Evidence map›Paper›PMID 27918068›Full record

ArticleClinical cardiology2017

Temporal trends and outcomes associated with atrial fibrillation observed during acute coronary syndrome: Real-world data from the Acute Coronary Syndrome Israeli Survey (ACSIS), 2000-2013.

Aharon Erez, Ilan Goldenberg, Avi Sabbag, Eyal Nof, Doron Zahger, Shaul Atar, Arthur Pollak, Idit Dobrecky-Merye, Roy Beigel, Shlomi Matetzky and 2 more

Abstract read
In one paragraph

Article in Clinical cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Observational
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  8. Article
  9. Management of atrial fibrillation: two decades of progress - a scientific statement from the European Cardiac Arrhythmia Society.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2022
    Review
  10. Review
  11. Clinical Application of CHAReviews in cardiovascular medicine · 2022
    Article
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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.

Aharon ErezLeviev Heart Center, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel.
Ilan GoldenbergLeviev Heart Center, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel.
Avi SabbagLeviev Heart Center, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel.
Eyal NofLeviev Heart Center, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel.
Doron ZahgerIntensive Cardiac Care Unit, Department of Cardiology, Soroka University Medical Center, Be'er-Sheva, Israel.
Shaul AtarCardiology Department, Galilee Medical Center, Nahariya, Israel.
Arthur PollakHeart Institute, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Idit Dobrecky-MeryeDepartment of Cardiology, Bnai Zion Medical Center, and the Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute ofTechnology, Haifa, Israel.
Roy BeigelLeviev Heart Center, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel.
Shlomi MatetzkyLeviev Heart Center, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel.
Michael GliksonLeviev Heart Center, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel.
Roy BeinartLeviev Heart Center, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe past decade has brought major advances in therapy of patients presenting with acute coronary syndromes (ACS). HYPOTHESIS: The outcomes of ACS patients with atrial fibrillation (AF) has improved over the years.

methodsWe evaluated time-dependent changes in clinical characteristics, management strategies, and outcomes associated with AF observed during ACS hospitalization in patients enrolled in the biannual ACS Israeli Surveys (ACSIS) between 2000 and 2013. We divided the surveys into early (2000-2006) and late (2008-2013) time periods.

resultsThe study population comprised 13 297 ACS patients, of whom 755 (5.7%) either presented with or developed AF during the index hospitalization. The incidence of AF observed during ACS hospitalization was lower during the later period (6.2% vs 4.9%; P < 0.01). Kaplan-Meier survival analysis showed that 1-year mortality rates were significantly lower among ACS patients with and without AF who were enrolled during the later vs early survey period (log-rank P < 0.01 for the overall difference). However, AF observed among ACS patients was still associated with increased risk for in-hospital complications and 30-day and 1-year mortality during both the early and late survey periods (P < 0.05 for all comparisons).

conclusionsIn 10 years, rates of AF among ACS patients have declined significantly. Yet, despite improved overall 1-year survival for patients with AF, the development of AF in this population remains an independent predictor of mortality that has not changed appreciably over the years.

Indexed as

Acute Coronary SyndromeAgedAtrial FibrillationFemaleHealth SurveysHospitalizationHumansIncidenceIsraelKaplan-Meier EstimateMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesRisk FactorsTime FactorsACSIS registryAcute coronary syndromeatrial fibrillation

Identifiers

PMID27918068
PMCPMC6490420

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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.