Evidence map›Paper›PMID 41384897›Full record

ArticleJACC. Case reports2026

Arrhythmia Management in Complex Congenital Heart Disease.

Tafadzwa Mtisi, Caio Fabio Nociti Freitas, Anurag Deeconda, Aditya Goyal, Aysha Malik, Andrew D Blaufox, Catherine Weinberg, Konstantin Averin, Dipak H Kholwadwala, Aykut Tugertimur and 3 more

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Tafadzwa MtisiDepartment of Cardiac Electrophysiology, Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital and Long Island Jewish Medical Center, Northwell Health, Manhasset, New York, USA. Electronic address: tafadzwa.mtisi0@gmail.com.
Caio Fabio Nociti FreitasDepartment of Pediatric Cardiology, Zucker School of Medicine at Hofstra/Northwell Cohen Children's Heart Center, New Hyde Park, New York, USA.
Anurag DeecondaDepartment of Cardiac Electrophysiology, Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital and Long Island Jewish Medical Center, Northwell Health, Manhasset, New York, USA.
Aditya GoyalDepartment of Cardiac Electrophysiology, Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital and Long Island Jewish Medical Center, Northwell Health, Manhasset, New York, USA.
Aysha MalikDepartment of Cardiac Electrophysiology, Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital and Long Island Jewish Medical Center, Northwell Health, Manhasset, New York, USA.
Andrew D BlaufoxDepartment of Pediatric Cardiology, Zucker School of Medicine at Hofstra/Northwell Cohen Children's Heart Center, New Hyde Park, New York, USA.
Catherine WeinbergDepartment of Pediatric Cardiology, Zucker School of Medicine at Hofstra/Northwell Cohen Children's Heart Center, New Hyde Park, New York, USA.
Konstantin AverinDepartment of Pediatric Cardiology, Zucker School of Medicine at Hofstra/Northwell Cohen Children's Heart Center, New Hyde Park, New York, USA.
Dipak H KholwadwalaDepartment of Pediatric Cardiology, Zucker School of Medicine at Hofstra/Northwell Cohen Children's Heart Center, New Hyde Park, New York, USA.
Aykut TugertimurDepartment of Pediatric Cardiology, Zucker School of Medicine at Hofstra/Northwell Cohen Children's Heart Center, New Hyde Park, New York, USA.
Moussa Abbas SalehDepartment of Cardiac Electrophysiology, Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital and Long Island Jewish Medical Center, Northwell Health, Manhasset, New York, USA.
Laurence M EpsteinDepartment of Cardiac Electrophysiology, Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital and Long Island Jewish Medical Center, Northwell Health, Manhasset, New York, USA.
Haisam IsmailDepartment of Cardiac Electrophysiology, Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital and Long Island Jewish Medical Center, Northwell Health, Manhasset, New York, USA. Electronic address: hismail@northwell.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrioventricular block is a common complication in L-looped single ventricles, and it may be exacerbated by palliative surgical procedures. CASE SUMMARY: We describe the case of a 43-year-old woman with history of double inlet left ventricle after classic Fontan procedure with subsequent Fontan revision, atrial flutter, and complete heart block managed with an epicardial pacemaker with progressive ventricular lead dysfunction. The patient was managed with leadless pacemaker implantation and atrial flutter ablation. DISCUSSION: Epicardial pacing is the preferred modality for patients with single-ventricle physiology and atrioventricular block. However, epicardial leads have high rates of lead failure often requiring multiple lead revisions by means of thoracotomies, which carry significant morbidity. Epicardial lead revision is not always successful in patients with multiple surgeries owing to adhesions, thus alternative pacing methods are required. TAKE-HOME MESSAGE: This case illustrates a true heart team approach in the use of leadless pacemaker and atrial flutter ablation in a patient with a complex single-functioning ventricle.

Indexed as

anticoagulationcardiac pacemakercongenital heart defectelectrophysiologytransposition of the great arteries

Identifiers

PMID41384897
PMCPMC12881276

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.