Evidence map›Paper›PMID 40688917›Full record

ArticleCureus2025

Clinical- and Device-Related Factors Associated With Atrial High Rate Episodes in Patients With Dual-Chamber Pacemakers.

Frank Jorge Valdez Baez, Elaine Nuñez Ayala, Juanico Cedano Ramirez, Cemirame Payan Jimenez, Catherine Merejo Peña, Laura Valdez de Leon, Warenny Montero Morillo, Evelina Severino Marte, Pedro Vidal Corniel Martinez

Abstract read
In one paragraph

Article in Cureus, 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
  2. 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.

Frank Jorge Valdez BaezElectrophysiology, Dominican Institute of Cardiology Association, Santo Domingo, DOM.
Elaine Nuñez AyalaElectrophysiology, Dominican Institute of Cardiology Association, Santo Domingo, DOM.
Juanico Cedano RamirezElectrophysiology, Dominican Institute of Cardiology Association, Santo Domingo, DOM.
Cemirame Payan JimenezElectrophysiology, Dominican Institute of Cardiology Association, Santo Domingo, DOM.
Catherine Merejo PeñaElectrophysiology, Dominican Institute of Cardiology Association, Santo Domingo, DOM.
Laura Valdez de LeonElectrophysiology, Dominican Institute of Cardiology Association, Santo Domingo, DOM.
Warenny Montero MorilloElectrophysiology, Dominican Institute of Cardiology Association, Santo Domingo, DOM.
Evelina Severino MarteElectrophysiology, Dominican Institute of Cardiology Association, Santo Domingo, DOM.
Pedro Vidal Corniel MartinezSurgery, Dominican Institute of Cardiology Association, Santo Domingo, DOM.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Atrial high-rate episodes (AHREs) detected by dual-chamber pacemakers may represent subclinical precursors of atrial fibrillation and thromboembolic events. However, the clinical-, electrocardiographic-, and device-related characteristics distinguishing patients with and without AHREs are not fully defined. This study aimed to compare these variables between both groups to identify those independently associated with the presence of AHREs. Methods This retrospective, single-center observational study included ambulatory patients with dual-chamber pacemakers evaluated between June and December 2024. Clinical, electrocardiographic, and device-related variables were compared between patients with and without AHREs. Bivariate analyses were conducted to identify significant differences, and multivariable logistic regression was used to determine variables independently associated with the presence of AHREs. Results A total of 450 individuals were included, of whom 185 (41.1%) exhibited AHREs, compared to 265 (58.9%) without AHREs, those affected were more frequently female, 116 (62.7%) versus 140 (52.8%), p = 0.037, and had a higher prevalence of prior atrial fibrillation or atrial tachycardia, 98 (53.0%) versus 68 (25.7%), p < 0.001. Ventricular pacing was slightly lower in the AHRE group (median 98% vs. 99%; p = 0.016), and atrial pacing mode with switch to dual-chamber (AAI-DDD) pacing mode was more common, 44 (23.8%) versus 32 (12.1%), p = 0.001. In multivariable analysis, prior atrial arrhythmias (OR 2.95; p < 0.001), follow-up ≥ 90 days (OR 4.14; p = 0.012), female sex (OR 1.63; p = 0.020), and AAI-DDD pacing (OR 1.92; p = 0.027) were independently associated with AHREs. The model demonstrated acceptable discrimination (area under the curve (AUC) = 0.70). Conclusion In this cohort, AHREs were observed in 41.1% of participants. Their occurrence was significantly associated with female sex, a prior history of atrial fibrillation or atrial tachycardia, a follow-up duration of 90 days or more, reduced ventricular pacing, and the use of the AAI-DDD pacing mode.

Indexed as

anticoagulationarrhythmiasatrial fibrillationatrial high-rate episodesdual-chamber pacemakerslow-income countriespacing strategysubclinical atrial arrhythmias

Identifiers

PMID40688917
PMCPMC12276786

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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.