Evidence map›Paper›PMID 28831085›Full record

Observational studyScientific reports2017

Percutaneous Closure of Left Atrial Appendage affects Mid-Term Release of MR-proANP.

Michael Behnes, Benjamin Sartorius, Annika Wenke, Siegfried Lang, Ursula Hoffmann, Christian Fastner, Martin Borggrefe, Thomas Roth, Jakob Triebel, Thomas Bertsch and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

11 authors.

Michael BehnesFirst Department of Medicine, University Medical Center Mannheim (UMM), Faculty of Medicine, Mannheim, University of Heidelberg, Mannheim, Germany. michael.behnes@umm.de.
Benjamin SartoriusFirst Department of Medicine, University Medical Center Mannheim (UMM), Faculty of Medicine, Mannheim, University of Heidelberg, Mannheim, Germany.
Annika WenkeFirst Department of Medicine, University Medical Center Mannheim (UMM), Faculty of Medicine, Mannheim, University of Heidelberg, Mannheim, Germany.
Siegfried LangFirst Department of Medicine, University Medical Center Mannheim (UMM), Faculty of Medicine, Mannheim, University of Heidelberg, Mannheim, Germany.
Ursula HoffmannFirst Department of Medicine, University Medical Center Mannheim (UMM), Faculty of Medicine, Mannheim, University of Heidelberg, Mannheim, Germany.
Christian FastnerFirst Department of Medicine, University Medical Center Mannheim (UMM), Faculty of Medicine, Mannheim, University of Heidelberg, Mannheim, Germany.
Martin BorggrefeFirst Department of Medicine, University Medical Center Mannheim (UMM), Faculty of Medicine, Mannheim, University of Heidelberg, Mannheim, Germany.
Thomas RothCentral Laboratory, University Hospital Erlangen, Erlangen, Germany.
Jakob TriebelInstitute of Clinical Chemistry, Laboratory Medicine and Transfusion Medicine, General Hospital Nuremberg, Paracelsus Medical University, Nuremberg, Germany.
Thomas BertschInstitute of Clinical Chemistry, Laboratory Medicine and Transfusion Medicine, General Hospital Nuremberg, Paracelsus Medical University, Nuremberg, Germany.
Ibrahim AkinFirst Department of Medicine, University Medical Center Mannheim (UMM), Faculty of Medicine, Mannheim, University of Heidelberg, Mannheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The left atrial appendage (LAA) represents both a predisposing source of thrombus formation and of neuro-humoral haemostasis. This study aims to evaluate changes of biomarker expression before and after successful percutaneous closure of the LAA. Patients with atrial fibrillation and contraindication for oral anticoagulant therapy were enrolled. Blood samples were taken within 24 hours before (T1) and at least 6 months (mid-term) (T2) after successful implantation of LAA occlusion devices. Blood levels of high sensitivity troponin I and T (hsTnI, hsTnT), aminoterminal pro-brain natriuretic peptide (NT-proBNP) and mid-regional pro-atrial natriuretic peptide (MR-proANP) were evaluated at both time points. A total of 42 patients with successful percutaneous LAA closure were included. Median mid-term follow-up was of 183 days. HsTnT, hsTnI and NT-proBNP did not show any significant differences over time. Serum levels of MR-proANP increased significantly between immediate pre-intervention (T1: median = 245.7 pmol/l, IQR 155.8-361.3 pmol/l) and at mid-term follow-up (T2: median = 254 pmol/l, IQR 183.4-396.4 pmol/l) (p = 0.037). These results indicate, that percutaneous LAA closure affects neuro-humoral haemostasis by increasing MR-proANP serum levels at mid-term follow-up.

Indexed as

AgedAged, 80 and overAtrial AppendageAtrial FibrillationAtrial Natriuretic FactorCardiac Surgical ProceduresFemaleHeart AtriaHumansMaleNatriuretic Peptide, BrainPeptide FragmentsProspective StudiesTime FactorsTreatment OutcomeTroponin IAtrial Natriuretic FactorNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Troponin ITroponin T

Identifiers

PMID28831085
PMCPMC5567360

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Registered trials

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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.