Evidence map›Paper›PMID 30005637›Full record

ArticleBMC cardiovascular disorders2018

Pulmonary vein anatomy variants as a biomarker of atrial fibrillation - CT angiography evaluation.

M Skowerski, I Wozniak-Skowerska, A Hoffmann, S Nowak, T Skowerski, M Sosnowski, A M Wnuk-Wojnar, K Mizia-Stec

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. Pulmonary vein anatomical variants and incidence of atrial fibrillation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
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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

8 authors at 1 institution in 1 country.

M SkowerskiDepartment of Cardiology, School of Health Sciences, Medical University of Silesia, Katowice, Poland.
I Wozniak-SkowerskaFirst Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
A HoffmannFirst Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
S NowakFirst Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
T SkowerskiDepartment of Cardiology, School of Health Sciences, Medical University of Silesia, Katowice, Poland. tskowerski@gmail.com.ORCID 0000-0003-1149-7457
M SosnowskiUnit of Noninvasive Cardiovascular Diagnostics, Medical University of Silesia, Katowice, Poland.
A M Wnuk-WojnarFirst Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
K Mizia-StecFirst Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
Medical University of Silesia · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been suggested that changes in pulmonary veins (PV) and left atrium (LA) anatomy may have an influence on initiating atrial fibrillation (AF) and the effectiveness of pulmonary vein isolation (PVI) in patients (pts) with atrial fibrillation. The aim of the study was to assess anatomy abnormalities of the PV and LA in the patients with the history of AF and compare it with the control group(CG).

methodsThe multi-slice tomography (MSCT) scans were performed in 224 AF pts. before PVI (129 males, mean age 59 ± 9 yrs). The CG consisted of 40 pts. without AF (26 males, age 45 ± 9 yrs). LA and PV anatomy were evaluated. Diameters of PV ostia were measured in two directions: anterior-posterior (AP) and superior-inferior (SI) automatically using Vitrea 4.0.

resultsPulmonary veins anatomy variants were observed more frequently in the atrial fibrillation group - 83 pts. (37%) vs 6 pts. (15%) in CG; 9% (21 pts) left common ostia (CO), 2% (5 pts) right CO, 19% (42 pts) additional right PV (APV), (1.8%) 4 pts. APV left, 8% right early branching (EB) and 3.5% left EB. The LA diameter differed significantly in AF vs CG group (41.2 ± 6 mm vs 35 ± 4.2 mm, p < 0.0001) respectively.

conclusionsThe anomalies of pulmonary vein anatomy occurred more often in pts. with AF. They can be defined as an image biomarkers of atrial fibrillation. Right additional (middle) pulmonary vein was the most important anomaly detected in AF patients as well as enlargered diameters of the LA and PV ostia.

Indexed as

AdultAgedAtrial FibrillationCase-Control StudiesComputed Tomography AngiographyFemaleHeart AtriaHumansMaleMiddle AgedMultidetector Computed TomographyPhlebographyPredictive Value of TestsPulmonary VeinsRisk FactorsYoung AdultAtrial fibrillationCT angiographyPulmonary vein isolation

Identifiers

PMID30005637
PMCPMC6045862
OpenAlexW2884280822

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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.