Table 1 Baseline characteristics of included studies.
NO | First Author (Year) | Trial acronym | Study design | Inclusion criteria | Ablation strategy | Comparator | CA/NCANo | Age, M(SD) y | Males, No. (%) | Females, No. (%) | Follow -up mo | Outcome Indicators |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Xueying Zhu 201932 | NA | Cohort Study | Per/PAF; NYHAII-IV; LVEF<50% | PVI | Rhythm control | 44/40 | 71.8 (2.7) | 53 (63.10) | 31 (36.90) | 6 | 1,6,9,10,12 |
2 | Fangchao Li 202220 | NA | RCT | PerAF; NYHAII-IV; LVEF<50% | PVI | Rhythm control | 28/33 | 62.8 (8.9) | 43 (70.49) | 18 (29.51) | 12 | 1,7,8,9, 10,14,16 |
3 | Yao Xu 202230 | NA | Cohort Study | Per/PAF; NYHAII-IV; LVEF<50% | PVI± linear lesions | Rhythm/ Rate control | 44/44 | 70.9 (10) | 53( 60.23) | 35 (39.77) | 24 | 1,2,3,6,7,9,10 |
4 | Jiao Sun 201833 | NA | Cohort Study | Per/PAF; NYHAII-IV; LVEF ≤ 40% | PVI± Linear lesions | Rhythm/ Rate control | 70/81 | 63 (9.3) | 88 (58.28) | 63 (41.72) | 28.7 | 2,3,6,7,9, 10,14, |
5 | Hunter 201134 | CAMTAF | RCT | PerAF; NYHAII-IV; LVEF<50% | PVI± linear lesions | Rate control | 26/21 | 57.4 (11.3) | 45 (95.74) | 2 (4.26) | 6 | 8 |
6 | Hunter 201426 | CAMTAF | RCT | PerAF; NYHAII-IV; LVEF<50%; | PVI± linear lesions | Rate control | 26/24 | 57.4 (11.3) | 48 (96.00) | 2 (4.00) | 6 | 2,3,6,7,9,11,14,15,16 |
7 | Zakeri 202335 | CAMTAF-ARC-HF | Cohort Study | PerAF; NYHAII-IV; LVEF<50%; | PVI± liner lesions± CFAE | Rate control | 52/50 | 61.1 (12.6) | 93 (91.18) | 9 (8.82) | 93.6 | 3,6,7,9, 11,14,16 |
8 | Jones 20137 | ARC-HF | RCT | PerAF; NYHAII-IV; LVEF ≤ 35% | PVI± linear lesions± CFAE | Rate control | 26/26 | 63 (9.5) | 45 (86.54) | 7 (13.46) | 12 | 3,7,9,11,13,15,16 |
9 | Wong 201836 | ARC-HF | RCT | PerAF; NYHAII-IV; LVEF ≤ 35% | PVI± linear lesions± CFAE | Rate control | 26/26 | 63 (9.5) | 45 (86.54) | 7 (13.46) | 86.4 | 3 |
10 | Di Biase 20164 | AATAC | RCT | PerAF; NYHAII-III; LVEF<40% | PVI± linear lesions± CFAE | Rhythm control | 102/101 | 61 (10.5) | 151 (74.38) | 52 (25.62) | 24 | 1,3,5,6,7,9,13, 16 |
11 | Mohanty 201837 | AATAC | RCT | PerAF; NYHAII-III; LVEF<40% | PVI± linear lesions± CFAE | Rhythm control | 102/101 | 61 (10.5) | 151 (74.38) | 52 (25.62) | 48 | 6,7 |
12 | Packer 202131 | CABANA | RCT | Per/PAF; NYHAII-IV; LVEF<50% | PVI± linear lesions± CFAE | Rhythm/ Rate control | 378/400 | 67.7 (8.2) | 433 (55.66) | 345 (44.34) | 48 | 1,2,3,6 |
13 | Choi 201016 | NA | Cohort Study | Per/PAF; LVEF ≤ 45%; | PVI± linear lesions | Rhythm/ Rate control | 15/15 | 59.5 (12.9) | 27 (90.00) | 3 (10.00) | 16 | 1,6,7,9,14, |
14 | Marrouche 201938 | CASTLE-AF | RCT | Per/PAF; NYHAII-IV; LVEF ≤ 35% | PVI± linear lesions | Rhythm/ Rate control | 179/184 | 64.1 (11.6) | 311 (85.67) | 52 (14.33) | 36 | 9 |
15 | Sohns 202324 | CASTLE-HTx | RCT | AF; NYHAII-IV; LVEF ≤ 35% | PVI± linear lesions± CFAE | Rhythm/ Rate control | 97/97 | 63.5 (11.1) | 157 (80.93) | 37 (19.07) | 18 | 2,3,6,7,9 |
