Evidence map›Paper›PMID 40599722›Full record

ArticleJournal of arrhythmia2025

Long-term outcome of lesion size index-guided high-power ablation with high-density mapping for pulmonary vein isolation in patients with paroxysmal atrial fibrillation.

Ming-Jen Kuo, Shih-Lin Chang, Jin-Long Huang, Yenn-Jiang Lin, Yu-Cheng Hsieh, Li-Wei Lo, Yu-Feng Hu, Fa-Po Chung, Cheng-Hung Li, Chin-Yu Lin and 7 more

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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

17 authors.

Ming-Jen KuoCardiovascular Center Taichung Veterans General Hospital Taichung Taiwan.
Shih-Lin ChangInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.ORCID https://orcid.org/0000-0003-0545-2156
Jin-Long HuangCardiovascular Center Taichung Veterans General Hospital Taichung Taiwan.
Yenn-Jiang LinCardiovascular Center Taichung Veterans General Hospital Taichung Taiwan.ORCID https://orcid.org/0000-0001-8395-1052
Yu-Cheng HsiehCardiovascular Center Taichung Veterans General Hospital Taichung Taiwan.ORCID https://orcid.org/0000-0001-6218-7139
Li-Wei LoInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.
Yu-Feng HuInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.ORCID https://orcid.org/0000-0001-5715-2070
Fa-Po ChungInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.ORCID https://orcid.org/0000-0001-8960-1301
Cheng-Hung LiCardiovascular Center Taichung Veterans General Hospital Taichung Taiwan.
Chin-Yu LinInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.ORCID https://orcid.org/0000-0003-3282-7523
Ting-Yung ChangInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.ORCID https://orcid.org/0000-0002-2612-0057
Ling KuoInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.
Cheng-I WuInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.
Chih-Min LiuInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.
Shin-Huei LiuInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.
Yu-Shan HuangInstitute of Clinical Medicine National Yang-Ming Chiao-Tung University Taipei Taiwan.
Shih-Ann ChenCardiovascular Center Taichung Veterans General Hospital Taichung Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Data on the long-term outcomes and procedural details of the lesion size index-guided high-power ablation strategy (HP-LSI) are limited. Methods: Eighty patients were retrospectively assigned to the high-power with time-restricted ablation strategy (fixed at 10 s per lesion), while 67 patients were assigned to the high power LSI-guided strategy (anterior wall LSI at least 5.0, posterior wall LSI 4.5). The 1-year AF recurrence rate and various procedural details were compared between the two groups. Results: The HP-LSI group exhibited a significantly lower rate of AF recurrence (14.9% vs. 32.5%; HR: 0.36, 95% CI: 0.16-0.83; Conclusion: The HP-LSI ablation strategy is associated with a significantly lower AF recurrence rate and improved procedural efficiency, suggesting its potential as a preferred strategy for PVI.

Indexed as

atrial fibrillationconduction gaphigh power short durationlesion size indexpulmonary vein isolation

Identifiers

PMID40599722
PMCPMC12207247

What OpenQuestion holds

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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.