Evidence map›Paper›PMID 38124803›Full record

ArticleArrhythmia & electrophysiology review2023

Catheter Ablation for Ventricular Tachycardia After MI: A Reconstructed Individual Patient Data Meta-analysis of Randomised Controlled Trials.

Rohin K Reddy, James P Howard, Yousif Ahmad, Matthew J Shun-Shin, Florentina A Simader, Alejandra A Miyazawa, Keenan Saleh, Akriti Naraen, Jack W Samways, George Katritsis and 10 more

Open access · goldAbstract read
In one paragraph

Article in Arrhythmia & electrophysiology review, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Stereotactic cardiac radiotherapy for refractory ventricular tachycardia in structural heart disease patients: a systematic review.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Pooled it
  2. Review
  3. Efficacy and safety of ventricular tachycardia ablation versus antiarrhythmics in ischemic cardiomyopathy: a network meta-analysis.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  4. Review
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

20 authors at 3 institutions in 2 countries.

Rohin K ReddyNational Heart and Lung Institute, Imperial College London London, UK.
James P HowardNational Heart and Lung Institute, Imperial College London London, UK.
Yousif AhmadSection of Cardiovascular Medicine, Yale University New Haven, CT, US.
Matthew J Shun-ShinNational Heart and Lung Institute, Imperial College London London, UK.
Florentina A SimaderNational Heart and Lung Institute, Imperial College London London, UK.
Alejandra A MiyazawaNational Heart and Lung Institute, Imperial College London London, UK.
Keenan SalehNational Heart and Lung Institute, Imperial College London London, UK.
Akriti NaraenNational Heart and Lung Institute, Imperial College London London, UK.
Jack W SamwaysNational Heart and Lung Institute, Imperial College London London, UK.
George KatritsisNational Heart and Lung Institute, Imperial College London London, UK.
Jagdeep S MohalNational Heart and Lung Institute, Imperial College London London, UK.
Nandita KazaNational Heart and Lung Institute, Imperial College London London, UK.
Bradley PorterNational Heart and Lung Institute, Imperial College London London, UK.
Daniel KeeneNational Heart and Lung Institute, Imperial College London London, UK.
Nicholas Wf LintonBiomedical Engineering Department, Imperial College London London, UK.
Darrel P FrancisNational Heart and Lung Institute, Imperial College London London, UK.
Zachary I WhinnettNational Heart and Lung Institute, Imperial College London London, UK.
Vishal LutherNational Heart and Lung Institute, Imperial College London London, UK.
Prapa KanagaratnamNational Heart and Lung Institute, Imperial College London London, UK.
Ahran D ArnoldNational Heart and Lung Institute, Imperial College London London, UK.
Imperial College London · GBNIHR Imperial Biomedical Research Centre · GBYale University · US

Funding

British Heart Foundation FS/ICRF/22/26039British Heart Foundation RG/F/22/110059
6 · The paper itself

Abstract

Background: The prognostic impact of ventricular tachycardia (VT) catheter ablation is an important outstanding research question. We undertook a reconstructed individual patient data meta-analysis of randomised controlled trials comparing ablation to medical therapy in patients developing VT after MI. Methods: We systematically identified all trials comparing catheter ablation to medical therapy in patients with VT and prior MI. The prespecified primary endpoint was reconstructed individual patient assessment of all-cause mortality. Prespecified secondary endpoints included trial-level assessment of all-cause mortality, VT recurrence or defibrillator shocks and all-cause hospitalisations. Prespecified subgroup analysis was performed for ablation approaches involving only substrate modification without VT activation mapping. Sensitivity analyses were performed depending on the proportion of patients with prior MI included. Results: Eight trials, recruiting a total of 874 patients, were included. Of these 874 patients, 430 were randomised to catheter ablation and 444 were randomised to medical therapy. Catheter ablation reduced all-cause mortality compared with medical therapy when synthesising individual patient data (HR 0.63; 95% CI [0.41-0.96]; p=0.03), but not in trial-level analysis (RR 0.91; 95% CI [0.67-1.23]; p=0.53; I Conclusion: In patients with postinfarct VT, catheter ablation reduces mortality.

Indexed as

ablationmeta-analysisMIVentricular tachycardia

Identifiers

PMID38124803
PMCPMC10731517
OpenAlexW4388945556

What OpenQuestion holds

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LicenceCC BY-NC
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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.