Cardiovascular, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, China.
Juan ShenDepartment of Cardiovascular, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, China.
Jun GuoDepartment of Cardiovascular, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With an increasing number of patients undergoing left atrial appendage occlusion (LAAO), more attention is being paid to relieving clinical symptoms and improving the quality of life of these patients. For patients with atrial fibrillation (AF), direct current cardioversion (DCCV) is an alternate, nonpharmacological choice to restore sinus rhythm and relieve clinical symptoms. Objectives: The purpose of this study was to assess the feasibility and safety of the DCCV at the time of LAAO for patients with AF. Methods: Forty patients were enrolled in the DCCV group undergoing the DCCV at the time of LAAO. The control group undergoing LAAO alone was formed by 1:1 matching. Results: In the DCCV group, cardioversion was immediately successful in 30 (75%) patients, of which 12 (40%) had AF recurrence at the three-month follow-up. The failed-DCCV group was older (73.70 ± 4.74 vs. 62.20 ± 9.01 years old, Conclusions: The DCCV at the time of LAAO is feasible and safe for AF patients with contraindications for catheter ablation or AF recurrence after previous catheter ablation to restore the sinus rhythm and relieve clinical symptoms. The DCCV at the time of LAAO is more likely to succeed for younger patients and patients with lower HAS-BLED scores.

Indexed as

atrial fibrillationdirect current cardioversionleft atrial appendageleft atrial appendage occlusionstroke

Identifiers

PMID37745133
PMCPMC10514907

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