Evidence map›Paper›PMID 41458891›Full record

ArticleJournal of arrhythmia2025

Undiagnostic Heart Failure With Preserved Ejection Fraction in Atrial Fibrillation Patients Undergoing Catheter Ablation.

Masanaru Sawada, Ryuta Watanabe, Koichi Nagashima, Yuji Saito, Yuji Wakamatsu, Naoto Otsuka, Koichiro Hori, Shu Hirata, Moyuru Hirata, Yasuo Okumura

Abstract read
In one paragraph

Article in Journal of arrhythmia, 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. 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

10 authors.

Masanaru SawadaDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-9663-7617
Ryuta WatanabeDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Koichi NagashimaDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0003-2326-225X
Yuji SaitoDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0009-0008-3916-4033
Yuji WakamatsuDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-1540-8514
Naoto OtsukaDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Koichiro HoriDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Shu HirataDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0003-0226-466X
Moyuru HirataDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Yasuo OkumuraDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-2960-4241

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) and heart failure with preserved ejection fraction (HFpEF) often coexist, but the prevalence of HFpEF among AF patients undergoing catheter ablation (CA) remains unclear. Methods: We studied 127 AF patients with preserved ejection fraction (≥ 50%) undergoing initial CA. The Heart Failure Association Pre-test assessment, Echocardiography and natriuretic peptides, Functional testing, and Final etiology (HFA-PEFF) score was assessed 2 weeks before and 1 year after CA. Patients were grouped as low (0-1), intermediate (2-4), or high (5-6). The primary endpoint was AF freedom at 1 and 2 years; secondary endpoints were changes in HFA-PEFF score; tertiary endpoint was predictors of score improvement. Results: Of 127 patients, 30 (23.6%) had HFpEF (score ≥ 5), 76 (59.8%) suspected (2-4), and 21 (16.5%) unlikely (≤ 1). Median follow-up 24.4[ 12.5-29.5] months. AF freedom at 1 year was high (86.4%, 91.7%, 89.7%; Conclusions: HFpEF or suspected HFpEF was common in AF CA candidates but not linked to recurrence. CA remarkably improved HFpEF features, suggesting reversibility.

Indexed as

atrial fibrillationcatheter ablationdiastolic dysfunctionheart failure with preserved ejection fractionHFA‐PEFF score

Identifiers

PMID41458891
PMCPMC12742364

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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.