Evidence map›Paper›PMID 31903788›Full record

ReviewAnnals of medicine

Endothelial function in patients with atrial fibrillation.

Ahsan A Khan, Graham N Thomas, Gregory Y H Lip, Alena Shantsila

Open access · greenAbstract readReview
In one paragraph

Review in Annals of medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 62 citations in OpenAlex.

  1. Understanding the Diseased Atria.Physiology (Bethesda, Md.) · 2026
    Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Circulating Extracellular Vesicles DownregulateJournal of clinical medicine · 2026
    Article
  7. Article
  8. Article
  9. Discovery ofDiagnostics (Basel, Switzerland) · 2025
    Article
  10. Article
  11. Hypertension Exacerbates Endothelial Dysfunction in Patients With Atrial Fibrillation.Journal of clinical hypertension (Greenwich, Conn.) · 2025
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. 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

4 authors at 2 institutions in 2 countries.

Ahsan A KhanCollege of Medical and Dental Sciences, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0003-1617-1464
Graham N ThomasCollege of Medical and Dental Sciences, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-2777-1847
Gregory Y H LipFaculty of Health and Life Sciences, Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.ORCID 0000-0002-7566-1626
Alena ShantsilaFaculty of Health and Life Sciences, Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.
University of Birmingham · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial fibrillation (AF) is the most common heart arrhythmia and is associated with poor outcomes. The adverse effects of AF are mediated through multiple pathways, including endothelial dysfunction, as measured by flow-mediated dilatation. Flow-mediated dilatation has demonstrated endothelial dysfunction in several conditions and is associated with poor outcomes including mortality, yet can be improved with medical therapy. It is thus a useful tool in assessing endothelial function in patients. Endothelial dysfunction is present in patients with AF and is associated with poor outcomes. These patients are generally older and have other co-morbidities such as hypertension, hypercholesterolaemia and diabetes. The precise process by which AF is affiliated with endothelial damage/dysfunction remains elusive. This review explores the endothelial structure, its physiology and how it is affected in patients with AF. It also assesses the utility of flow mediated dilatation as a technique to assess endothelial function in patients with AF. Key MessagesEndothelial function is affected in patients with atrial fibrillation as with other cardiovascular conditions.Endothelial dysfunction is associated with poor outcomes such as stroke, myocardial infarction and death, yet is a reversible condition.Flow-mediated dilatation is a reliable tool to assess endothelial function in patients with atrial fibrillation.Patients with atrial fibrillation should be considered for endothelial function assessment and attempts made to reverse this condition.

Indexed as

Atrial FibrillationEndotheliumFemaleHemostasisHumansMaleMuscle, Smooth, VascularNitric Oxide Synthase Type IIINitric Oxide Synthase Type IIINOS3 protein, humanAtrial fibrillationendothelial functionflow-mediated dilatationvascular function

Identifiers

PMID31903788
PMCPMC7877921
OpenAlexW2997346889

What OpenQuestion holds

Textmetadata
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.