Evidence map›Paper›PMID 40134724›Full record

ArticleJournal of arrhythmia2025

Does organized atrial tachycardia after a pulmonary vein isolation-only procedure portend better outcome of repeat ablation compared to recurrent atrial fibrillation?

Tamás János Riesz, Gábor Bencsik, László Sághy, Róbert Pap

Abstract read
In one paragraph

Article in Journal of arrhythmia, 2025. 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

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

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

4 authors.

Tamás János RieszCardiac Electrophysiology Division, Cardiology Center, Department of Internal Medicine University of Szeged Szeged Hungary.ORCID https://orcid.org/0000-0003-1615-2765
Gábor BencsikCardiac Electrophysiology Division, Cardiology Center, Department of Internal Medicine University of Szeged Szeged Hungary.
László SághyCardiac Electrophysiology Division, Cardiology Center, Department of Internal Medicine University of Szeged Szeged Hungary.
Róbert PapCardiac Electrophysiology Division, Cardiology Center, Department of Internal Medicine University of Szeged Szeged Hungary.ORCID https://orcid.org/0000-0002-7009-5063

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Better outcome has been suggested for repeat procedures after atrial fibrillation (AF) ablation, when recurrence presented as organized atrial tachycardia (OAT) compared to recurrent AF. However, this contradicts the finding of more advanced atrial remodeling in patients with OAT recurrence and may be related to iatrogenesis by substrate modification during the index procedure. Therefore, we examined the prognostic significance of the type of recurrent arrhythmia after pulmonary vein isolation (PVI) without additional substrate modification. Methods: We included 185 patients (88 female, 64 ± 9 years) undergoing repeat ablation after index PVI for recurrent OAT (24%) or AF (76%). The recurrence rate, arrhythmia-free survival time, and the type of further recurrences were recorded. Results: There was no difference in the rate and mean time of arrhythmia-free survival between patients with OAT versus AF recurrence after the first (49% vs. 52%, Conclusion: After a PVI-only index procedure, recurrent OAT is not associated with a better outcome of redo procedures compared to recurrent AF. After repeat ablations, both groups experience AF as the dominant further recurrence.

Indexed as

atrial fibrillationorganized atrial tachycardiapulmonary vein isolationrecurrence

Identifiers

PMID40134724
PMCPMC11933717

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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.