Evidence map›Paper›PMID 37900386›Full record

ReviewCureus2023

Holistic Approaches to Arrhythmia Management: Combining Medication, Ablation, and Device Interventions.

Mitul Hareshkumar Chaudhary, Shah Dev, Ankeeta Kumari, Kainat Kanwal, Dhruvkumar N Jadav, Sohaib Rasool, Muhammad Tayyab Saleem, Ridhi Bhagat, Fnu Prachi, Piyush Puri and 5 more

Abstract 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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–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

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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

15 authors.

Mitul Hareshkumar ChaudharyMedicine, AMA School of Medicine, Makati, PHL.
Shah DevMedicine, Jinnah Sindh Medical University, Karachi, PAK.
Ankeeta KumariMedicine, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.
Kainat KanwalMedicine, Khawaja Muhammad Safdar Medical College, Sialkot, PAK.
Dhruvkumar N JadavMedicine, Pandit Deendayal Upadhyay Medical College, Rajkot, IND.
Sohaib RasoolMedicine, Bakhtawar Amin Medical and Dental College, Multan, PAK.
Muhammad Tayyab SaleemMedicine, Services Institute of Medical Sciences, Lahore, PAK.
Ridhi BhagatInternal Medicine, Teerthanker Mahaveer Medical College and Reseach Center, Moradabad , IND.
Fnu PrachiMedicine, Guru Teg Bahadur Hospital, Delhi, IND.
Piyush PuriInternal Medicine, Adesh Institute of Medical Science and Research, Bathinda, IND.
Maham KashifMedicine, Khawaja Muhammad Safdar Medical College, Sialkot, PAK.
Giustino VarrassiPain Medicine, Paolo Procacci Foundation, Rome, ITA.
Mahima KhatriMedicine and Surgery, Dow University of Health Sciences, Karachi, PAK.
Satesh KumarMedicine and Surgery, Shaheed Mohtarma Benazir Bhutto Medical College, Karachi, PAK.
Tamam MohamadCardiovascular Medicine, Wayne State University, Detroit, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This narrative review investigates the severe health issue of arrhythmias, which affects millions of people worldwide. A multifaceted strategy incorporating medicine, catheter ablation, and advanced device interventions is necessary to manage these disorders effectively. Medication is the cornerstone, and as antiarrhythmic medications develop, their efficacy and side effects are reduced. Success depends on having individualized treatment strategies that consider patient profiles and arrhythmia type. Catheter ablation, a minimally invasive surgery that targets and removes faulty heart electrical circuits, has become a potent therapy when drugs are ineffective. Technological developments, including high-resolution mapping systems and customized catheters, improve precision. Pacemakers and implantable cardioverter-defibrillators (ICDs) are two examples of implantable cardiac devices essential to managing all types of arrhythmias. Pacemakers provide a regular heartbeat when the body's natural pacing mechanism fails. At the same time, ICDs, with cutting-edge algorithms, can identify and stop life-threatening arrhythmias and offer high-risk patients vital protection. As device technology advances, smaller, more durable devices become available, improving patient comfort and lowering the need for replacements. The seamless fusion of these three strategies is where holistic arrhythmia management shines. Even for difficult instances, customized combination therapy combining medicine, ablation, and device interventions offers complete solutions. Healthcare providers must collaborate for this integrated strategy to deliver personalized, efficient, and holistic care. In conclusion, the management of arrhythmias has developed into a dynamic, synergistic discipline where drugs, catheter ablation, and devices all work in concert to deliver comprehensive care. For those with arrhythmias, a patient-centered strategy that considers their particular patient features and best integrates different modalities can significantly enhance their quality of life. The effectiveness and accessibility of holistic arrhythmia management could be further improved because of ongoing developments in these fields, which is encouraging for patients and medical professionals.

Indexed as

ablation devicearrhythmia managementcomprehensive careholistic approachesinterventionsmedication catheter

Identifiers

PMID37900386
PMCPMC10600027

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.