CT-Guided Direct Current Cardioversion for Atrial Arrhythmias During the COVID-19 Pandemic

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Abstract

No abstract available

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  1. SciScore for 10.1101/2022.02.13.22270911: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    EthicsIRB: Study population: This study complies with the Declaration of Helsinki, patients were prospectively enrolled in 4DCT data registry, approved by the Institutional Review Board IRB
    Sex as a biological variablenot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    All analyses were performed using IBM SPSS Statistics version 25 (SPSS Inc, IL, USA).
    SPSS
    suggested: (SPSS, RRID:SCR_002865)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Although two-dimensional TEE has improved temporal resolution as compared with a gated cardiac CT, more pronounced in patients with elevated heart rates, we were able to obtain diagnostic quality imaging on patients with a mean HR of 97 bpm on the initial arterial acquisition, demonstrating that widening the R-R interval window helped counteract the inherent limitations in temporal resolution of cardiac CT. An interesting finding in our study is the association between the prior history of stroke and characteristics of the filling defects on the cardiac CT. Similar to LAA blood flow velocity interrogated on TEE with doppler (23), the presence of “slow flow” or definite thrombus on the cardiac CT was associated with prior stroke history. These 2 patient subgroups also had lower LVEF and increased prevalence of persistent atrial fibrillation, which highlights the interplay between LA and LAA function with thromboembolic risk. With the COVID-19 pandemic suddenly straining hospitals and healthcare resources without significant preparation beginning in March 2020, our system decided to implement cardiac CT driven cardioversion for patients with uncontrolled AF or AFL (24). Given the local and national shortages of PPE, and unclear modes of viral transmission, cardiac CT allowed diversion of essential resources and personnel toward other procedures instead of TEEs. This enabled us to treat patients who could not be managed with rate control strategies or failed anti-arrhythmic medi...

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    Results from scite Reference Check: We found no unreliable references.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.