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ArticleFrontiers in cardiovascular medicine2025

Secretoneurin plasma levels are decreased after catheter ablation for atrial fibrillation-patients with AF produce lower SN levels than healthy individuals: the SAFE registry.

Jiří Plášek, Jiří Vrtal, Nela Chobolová, Zdeněk Švagera, Diana Drieniková, Jiří Pudich, Martin Ráchela, David Stejskal, Jozef Dodulík, Jan Václavík

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05794464 (Secretoneurin as a Biomarker of Atrial Fibrillation rEcurrence After Catheter Ablation/Electrical Cardioversion), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
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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.

NCT05794464 narecruitingnot on this map

Secretoneurin as a Biomarker of Atrial Fibrillation rEcurrence After Catheter Ablation/Electrical Cardioversion

TypeinterventionalSponsorUniversity Hospital OstravaRan2023 to 2026Enrolled60ConditionsAtrial Fibrillation, Paroxysmal or PersistentArmsCatheter ablation and/or electrical cardioversion
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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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.

Jiří PlášekDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, Ostrava, Czechia.
Jiří VrtalDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, Ostrava, Czechia.
Nela ChobolováInstitute of Laboratory Medicine, University Hospital Ostrava, Ostrava, Czechia.
Zdeněk ŠvageraInstitute of Laboratory Medicine, University Hospital Ostrava, Ostrava, Czechia.
Diana DrienikováDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, Ostrava, Czechia.
Jiří PudichDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, Ostrava, Czechia.
Martin RáchelaDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, Ostrava, Czechia.
David StejskalInstitute of Laboratory Medicine, University Hospital Ostrava, Ostrava, Czechia.
Jozef DodulíkDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, Ostrava, Czechia.
Jan VáclavíkDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, Ostrava, Czechia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Secretoneurin (SN) is a neuropeptide that counterbalances disorders of cell calcium cycling via calmodulin and thus may be involved in arrhythmogenesis. We aimed to associate plasma standard biomarkers and SN levels before, during, and after catheter ablation for atrial fibrillation (AF) with various clinical and paraclinical variables, foremost AF recurrence. Methods: We prospectively enrolled consecutive patients undergoing catheter ablation for AF in University Hospital Ostrava between March 2023 and January 2024. SN was analyzed from venous, left atrial, and coronary sinus blood with the ELISA method. Plasma SN levels were compared before, during, and after ablation and with those of healthy individuals, with nonparametric tests. ClinicalTrials.gov ID: NCT05794464. Results: A total of 137 patients (64% males, age 63 ± 11) and 34 healthy individuals (38% males, mean age 31 ± 7.1) were included in the analysis. Plasma SN levels were significantly lower after the catheter ablation as compared with SN levels before (34.0 ± 15.1 and 40.0 ± 17.3 pmol/L, Conclusion: Plasma secretoneurin levels are decreased after catheter ablation for atrial fibrillation; patients with AF produce lower SN levels than healthy individuals. Lower postprocedural levels of SN are associated with AF recurrences.

Indexed as

atrial fibrillationcalmodulincaMKIIcatheter ablationsecretoneurin

Identifiers

PMID41179559
PMCPMC12571760

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