Evidence map›Paper›PMID 41908189›Full record

ArticleHeart rhythm O22026

Reduction in new-onset device-detected atrial fibrillation: A prospective 2-center study comparing left bundle branch pacing with conventional right ventricular pacing.

Javier Ramos-Maqueda, Antonio Arriaga-Jiménez, Mercedes Cabrera-Ramos, Pablo Vadillo-Martín, Daniel Meseguer-González, Jorge Melero-Polo, Isabel Montilla-Padilla, José Ramón Ruiz-Arroyo, Miguel Álvarez, Manuel Molina-Lerma

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Article in Heart rhythm O2, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Javier Ramos-MaquedaArrhythmias Unit, Cardiology Department, Lozano Blesa Clinical University Hospital, Zaragoza, Spain.
Antonio Arriaga-JiménezArrhythmias Unit, Cardiology Department, Virgen de las Nieves University Hospital, Granada, Spain.
Mercedes Cabrera-RamosArrhythmias Unit, Cardiology Department, Lozano Blesa Clinical University Hospital, Zaragoza, Spain.
Pablo Vadillo-MartínArrhythmias Unit, Cardiology Department, Lozano Blesa Clinical University Hospital, Zaragoza, Spain.
Daniel Meseguer-GonzálezArrhythmias Unit, Cardiology Department, Lozano Blesa Clinical University Hospital, Zaragoza, Spain.
Jorge Melero-PoloArrhythmias Unit, Cardiology Department, Lozano Blesa Clinical University Hospital, Zaragoza, Spain.
Isabel Montilla-PadillaArrhythmias Unit, Cardiology Department, Lozano Blesa Clinical University Hospital, Zaragoza, Spain.
José Ramón Ruiz-ArroyoArrhythmias Unit, Cardiology Department, Lozano Blesa Clinical University Hospital, Zaragoza, Spain.
Miguel ÁlvarezArrhythmias Unit, Cardiology Department, Virgen de las Nieves University Hospital, Granada, Spain.
Manuel Molina-LermaArrhythmias Unit, Cardiology Department, Virgen de las Nieves University Hospital, Granada, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Right ventricular pacing (RVP) has been associated with an increased risk of atrial fibrillation (AF). Objective: We aim to compare the incidence of new-onset AF between left bundle branch pacing (LBBP) and RVP. Methods: We conducted a prospective, observational, 2-center study recruiting patients with pacemaker implantation who were at high risk of developing AF (ie, patients older than 70 years). The primary end point was time to the first occurrence of device-detected AF with clinical significance (ie, AF lasting >6 minutes), whereas the secondary end point was time to the first episode of AF that could require oral anticoagulation (ie, AF lasting >24 hours). Multivariate Cox regression models were used to evaluate the effect of LBBP on AF occurrence. Results: The final evaluation included 412 patients (212 (51.4%) in the LBBP group and 200 (48.5%) in the RVP group). LBBP showed a lower incidence of AF lasting >6 minutes than did RVP (27.4% vs 42%; Conclusion: LBBP reduced the risk of new-onset device-detected AF lasting >6 minutes and decreased the likelihood of new-onset AF episodes lasting >24 hours, compared with RVP in a high-risk population for AF development.

Indexed as

Cardiac pacingDevice-detected atrial fibrillationLeft bundle branch pacingNew-onset atrial fibrillationRight ventricular pacing

Identifiers

PMID41908189
PMCPMC13031015

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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.