Evidence map›Paper›PMID 40814275›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2025

Prediction of Sinus Rhythm Maintenance After Electrical Cardioversion Using Spectral and Vector Cardiographic ECG Analysis.

Sabri Hassouna, Marek Hozman, Dalibor Heřman, Jana Veselá, Věra Filipcová, Filip Plesinger, Zbyněk Bureš, Pavel Osmančík

Abstract read
In one paragraph

Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 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. Letter to the Editor, "Critique on the Prediction of Sinus Rhythm Maintenance After Electrical Cardioversion Using Spectral and Vector Cardiographic ECG Analysis".Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026
    Article
  2. Prediction of Sinus Rhythm Maintenance After Electrical Cardioversion Using Spectral and Vector Cardiographic ECG Analysis.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025
    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

8 authors.

Sabri HassounaCardiocenter, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic.ORCID 0000-0002-4737-0223
Marek HozmanCardiocenter, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Dalibor HeřmanCardiocenter, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic.ORCID 0000-0002-7436-1154
Jana VeseláCardiocenter, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Věra FilipcováCardiocenter, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Filip PlesingerInstitute of Scientific Instruments of the Czech Academy of Sciences, Brno, Czech Republic.
Zbyněk BurešCzech Institute of Informatics, Robotics and Cybernetics, Prague, Czech Republic, Department of Otorhinolaryngology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Pavel OsmančíkCardiocenter, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic.ORCID 0000-0003-0482-4448

Funding

National Institute for Research of Metabolic and Cardiovascular Diseases (CarDia)
6 · The paper itself

Abstract

introductionElectrical cardioversion (ECV) remains a treatment option for atrial fibrillation (AF). The study aimed to find predictors of SR maintenance after ECV using spectral and vector cardiographic (VCG) analysis of ECGs.

methodsConsecutive patients with AF referred for elective ECV were prospectively enrolled. A digital ECG recording was obtained before the ECV and was analyzed using spectral and VCG analysis. AF activity was analyzed using spectral analysis to determine the dominant frequency (DF), RI (regularity index), and OI (organizational index). QRS complexes were analyzed using vectorcardiography to determine the dXmean, dYmean, and dZmean (derivation of VCG signals). We used Lasso Logistic Regression (LLR) in five-fold cross-validation for feature selection and to build combined predictive models of SR maintenance. For model training and evaluation, data were split in a 60%-40% ratio for training and testing, respectively.

resultsA total of 80 patients were enrolled (age 70.2 ± 10.6 years, 49 (61%) were men, BMI 29.7 kg/m

conclusionThe combination of spectral analysis of AF activity and VCG analysis of ventricular activity provided more accurate predictive information than either analysis alone.

Indexed as

Atrial FibrillationElectric CountershockElectrocardiographyVectorcardiographyAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsProspective StudiesTreatment Outcomeatrial fibrillationelectrical cardioversionprediction of sinus rhythmspectral and vectorcardiographic analysis

Identifiers

PMID40814275
PMCPMC12355002

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Registered trials

None linked

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.