Evidence map›Paper›PMID 38587117›Full record

ArticleCardiology journal2024

Functional tricuspid regurgitation and efficacy of electrical cardioversion in patients with atrial fibrillation and atrial functional mitral regurgitation.

Katarzyna Klimek, Michał Tworek, Konrad Klocek, Julia Dołęga, Gabriela Majta, Klaudia Marcinkiewicz, Karolina Wrona-Kolasa, Małgorzata Cichoń, Katarzyna Mizia-Stec

Abstract read
In one paragraph

Article in Cardiology journal, 2024. 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

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. 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

9 authors.

Katarzyna KlimekFirst Department of Cardiology, School of Medicine in Katowice, Upper-Silesian Medical Center, Medical University of Silesia, Katowice, Poland. klimekkatarzyna59@gmail.com.ORCID 0000-0001-5412-5632
Michał TworekFirst Department of Cardiology, School of Medicine in Katowice, Upper-Silesian Medical Center, Medical University of Silesia, Katowice, Poland.
Konrad KlocekFirst Department of Cardiology, School of Medicine in Katowice, Upper-Silesian Medical Center, Medical University of Silesia, Katowice, Poland.
Julia DołęgaFirst Department of Cardiology, School of Medicine in Katowice, Upper-Silesian Medical Center, Medical University of Silesia, Katowice, Poland.
Gabriela MajtaFirst Department of Cardiology, School of Medicine in Katowice, Upper-Silesian Medical Center, Medical University of Silesia, Katowice, Poland.
Klaudia MarcinkiewiczFirst Department of Cardiology, School of Medicine in Katowice, Upper-Silesian Medical Center, Medical University of Silesia, Katowice, Poland.
Karolina Wrona-KolasaFirst Department of Cardiology, School of Medicine in Katowice, Upper-Silesian Medical Center, Medical University of Silesia, Katowice, Poland.
Małgorzata CichońFirst Department of Cardiology, School of Medicine in Katowice, Upper-Silesian Medical Center, Medical University of Silesia, Katowice, Poland.
Katarzyna Mizia-StecFirst Department of Cardiology, School of Medicine in Katowice, Upper-Silesian Medical Center, Medical University of Silesia, Katowice, Poland.ORCID 0000-0001-6907-2799

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAtrial functional mitral regurgitation (afMR) is common in patients with atrial fibrillation (AF). The presence of functional tricuspid regurgitation (fTR), which arises as a secondary effect of afMR, has the potential to impact the effectiveness of procedures aimed at restoring normal heart rhythm. In this study, we sought to evaluate the efficacy of electrical cardioversion (CVE) in AF regarding the presence and degree of fTR in patients with afMR. MATERIAL AND

methodsRetrospective analysis included 521 patients with persistent AF on optimal medical therapy undergoing CVE. 157 (30.1%) patients had afMR (characterized by left ventricle ejection fraction ≥ 50% and LA dilatation) and were divided into 2 groups: the group with fTR (107, 68.2%) and the group without fTR (50, 31.9%).

resultsPatients with afMR and fTR had a higher prevalence of metabolic syndrome (p = 0.02) and greater right atrial area (p < 0.01) compared to patients without fTR. The efficacy of CVE was lower in the group with fTR in comparison to patients with isolated afMR (82.2% vs. 94%; p = 0.048) and it was unrelated to the degree of fTR (p = 0.15) and RVSP (p = 0.56). The energy required for successful CVE was comparable regardless of the presence (p = 0.26) or severity of fTR (p = 0.94).

conclusionsThe fTR frequently coexists with afMR and it significantly diminishes the effectiveness of CVE for treating AF. The degree of fTR does not appear to influence the efficacy of CVE.

Indexed as

Atrial FibrillationElectric CountershockMitral Valve InsufficiencyTricuspid Valve InsufficiencyAgedFemaleHumansMaleMiddle AgedRetrospective StudiesStroke VolumeTreatment Outcomeatrial fibrillationatrial functional mitral regurgitationelectrical cardioversionfunctional tricuspid regurgitation

Identifiers

PMID38587117
PMCPMC11706270

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Registered trials

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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.