Evidence map›Paper›PMID 29414920›Full record

Observational studyInternational journal of molecular sciences2018

Interventional Left Atrial Appendage Closure Affects the Metabolism of Acylcarnitines.

Christian Fastner, Michael Behnes, Benjamin Sartorius, Annika Wenke, Siegfried Lang, Gökhan Yücel, Katherine Sattler, Jonas Rusnak, Ahmad Saleh, Christian Barth and 4 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of molecular sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02985463 (Left Atrial Appendage Occlusion and Biomarker Evaluation), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 22% 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.

NCT02985463 unknown statusnot on this map

Left Atrial Appendage Occlusion and Biomarker Evaluation

TypeobservationalSponsorUniversitätsmedizin MannheimRan2014 to 2021Enrolled60ConditionsStroke, Atrial Fibrillation, Bleeding
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. 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

14 authors at 4 institutions in 1 country.

Christian FastnerFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. christian.fastner@umm.de.
Michael BehnesFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. martin.borggrefe@umm.de.
Benjamin SartoriusFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. sartorius@stud.uni-heidelberg.de.
Annika WenkeFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. wenke@stud.uni-heidelberg.de.
Siegfried LangFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. siegfried.lang@umm.de.
Gökhan YücelFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. goekhan.yuecel@umm.de.
Katherine SattlerFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. katherine.sattler@umm.de.
Jonas RusnakFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. jonas.rusnak@umm.de.
Ahmad SalehFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. ahmad.saleh@umm.de.
Christian BarthFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. christian.barth@umm.de.
Kambis MashayekhiDivision of Cardiology and Angiology II, University Heart Center Freiburg-Bad Krozingen, 79189 Bad Krozingen, Germany. kambis.mashayekhi@universitaets-herzzentrum.de.
Ursula HoffmannFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. ursula.hoffmann@umm.de.
Martin BorggrefeFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. martin.borggrefe@umm.de.
Ibrahim AkinFirst Department of Medicine, University Medical Center Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany. ibrahim.akin@umm.de.
University Hospital Heidelberg · DEUniversity Medical Centre Mannheim · DEHeidelberg University · DEUniversitäts-Herzzentrum Freiburg-Bad Krozingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft atrial appendage closure (LAAC) represents the interventional alternative to oral anticoagulation for stroke prevention in atrial fibrillation (AF). The metabolism of acylcarnitines was shown to affect cardiovascular diseases. This study evaluates the influence of successful LAAC on the metabolism of acylcarnitines.

methodsPatients undergoing successful LAAC were enrolled prospectively. Peripheral blood samples for metabolomics measurements were collected immediately before (i.e., index) and six months after LAAC (i.e., mid-term). A targeted metabolomics analysis based on electrospray ionization-liquid chromatography-mass spectrometry (ESI-LC-MS/MS) and MS/MS measurements was performed.

results44 patients with non-valvular AF (median CHA₂DS₂-VASc score 4, median HAS-BLED score 4) and successful LAAC were included. Significant changes in acylcarnitine levels were found in the total cohort, which were mainly attributed to patients with impaired left ventricular and renal function, elevated amino-terminal pro-brain natriuretic peptide (NT-proBNP) and diabetes mellitus. Adjusted multivariable regression models revealed significant changes of five metabolites over mid-term follow-up: C2, C14:1, C16, and C18:1 decreased significantly (each

conclusionThis study demonstrates that successful LAAC affects the metabolism of acylcarnitines at mid-term follow-up. CLINICAL

trial registrationClinicalTrials.gov Identifier: NCT02985463.

Indexed as

AgedAged, 80 and overAtrial AppendageAtrial FibrillationBiomarkersCarnitineCohort StudiesEndovascular ProceduresFemaleHumansMaleMetabolomicsProspective StudiesRegression AnalysisStrokeVascular Closure DevicesacylcarnitineBiomarkersCarnitineacylcarnitinesatrial fibrillationleft atrial appendageleft atrial appendage closuremetabolomics

Identifiers

PMID29414920
PMCPMC5855722
OpenAlexW2793491041

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.