Evidence map›Paper›PMID 28805957›Full record

Observational studyClinical cardiology2017

Stroke or left atrial thrombus prediction using antithrombin III and mean platelet volume in patients with nonvalvular atrial fibrillation.

Seo-Won Choi, Bo-Bae Kim, Dong-Hyun Choi, Geon Park, Byung Chul Shin, Heesang Song, DongHun Kim, Dong-Min Kim

Open access · bronzeAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Clinical cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. LncRNA SERPINB9P1 expression and polymorphisms are associated with ischemic stroke in a Chinese Han population.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Observational
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

8 authors at 2 institutions in 1 country.

Seo-Won ChoiDepartment of Cardiology, Gwangju Veterans Hospital, Gwangju, Republic of Korea.
Bo-Bae KimDepartment of Internal Medicine, Chosun University School of Medicine, Gwangju, Republic of Korea.
Dong-Hyun ChoiDepartment of Internal Medicine, Chosun University School of Medicine, Gwangju, Republic of Korea.ORCID http://orcid.org/0000-0003-0334-9809
Geon ParkDepartment of Laboratory Medicine, Chosun University School of Medicine, Gwangju, Republic of Korea.
Byung Chul ShinDepartment of Internal Medicine, Chosun University School of Medicine, Gwangju, Republic of Korea.
Heesang SongDepartment of Biochemistry and Molecular Biology, Chosun University School of Medicine, Gwangju, Republic of Korea.
DongHun KimDepartment of Radiology, Chosun University School of Medicine, Gwangju, Republic of Korea.
Dong-Min KimDepartment of Internal Medicine, Chosun University School of Medicine, Gwangju, Republic of Korea.
Chosun University · KRVeterans Health Service Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCHADS HYPOTHESIS: To determine the association of antithrombin III (AT-III) deficiency and mean platelet volume (MPV) with the development of stroke or left atrial (LA) thrombus in patients with AF.

methodsAT-III and MPV were analyzed in 352 patients with AF. The primary endpoint was a composite of ischemic stroke event and incidental LA thrombus.

resultsThere were 50 events (14.2%) during a mean 35.4 months of follow-up. A significantly higher stroke or LA thrombus rate was observed in the low-AT-III group (<70%) than that in the high-AT-III group (≥70%). A significantly higher stroke or LA thrombus rate was observed in the high-MPV group (≥7.0 fL) than that in the low-MPV group (<7.0 fL). AF patients with an MPV ≥7.0 fL and AT-III deficiency had higher stroke or LA thrombus risk than those without an MPV ≥7.0 fL and AT-III deficiency. In the Cox proportional hazard analysis, high MPV was found to be an independent predictor of stroke or LA thrombus risk (hazard ratio: 6.408; 95% confidence interval: 2.874-14.286). Although AT-III deficiency was not an independent predictor of stroke or LA thrombus risk, a trend was observed.

conclusionsHigh MPV and AT-III deficiency were predictive markers for stroke or LA thrombus. Their predictive power for stroke was independent of antiplatelet treatment, anticoagulation therapy, and a high CHA

Indexed as

Mean Platelet VolumeAgedAged, 80 and overAntithrombin IIIAntithrombin III DeficiencyAtrial FibrillationBiomarkersBlood PlateletsBrain IschemiaDisease-Free SurvivalEchocardiography, TransesophagealFemaleHumansKaplan-Meier EstimateMaleMiddle AgedAntithrombin IIIBiomarkersSERPINC1 protein, humanAntithrombin IIIAtrial FibrillationLeft Atrial ThrombusMean Platelet VolumeStroke

Identifiers

PMID28805957
PMCPMC6490604
OpenAlexW2745668208

What OpenQuestion holds

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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.