Evidence map›Paper›PMID 28760133›Full record

ArticleBMC cardiovascular disorders2017

Surface ECG interatrial block-guided treatment for stroke prevention: rationale for an attractive hypothesis.

Antoni Bayés de Luna, Manuel Martínez-Sellés, Antoni Bayés-Genís, Roberto Elosua, Adrian Baranchuk

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Electrocardiographic Predictors of Atrial Fibrillation.Medical sciences (Basel, Switzerland) · 2023
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Interatrial block and ischemic stroke.Journal of thoracic disease · 2018
    Article
  9. Second-degree interatrial block: Brief review and concept.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2018
    Review
  10. Review
  11. [Bayés Syndrome, Stroke and Dementia].Archivos peruanos de cardiologia y cirugia cardiovascular
    Review
  12. Article
  13. Simulation of inter atrial block based on a human atrial model.Journal of Zhejiang University. Science. B
    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

5 authors at 5 institutions in 2 countries.

Antoni Bayés de LunaFundació Investigació Cardiovascular, ICCC, Hospital de Sant Pau, Barcelona, Spain.
Manuel Martínez-SellésHospital General Universitario Gregorio Marañón. CIBERCV, Universidad Complutense, Universidad Europea, Madrid, Spain. mmselles@secardiologia.es.ORCID 0000-0003-0289-6229
Antoni Bayés-GenísHospital Universitari Germans Trias i Pujol, UAB, Barcelona, Spain.
Roberto ElosuaHospital del Mar Medical Research Institute, Barcelona, Spain.
Adrian BaranchukQueen's University, Kingston, ON, Canada.
Hospital Del Mar · ESHospital de Sant Pau · ESHospital General Universitario Gregorio Marañón · ESHospital Universitari Germans Trias i Pujol · ESQueen's University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial fibrillation (AF) is the most common sustained arrhythmia and is associated with stroke, cognitive impairment, and cardiovascular death. Some predisposing factors - as aging, diabetes, hypertension - induce and maintain electrophysiological and ultrastructural remodeling that usually includes fibrosis. Interatrial conduction disturbances play a crucial role in the initiation of atrial fibrosis and in its associated complications. The diagnosis of interatrial blocks (IABs) is easy to perform using the surface ECG. IAB is classified as partial when the P wave duration is ≥120 ms, and advanced if the P wave also presents a biphasic pattern in II, III and aVF. IAB is very frequent in the elderly and, particularly in the case of the advanced type, is associated with AF, AF recurrences, stroke, and dementia. The anticoagulation in elderly patients at high risk of AF without documented arrhythmias is an open issue but recent data suggest that it might have a role, particularly in elderly patients with structural heart disease, high CHA

Indexed as

ElectrocardiographyAgedAnticoagulantsAtrial FibrillationClinical Decision-MakingDrug Administration ScheduleFemaleFibrosisHeart AtriaHumansInteratrial BlockMalePredictive Value of TestsRecurrenceRisk AssessmentRisk FactorsAnticoagulantsAtrial fibrillationInteratrial blockRiskStroke

Identifiers

PMID28760133
PMCPMC5537952
OpenAlexW2741118346

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.