Evidence map›Paper›PMID 39358714›Full record

ArticleBMC cardiovascular disorders2024

Recurrent atrial flutter after radiofrequency ablation for atrial fibrillation in a patient with hypertrophic obstructive cardiomyopathy undergoing repetitive transcoronary ablation of septal hypertrophy.

Li Cheng, Ning Wang, Ling Dai, Hongying Ding, Zhaohua Geng, Yaoming Son

Abstract readCase Reports
In one paragraph

Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Li ChengDepartment of Cardiology, Songshan General Hospital, 69 Xingguang Street, Chongqing, 401120, China.
Ning WangDepartment of Cardiology, Songshan General Hospital, 69 Xingguang Street, Chongqing, 401120, China.
Ling DaiDepartment of Cardiology, Songshan General Hospital, 69 Xingguang Street, Chongqing, 401120, China.
Hongying DingDepartment of Cardiology, Songshan General Hospital, 69 Xingguang Street, Chongqing, 401120, China.
Zhaohua GengDepartment of Cardiology, Songshan General Hospital, 69 Xingguang Street, Chongqing, 401120, China. 1050179540@qq.com.
Yaoming SonDepartment of Cardiology, Songshan General Hospital, 69 Xingguang Street, Chongqing, 401120, China. sym551342002@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe described the clinical characteristics of a patient with hypertrophic obstructive cardiomyopathy (HOCM) who had undergone transcoronary ablation of septal hypertrophy (TASH) twice and developed atrial flutter after radiofrequency ablation for atrial fibrillation (AF) due to pulmonary vein reconnection. This case of HOCM is unique because of its complex complications and multiple complex atrial arrhythmias. The treatment of HOCM was successful and the postoperative follow-up results was good. METHODS AND

resultsA 71-year-oldfemale, developed exertional dyspnea with palpitations 12 years ago, with a valid diagnosis of HOCM according to the echocardiography which showed an absolute increase in the interventricular septum thickness (22.8 mm). She underwent two rounds of TASH and only the second round was successful. During a visit due to recurrent palpitations, the patient was diagnosed with AF based on electrocardiographic examination. Circumferential pulmonary vein isolation (CPVI) was performed to treat AF. However, the recurrence of atrial flutter was detected on her electrocardiograms (ECGs) three years after the operation. Since the patient had an interstitial lung injury, there were relative contraindications for antiarrhythmic drugs. Due to restrictive use of antiarrhythmic drugs and continuous palpitation, the patient agreed to receive a second radiofrequency ablation. Left-sided macroreentrant circuits were identified via high-density mapping and successful ablation was performed at the isthmus.

conclusionsPerforming catheter ablation and TASH respectively in patients with HOCM associated with AF would be tricky. But taking such a comprehensive and respective clinical treatment would be beneficial to patients in the long term.

Indexed as

Atrial FibrillationAtrial FlutterCardiomyopathy, HypertrophicCatheter AblationRecurrenceAgedElectrocardiographyFemaleHumansReoperationTreatment OutcomeAtrial fibrillationAtrial flutterHypertrophic obstructive cardiomyopathyRadiofrequency ablationTranscoronary ablation of septal hypertrophy

Identifiers

PMID39358714
PMCPMC11448011

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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.