16 | Marrouche 201825 | CASTLE-AF | RCT | Per/PAF; NYHAII-IV; LVEF ≤ 35% | PVI± linear lesions | Rhythm/ Rate control | 179/184 | 64.1 (12.2) | 311 (85.67) | 52 (14.33) | 38.7 | 1,2,3,4,5,6,7,8,9, 10,13,16 |
17 | Sugumar 202039 | CAMERA-MRI | RCT | PerAF; NYHAII-IV; LVEF ≤ 45% | PVI± linear lesions | Rate control | 47/15 | 61.7 (10.1) | 56 (90.32) | 6 (9.68) | 48 | 3,9,14, |
18 | Prabhu 201740 | CAMERA-MRI | RCT | PerAF; NYHAII-IV; LVEF ≤ 45% | PVI± linear lesions | Rate control | 33/33 | 60.5 (10.3) | 60 (90.91) | 6 (9.09) | 6 | 1,9,11,13, 14 |
19 | Chieng 202328 | RCT-STALL | RCT | PerAF; NYH-AII-IV; Increased BNP and PCWP; LVEF ≥ 50%; | PVI± linear lesions | Rhythm control | 16/15 | 66.1 (7.6) | 16 (51.61) | 15 (48.39) | 6 | 9,11,12, 14,15,16 |
20 | Olshausen 202241 | NA | Cohort Study | AF; HF | PVI | Rhythm/ Rate control | 434/868 | 66.9 (12.7) | 895 (68.74) | 407 (31.26) | 31.2 | 2,3,4,5,8 |
21 | Samuel 201942 | AF-HF | Cohort Study | AF; HF | PVI | Rhythm/ Rate control | 453/899 | 63.5 (6.7) | 1045 (77.29) | 307 (22.71) | 45.6 | 1,3,8 |
22 | Fukui 202027 | NA | Cohort Study | AF; LVEF ≥ 50%,LVDD | PVI± linear lesions | Rhythm/ Rate control | 35/50 | 70.6 (11.2) | 55 (64.71) | 30 (35.29) | 24 | 5,6 |
23 | Kuck 201922 | AMICA | RCT | PerAF; NYHAII-III; LVEF ≤ 35% | PVI± linear lesions | Rhythm/ Rate control | 68/72 | 65 (8) | 126 (90) | 14 (10) | 12 | 1,2,3,6,7,9,12, 13,16 |
24 | Jin Geng 201743 | NA | Cohort Study | Per/PAF; NYHAII-IV; LVEF<50% | PVI± linear lesions | Rate control | 90/90 | 66.4 (10.5) | 86 (47.78) | 94 (52.22) | 13.5 | 1,3,8, |
25 | Rauber 202244 | NA | Cohort Study | PerAF, LVEF<50% | PVI± linear lesions | AVNA + PM | 23/23 | 67 (8) | 24 (52.17) | 22 (47.83) | 21 | 1,3,9 |
26 | Rahman 201945 | NA | Cohort Study | AF; LVEF ≥ 50% | PVI | Rhythm/ Rate control | 85/95 | NI | 77 (42.78) | 103 (57.22) | 24 | 3,5,6,8 |
27 | Bunch 201521 | NA | Cohort Study | Symptomatic AF; LVEF ≤ 35% | PVI | Rhythm/ Rate control | 267/1068 | 68.1 (12.6) | 1045 (78.28) | 290 (21.72) | 60 | 1,2,3,9 |
28 | Lima 202046 | NA | Cohort Study | AF; HF | PVI | Rhythm/ Rate control | 2204/ 747,572 | NI | NI | NI | 1 | 5 |
29 | Parkash 202223 | RAFT-AF | RCT | Per/PAF; NYHAII-III; Increased NT-proBNP | PVI± linear lesions | Rate control | 214/197 | 66.7 (8.3) | 305 (74.21) | 106 (25.79) | 36 | 1,2,3,6,7,8,9,13,16 |
30 | Samuel 202047 | AF-HF | Cohort Study | AF; HF | PVI | Rhythm/ Rate control | 451/899 | 62.9 (11.6) | 954 (70.67) | 396 (29.33) | 45.6 | 1,3,8 |
31 | Patel 202448 | NA | Cohort Study | AF; HFpEF | PVI | Rhythm/ Rate control | 9440/9440 | NI | NI | NI | 24 | 1,3,8 |
32 | Zolotarova 202149 | NA | Cohort Study | Symptomatic AF; HFpEF | PVI | Rhythm/ Rate control | 136/58 | NI | NI | NI | 24 | 3,4 |
33 | Khan 200850 | PABA-CHF | RCT | Symptomatic AF; NYHAII-III; LVEF ≤ 40% | PVI± linear lesions | AVNA+ CRT | 41/40 | 60.5 (8) | 74 (91.36) | 7 (8.64) | 6 | 9,10,13,16 |
34 | MacDonald 201129 | NA | RCT | PerAF; NYHAII-IV; LVEF<35% | PVI± linear lesions | Rhythm control | 22/19 | 63.3 (7.5) | 32 (78.05) | 9 (21.95) | 6 | 1,9,12,13, 16 |