Evidence map›Paper›PMID 27479069›Full record

ArticlePloS one2016

Clinical, Echocardiographic, and Electrocardiographic Predictors of Persistent Atrial Fibrillation after Dual-Chamber Pacemaker Implantation: An Integrated Scoring Model Approach.

Min Soo Cho, Jun Kim, Ju Hyeon Kim, Minsu Kim, Ji Hyun Lee, You Mi Hwang, Uk Jo, Gi-Byoung Nam, Kee-Joon Choi, You-Ho Kim

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Min Soo ChoHeart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Jun KimHeart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID http://orcid.org/0000-0002-3573-638X
Ju Hyeon KimHeart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Minsu KimHeart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Ji Hyun LeeHeart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
You Mi HwangHeart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Uk JoHeart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Gi-Byoung NamHeart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Kee-Joon ChoiHeart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
You-Ho KimHeart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Persistent atrial fibrillation (PeAF) predictors after dual-chamber pacemaker (PM) implantation remain unclear. We sought to determine these predictors and establish an integrated scoring model. Data were retrospectively reviewed for 649 patients (63.8 ± 12.3 years, 48.6% male, mean CHA2DS2-VASC score 2.7 ± 2.0) undergoing dual-chamber PM implantation. PeAF was defined as documented AF on two consecutive electrocardiograms acquired ≥7 days apart. During a 7.1-year median follow-up (interquartile range 4.5-10.1 years), 67 (10.3%) patients had PeAF. Multivariable analysis showed the following independent predictors of future PeAF: ischemic stroke or transient ischemic accident history (hazard ratio [HR] 2.03, 95% confidence interval [CI] 1.03-3.50, p = 0.040), atrial fibrillation/flutter history (HR 1.80, 95% CI 1.01-3.20, p = 0.046), sinus node disease (HR 2.24, 95% CI 1.16-4.35, p = 0.016), left atrial enlargement (>45 mm, HR 2.14, 95% CI 1.26-3.63, p = 0.005), and time in automatic mode switching >1% at first follow-up interrogation (HR 2.58, 95% CI 1.51-4.42, p < 0.001). An integrated scoring model combining these predictors showed good discrimination performance at the seven-year follow-up. (C-statistic 0.716, 95% CI 0.629-0.802, p < 0.001). Significantly greater seven-year PeAF incidences were seen in patients with higher scores (2-5) than in those with lower scores (0-1) (22.8% ± 3.8% vs. 5.3% ± 1.7%, p < 0.001). In conclusion, an integrated scoring model combining clinical, echocardiographic, and electrocardiographic characteristics is useful for predicting future PeAF in patients with a dual-chamber PM.

Indexed as

Models, CardiovascularPacemaker, ArtificialAgedArea Under CurveAtrial FibrillationEchocardiographyElectrocardiographyFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedProstheses and ImplantsRetrospective StudiesRisk Factors

Identifiers

PMID27479069
PMCPMC4968832

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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.