Evidence map›Paper›PMID 31755572›Full record

ArticleClinical cardiology2020

Difference in left atrial appendage remodeling between diabetic and nondiabetic patients with atrial fibrillation.

Chaim Yosefy, Marina Pery, Roman Nevzorov, Xavier Piltz, Azriel Osherov, Jamal Jafari, Ronen Beeri, Enrique Gallego-Colon, Aner Daum, Vladimir Khalameizer

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. The predictive value of the systemic immune-inflammatory index for left atrial appendage thrombus in non-valvular atrial fibrillation.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2023
    Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. 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

10 authors at 2 institutions in 1 country.

Chaim YosefyCardiology Department, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.ORCID https://orcid.org/0000-0001-5867-6263
Marina PeryCardiology Department, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.
Roman NevzorovCardiology Department, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.
Xavier PiltzCardiology Department, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.
Azriel OsherovCardiology Department, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.
Jamal JafariCardiology Department, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.
Ronen BeeriDiagnostic Cardiology Unit, Heart Institute, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Enrique Gallego-ColonCardiology Department, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.
Aner DaumCardiology Department, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.
Vladimir KhalameizerCardiology Department, Barzilai University Medical Center, Ben-Gurion University, Ashkelon, Israel.
Barzilai Medical Center · ILHadassah Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes mellitus (DM) is a common and increasingly prevalent condition in patients with atrial fibrillation (AFib). The left atrium appendage (LAA), a small outpouch from the LA, is the most common location for thrombus formation in patients with AFib. HYPOTHESIS: In this study, we examined LAA remodeling differences between diabetic and nondiabetic patients with AFib.

methodsThis retrospective study analyzed data from 242 subjects subdivided into two subgroups of 122 with DM (diabetic group) and 120 without DM (nondiabetic group). The study group underwent real-time 3-dimensional transesophageal echocardiography (RT3DTEE) for AFib ablation, cardioversion, or LAA device closure. The LAA dimensions were measured using the "Yosefy rotational 3DTEE method."

resultsThe RT3DTEE analysis revealed that diabetic patients display larger LAA diameters, D1-lengh (2.09 ± 0.50 vs 1.88 ± 0.54 cm, P = .003), D2-width (1.70 ± 0.48 vs 1.55 ± 0.55 cm, P = .024), D3-depth (2.21 ± 0.75 vs 1.99 ± 0.65 cm, P = .017), larger orifice areas (2.8 ± 1.35 and 2.3 ± 1.49 cm

conclusionsAdverse LAA remodeling in DM patients with AFib is characterized by significantly LAA orifice enlargement and reduced orifice flow velocity. Analysis of LAA geometry and hemodynamics may have clinical implications in thrombotic risk assessment and treatment of DM patients with AFib.

Indexed as

AgedAtrial AppendageAtrial FibrillationAtrial RemodelingDiabetic CardiomyopathiesEchocardiography, Three-DimensionalEchocardiography, TransesophagealElectric CountershockFemaleHemodynamicsHumansMaleMiddle AgedProsthesis ImplantationRetrospective StudiesRisk Assessmentatrial fibrillationdiabetes mellitusleft atrial appendageleft atriumreal-time 3-dimensional transesophageal echocardiographystroke

Identifiers

PMID31755572
PMCPMC6954381
OpenAlexW2991227221

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.