Evidence map›Paper›PMID 26411420›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2016

Monocyte-platelet aggregates and CD11b expression as markers for thrombogenicity in atrial fibrillation.

Christian Pfluecke, Daniel Tarnowski, Lina Plichta, Katharina Berndt, Paul Schumacher, Stefan Ulbrich, Mathias Forkmann, Marian Christoph, David M Poitz, Carsten Wunderlich and 2 more

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Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

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0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Trial
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  3. Review
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  5. Article
  6. Article
  7. Article
  8. Article
  9. The role of monocytes in thrombotic diseases: a review.Frontiers in cardiovascular medicine · 2023
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Inflammation and the risk of atrial high-rate episodes (AHREs) in patients with cardiac implantable electronic devices.Clinical research in cardiology : official journal of the German Cardiac Society · 2018
    Article
  16. Article
  17. Article
  18. 13-Series resolvins mediate the leukocyte-platelet actions of atorvastatin and pravastatin in inflammatory arthritis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2017
    Article
  19. Review
  20. Article
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

12 authors.

Christian PflueckeTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany. christian.pfluecke@mailbox.tu-dresden.de.
Daniel TarnowskiTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.
Lina PlichtaTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.
Katharina BerndtTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.
Paul SchumacherTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.
Stefan UlbrichTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.
Mathias ForkmannTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.
Marian ChristophTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.
David M PoitzTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.
Carsten WunderlichTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.
Ruth H StrasserTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.
Karim IbrahimTechnische Universität Dresden, Heart Center Dresden, University Hospital, Fetscherstrasse 76, 01307, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA strong interdependence is known between atrial fibrillation (AF), inflammation and thrombogenesis. Monocyte-platelet aggregates (MPAs) are sensitive markers of platelets and monocyte activation. It is not known whether MPAs are associated with thrombogenicity in AF. Therefore, we examined differences in the content of MPAs and CD11b expression in patients with AF in dependence of the presence of atrial thrombus formation.

methods107 patients with symptomatic AF underwent transesophageal echocardiography (TEE) before planned cardioversion or pulmonary vein isolation. Flow-cytometric quantification analysis was done on the day of performed TEE to determine the content of MPAs and the expression of CD11b on monocytes and granulocytes.

resultsCompared to patients without thrombus (n = 80) those with an echocardiographic proven left atrium (LA) thrombus (n = 27) showed an increased extent of the risk factors age, diabetes and heart failure. The content of MPAs (147 ± 12 vs. 311 ± 29 cells/µl, p < 0.001) as well as the CD11b expression on monocytes (p < 0.05) and granulocytes (p < 0.05) were strongly associated with the existence of a LA thrombus. The content of MPAs and the CD11b expression remained independent predictors for LA thrombus after adjustment in logistic regression analysis and negatively correlated with left atrial appendage flow velocity. MPAs above 170 cells/µl (OR 34.2, p = 0.01) had a sensitivity of 96 % and a specificity of 73 % for predicting LA-thrombus.

conclusionsThe content of MPAs and the CD11b expression on monocytes and granulocytes are increased in AF-patients with proven thrombus formation. They seem to be appropriate biomarkers for stratification of thromboembolic risk in patients with AF.

Indexed as

Platelet AdhesivenessAgedAged, 80 and overAtrial FibrillationBiomarkersBlood PlateletsCD11b AntigenEchocardiography, TransesophagealFemaleHumansLogistic ModelsMaleMiddle AgedMonocytesOdds RatioPredictive Value of TestsBiomarkersCD11b AntigenITGAM protein, humanAtrial fibrillationMonocyte–platelet aggregatesMonocytesStroke, thromboembolism, inflammationThrombogenicity

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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.