Evidence map›Paper›PMID 42889588›Full record

ArticleJournal of cardiology cases2026

Sinus arrest during right pulmonary vein isolation related to right sinus node artery injury: a case report.

Shinichi Harada, Yoshihiko Kagawa, Daiki Yamashita, Katsutoshi Nakamori, Takashi Saso, Kaoru Dohi

Abstract readCase Reports
In one paragraph

Article in Journal of cardiology cases, 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

6 authors.

Shinichi HaradaDepartment of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Japan.
Yoshihiko KagawaDepartment of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Japan.
Daiki YamashitaDepartment of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Japan.
Katsutoshi NakamoriDepartment of Radiology, Mie University Hospital, Tsu, Japan.
Takashi SasoDepartment of Clinical Engineering, Mie University Hospital, Tsu, Japan.
Kaoru DohiDepartment of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 50-year-old man with long-standing persistent atrial fibrillation received radiofrequency catheter ablation after electrical cardioversion. The second radiofrequency application on anterior antrum of the right superior pulmonary vein induced sinus arrest following a sinus cycle length prolongation. Sinus arrest persisted. Right ventricular pacing was required for 3 min until a sinus rhythm was restored. Preprocedural contrast-enhanced computed tomography revealed that the ablation site was near the right sinus node artery (SNA). Retrospective analysis during catheter ablation confirmed a direct anatomical relationship between the ablation site and the right SNA. In the present case, rapid recovery without coronary intervention suggests a transient and reversible mechanism, such as SNA spasm. This case highlights the importance of preprocedural anatomical assessment of the SNA and performing ablation under sinus rhythm, which may facilitate early recognition of sinus node dysfunction and help prevent irreversible injury. Learning objective: A right sinus node artery might be close to the right superior pulmonary vein and can be affected by right pulmonary vein isolation. In cases of persistent atrial fibrillation, performing ablation under sinus rhythm allows immediate recognition of sinus node dysfunction and may help prevent irreversible sinus node injury.

Indexed as

Atrial fibrillationCatheter ablationPulmonary vein isolationSinus node arterySinus node dysfunction

Identifiers

PMID42889588
PMCPMC13670379

What OpenQuestion holds

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Registered trials

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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.