Evidence map›Paper›PMID 29718529›Full record

ArticleCardiology journal2019

Impact of left atrial appendage closure on cardiac functional and structural remodeling: A difference-in-difference analysis of propensity score matched samples.

Quang Tan Phan, Seung-Yong Shin, Ik-Sung Cho, Wang-Soo Lee, Hoyoun Won, Saima Sharmin, Dong-Young Lee, Tae-Ho Kim, Chee-Jeong Kim, Sang-Wook Kim

Abstract read
In one paragraph

Article in Cardiology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Effect of Left Atrial Appendage Closure on Cardiac Function.Journal of cardiovascular development and disease · 2026
    Article
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  3. Volume retention after left atrial appendage occlusion: incidence and risk factors.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
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  10. Steerable Delivery Sheath for Left Atrial Appendage Closure in Patients With Severely Enlarged Left Atria.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  11. Article
  12. Article
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  15. Effects of different interventions on prognosis and quality of life in patients with atrial fibrillation.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023
    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

10 authors.

Quang Tan PhanCardiovascular Center, Chung-Ang University Hospital, Seoul, South Korea. quangft@gmail.com.
Seung-Yong ShinCardiovascular Center, Chung-Ang University Hospital, Seoul, South Korea.
Ik-Sung ChoCardiovascular Center, Chung-Ang University Hospital, Seoul, South Korea.
Wang-Soo LeeCardiovascular Center, Chung-Ang University Hospital, Seoul, South Korea.
Hoyoun WonCardiovascular Center, Chung-Ang University Hospital, Seoul, South Korea.
Saima SharminCardiovascular Center, Chung-Ang University Hospital, Seoul, South Korea.
Dong-Young LeeCardiovascular Center, Korea University Guro Hospital, Seoul, Korea.
Tae-Ho KimCardiovascular Center, Chung-Ang University Hospital, Seoul, South Korea.
Chee-Jeong KimCardiovascular Center, Chung-Ang University Hospital, Seoul, South Korea.
Sang-Wook KimCardiovascular Center, Chung-Ang University Hospital, Seoul, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the safety and efficacy of left atrial (LA) appendage (LAA) closure (LAAC) in nonvalvular atrial fibrillation (NVAF) patients have been well documented in randomized controlled trials and real-world experience, there are limited data in the literature about the impact of LAAC on cardiac remodeling. The aim of the study was to examine the impact of LAAC on cardiac functional and structural remodeling in NVAF patients.

methodsBetween March 2014 and November 2016, 47 NVAF patients who underwent LAAC were included in this study (LAAC group). A control group (non-LAAC group) was formed from 141 NVAF patients without LAAC using propensity score matching. The difference-in-difference analysis was used to evaluate the difference in cardiac remodeling between the two groups at baseline and follow-up evaluations.

resultsThe LAAC group had a larger increase in LA dimension, volume and volume index than the non-LAAC group (+3.9 mm, p = 0.001; +9.7 mL, p = 0.006 and +5.9 mL/m2, p = 0.011, respectively). Besides, a significant increase in E and E/e' ratio was also observed in the LAAC group (+14.6 cm/s, p = 0.002 and +2.3, p = 0.028, respectively). Compared with the non-LAAC group, left ventricular (LV) ejection fraction and fractional shortening decreased in LAAC patients, but were statistically insignificant (-3.5%, p = 0.109 and -2.0%, p = 0.167, respectively).

conclusionsThere were significant increases in LA size and LV filling pressure among NVAF patients after LAAC. These impacts of LAAC on cardiac functional and structural remodeling may have some clinical implications that need to be addressed in future studies.

Indexed as

Atrial Function, LeftAtrial RemodelingCardiac CatheterizationVentricular Function, LeftVentricular RemodelingAgedAged, 80 and overAtrial AppendageAtrial FibrillationFemaleHumansMalePropensity ScoreRecovery of FunctionRetrospective StudiesRisk Assessmentatrial fibrillationcardiac remodelingdiastolic functiondifference-in-difference analysisleft atrial appendage closurestroke preventionsystolic function

Identifiers

PMID29718529
PMCPMC8084400

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.