Evidence map›Paper›PMID 41013292›Full record

ArticleBMC cardiovascular disorders2025

Effects of low-dose metoprolol succinate sustained-release tablets on patients with paroxysmal atrial fibrillation undergoing circumferential pulmonary vein isolation: a retrospective cohort study.

Lijiang Ding, Jianming Zhang, Binglei Li, Huayong Jin

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Omics approaches to understand cardiovascular disease.BMC cardiovascular disorders · 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

4 authors.

Lijiang DingDepartment of Electrocardiology, Shaoxing People's Hospital, School of Medicine, Shaoxing University, No.568, Zhongxing North Road, Shaoxing, Zhejiang, 312000, China.
Jianming ZhangDepartment of Electrocardiology, Shaoxing People's Hospital, School of Medicine, Shaoxing University, No.568, Zhongxing North Road, Shaoxing, Zhejiang, 312000, China.
Binglei LiDepartment of Electrocardiology, Shaoxing People's Hospital, School of Medicine, Shaoxing University, No.568, Zhongxing North Road, Shaoxing, Zhejiang, 312000, China.
Huayong JinDepartment of Electrocardiology, Shaoxing People's Hospital, School of Medicine, Shaoxing University, No.568, Zhongxing North Road, Shaoxing, Zhejiang, 312000, China. shafln520@163.com.

Funding

Shaoxing Basic Public Welfare Project 2022A14019
6 · The paper itself

Abstract

backgroundThe atria, particularly those near the pulmonary vein ostium, have numerous autonomic neural plexuses. Circumferential pulmonary vein isolation (CPVI) can reduce heart rate variability (HRV) parameters. Studies have suggested that continuing antiarrhythmic drugs (AADs) for 1year post-CPVI can reduce the recurrence of atrial arrhythmias within the year. However, the arrhythmogenic risk associated with AADs is notable. Currently, there is a shortage of adequate studies on the effectiveness and safety of using AADs following CPVI. This exploratory study evaluated the impact of low-dose sustained-release metoprolol succinate on Holter in individuals with paroxysmal atrial fibrillation (PAF) after CPVI.

methodsPatients with PAF who underwent initialCPVI at Shaoxing People's Hospital between September 2022 and January 2024 were retrospectively enrolledusing the electronic medical record system. Patients underwent 24-h Holter monitoring before the procedureand at 1 - 3, 6, 12, and 18 months afterthe procedure. The participantswere separated into medication and non-medication groupsaccording to their heart rate and clinical experience.

resultsOverall, 67 patients completed the 24-h Holter monitoring, with 33 receiving low-dose metoprolol succinate (23.75 mg/day)(medication group) and 34 not receiving AADs (non-medication group). No significant differences were observed in HRV parameters and arrhythmia data between the two groups or across the different time points.

conclusionsOral low-dose sustained-release metoprolol succinate tablets may have no significant short-term effects on HRV parameters or arrhythmia data in patients with PAF post-CPVI. CPVI can cause autonomic dysfunction, and HRV parameters were gradually restored to normal 3months post-procedure.

Indexed as

Adrenergic beta-1 Receptor AntagonistsAnti-Arrhythmia AgentsAtrial FibrillationCatheter AblationHeart RateMetoprololPulmonary VeinsAction PotentialsAgedDelayed-Action PreparationsElectrocardiography, AmbulatoryFemaleHumansMaleMiddle AgedRecurrenceAdrenergic beta-1 Receptor AntagonistsAnti-Arrhythmia AgentsDelayed-Action PreparationsMetoprololTabletsArrhythmiaCPVIHeart rate variabilityMetoprolol succinateParoxysmal atrial fibrillation

Identifiers

PMID41013292
PMCPMC12465312

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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.