Evidence map›Paper›PMID 24530673›Full record

ReviewJournal of the American College of Cardiology2014

Lone atrial fibrillation: does it exist?

D George Wyse, Isabelle C Van Gelder, Patrick T Ellinor, Alan S Go, Jonathan M Kalman, Sanjiv M Narayan, Stanley Nattel, Ulrich Schotten, Michiel Rienstra

Open access · greenAbstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed
13.4field-weighted citation impact, top 1% of its field
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

92 citing papers in PubMed, 206 citations in OpenAlex.

  1. Clinical utility of the 4S-AF scheme in predicting progression of atrial fibrillation: data from the RACE V study.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 · 2023
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  6. Brazilian Atrial Fibrillation Guidelines - 2025.Arquivos brasileiros de cardiologia · 2025
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  13. Low plasma renin activity is associated with "Apparently" idiopathic atrial fibrillation.International journal of cardiology. Heart & vasculature · 2023
    Article
  14. Genetic Basis of Early Onset Atrial Fibrillation in Patients without Risk Factors.Journal of cardiovascular development and disease · 2023
    Article
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32 more citing papers are in PubMed but not listed here.

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 at 8 institutions in 4 countries.

D George WyseLibin Cardiovascular Institute of Alberta/University of Calgary, Calgary, Alberta, Canada. Electronic address: dgwyse@ucalgary.ca.
Isabelle C Van GelderDepartment of Cardiology, Thoraxcenter, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Patrick T EllinorCardiac Arrhythmia Service and Cardiovascular Research Center, Massachusetts General Hospital, Boston, Massachusetts.
Alan S GoDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Jonathan M KalmanDepartment of Cardiology, Royal Melbourne Hospital, and Department of Medicine, University of Melbourne, Melbourne, Australia.
Sanjiv M NarayanUniversity of California and Veterans' Affairs Medical Centers, San Diego, California.
Stanley NattelDepartment of Medicine and Research Center, Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada.
Ulrich SchottenDepartment of Physiology, University Maastricht, Maastricht, the Netherlands.
Michiel RienstraDepartment of Cardiology, Thoraxcenter, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
University Medical Center Groningen · NLKaiser Permanente · USMaastricht University · NLMassachusetts General Hospital · USMontreal Heart Institute · CASan Francisco VA Medical Center · USThe Royal Melbourne Hospital · AUUniversity of Calgary · CA

Funding

IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
Determining the Role of the Potassium Channel, KCNN3, in Atrial FibrillationR01HL104156 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2010 to 2013
$2.1M
The Maintenance of Human Atrial FibrillationK24HL103800 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NARAYAN, SANJIV M · 2010 to 2019
$1.9M
Mentoring in Arrhythmia ResearchK24HL105780 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2011 to 2020
$1.2M
NHLBI NIH HHS 1K24HL105780NHLBI NIH HHS K24 HL103800NHLBI NIH HHS K24 HL105780NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01HL092577NHLBI NIH HHS R01 HL104156NHLBI NIH HHS R01HL104156
6 · The paper itself

Abstract

The historical origin of the term "lone atrial fibrillation" (AF) predates by 60 years our current understanding of the pathophysiology of AF, the multitude of known etiologies for AF, and our ability to image and diagnose heart disease. The term was meant to indicate AF in patients for whom subsequent investigations could not demonstrate heart disease, but for many practitioners has become synonymous with "idiopathic AF." As the list of heart diseases has expanded and diagnostic techniques have improved, the prevalence of lone AF has fallen. The legacy of the intervening years is that definitions of lone AF in the literature are inconsistent so that studies of lone AF are not comparable. Guidelines provide a vague definition of lone AF but do not provide direction about how much or what kind of imaging and other testing are necessary to exclude heart disease. There has been an explosion in the understanding of the pathophysiology of AF in the last 20 years in particular. Nevertheless, there are no apparently unique mechanisms for AF in patients categorized as having lone AF. In addition, the term "lone AF" is not invariably useful in making treatment decisions, and other tools for doing so have been more thoroughly and carefully validated. It is, therefore, recommended that use of the term "lone AF" be avoided.

Indexed as

Atrial FibrillationAge FactorsCardiac Resynchronization TherapyDisease ProgressionGlobal HealthHeart Conduction SystemHeart DiseasesHumansIncidenceRisk Factorsidiopathic atrial fibrillationlone atrial fibrillationwhite paper

Identifiers

PMID24530673
PMCPMC4008692
OpenAlexW2194176361

What OpenQuestion holds

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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.