Evidence map›Paper›PMID 41695507›Full record

ReviewHeart rhythm O22026

Pulsed field ablation for ventricular arrhythmias: From mechanistic foundations to clinical translation.

Hongxi Li, Han Zhang, Menglin Tian, Sen Yang, Xiaohua Zhao, Qiwei Liao, Shaolong Li, Dong Yang, Fuding Guo

Abstract readReview
In one paragraph

Review in Heart rhythm O2, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Ventricular pulsed field ablation from bench to bedside: preclinical and clinical evidence from a systematic review and meta-analysis.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Pooled it
  2. 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

9 authors.

Hongxi LiDepartment of Cardiology, Yan'an Hospital of Kunming City, Yan'an Hospital Affiliated To Kunming Medical University, Kunming, China.
Han ZhangDepartment of Cardiology, Yan'an Hospital of Kunming City, Yan'an Hospital Affiliated To Kunming Medical University, Kunming, China.
Menglin TianDepartment of Cardiology, Yan'an Hospital of Kunming City, Yan'an Hospital Affiliated To Kunming Medical University, Kunming, China.
Sen YangDepartment of Cardiology, Yan'an Hospital of Kunming City, Yan'an Hospital Affiliated To Kunming Medical University, Kunming, China.
Xiaohua ZhaoDepartment of Cardiology, Yan'an Hospital of Kunming City, Yan'an Hospital Affiliated To Kunming Medical University, Kunming, China.
Qiwei LiaoDepartment of Cardiology, Yan'an Hospital of Kunming City, Yan'an Hospital Affiliated To Kunming Medical University, Kunming, China.
Shaolong LiDepartment of Cardiology, Yan'an Hospital of Kunming City, Yan'an Hospital Affiliated To Kunming Medical University, Kunming, China.
Dong YangDepartment of Cardiology, Yan'an Hospital of Kunming City, Yan'an Hospital Affiliated To Kunming Medical University, Kunming, China.
Fuding GuoDepartment of Cardiology, Yan'an Hospital of Kunming City, Yan'an Hospital Affiliated To Kunming Medical University, Kunming, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ventricular arrhythmias (VAs), particularly scar-related ventricular tachycardia, remain a leading cause of sudden cardiac death in patients with structural heart disease. Although radiofrequency ablation is the current standard of care, its efficacy is limited in complex myocardial substrates. Pulsed field ablation (PFA), a non-thermal and cell-selective technique based on irreversible electroporation, has emerged as a promising alternative. This review provides a comprehensive overview of the mechanistic rationale, preclinical validation, and early clinical experiences of PFA in VAs. It primarily discusses potential challenges in the clinical treatment of ventricular tachycardia. Furthermore, we highlight emerging catheter systems and the possible synergistic value of functional substrate mapping, preprocedural imaging, and parameter optimization in improving the precision and safety of PFA. As a promising ablation technology, PFA holds strong potential for treating VAs.

Indexed as

Irreversible electroporationPremature ventricular contractionsPulsed field ablationReversible electroporationVentricular arrhythmiasVentricular tachycardia

Identifiers

PMID41695507
PMCPMC12902293

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.