Evidence map›Paper›PMID 41080319›Full record

ArticleCureus2025

Effect of Esaxerenone in Patients With Persistent Atrial Fibrillation and Hypertension After Catheter Ablation.

Manabu Kashiwagi, Akio Kuroi, Natsuki Higashimoto, Satoshi Hata, Akira Taruya, Yasutsugu Shiono, Takashi Yamano, Takashi Tanimoto, Hironori Kitabata, Atsushi Tanaka

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 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. 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

10 authors.

Manabu KashiwagiDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, JPN.
Akio KuroiDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, JPN.
Natsuki HigashimotoDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, JPN.
Satoshi HataDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, JPN.
Akira TaruyaDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, JPN.
Yasutsugu ShionoDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, JPN.
Takashi YamanoDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, JPN.
Takashi TanimotoDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, JPN.
Hironori KitabataDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, JPN.
Atsushi TanakaDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background In this study, we investigated the effects of esaxerenone, a nonsteroidal mineralocorticoid receptor antagonist, in patients with persistent atrial fibrillation (AF) and hypertension after they had undergone catheter ablation. Methodology Our retrospective analysis included 157 consecutive patients with this condition. Overall, 40 patients received esaxerenone within three months after catheter ablation (hereafter, the esaxerenone group), and 117 of them did not (hereafter, the non-esaxerenone group). Other conventional pharmacologic agents were used similarly in the two groups. Results The rate of freedom from AF at one year was not significantly different between the two groups (80% (n = 32) vs. 84% (n = 98), p = 0.60). Independent predictors for AF recurrence according to univariate and multivariate Cox regression analysis were the duration of AF history (p < 0.01) and left ventricular myocardial index (LVMI) before ablation (p < 0.01). There was no significant difference in brain natriuretic peptide or LVMI before ablation (p = 0.43 and 0.89) between the groups. However, the esaxerenone group showed lower levels of brain natriuretic peptide at six months after catheter ablation (50.0 (16.3, 83.9) vs. 64.6 (25.9, 132.0) ng/mL, p = 0.02) and significant decrease in LVMI at one year after catheter ablation (-3.8 (-21.7, 3.5) vs. 0.0 (-4.3, 9.9) g/m

Indexed as

brain natriuretic peptidecatheter ablationesaxerenonehypertensionpersistent atrial fibrillation

Identifiers

PMID41080319
PMCPMC12509783

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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.