Evidence map›Paper›PMID 33552757›Full record

ReviewCureus2021

Newer Diagnostic and Cost-Effective Ways to Identify Asymptomatic Atrial Fibrillation for the Prevention of Stroke.

Urvish K Patel, Preeti Malik, Nidhi Patel, Priyadarshee Patel, Neev Mehta, Eseosa Urhoghide, Surya Aedma, Raja Chandra Chakinala, Shamik Shah, Kogulavadanan Arumaithurai

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. How to use digital devices to detect and manage arrhythmias: an EHRA practical guide.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022
    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 4 institutions in 1 country.

Urvish K PatelNeurology and Public Health, Icahn School of Medicine at Mount Sinai, New York, USA.
Preeti MalikPublic Health, Icahn School of Medicine at Mount Sinai, New York, USA.
Nidhi PatelMedicine, Drexel University College of Medicine, Philadelphia, USA.
Priyadarshee PatelNeurology, Drexel University College of Medicine, Philadelphia, USA.
Neev MehtaEpidemiology and Biostatistics, Boston University School of Public Health, Boston, USA.
Eseosa UrhoghideInternal Medicine, Hudson Regional Hospital, Secaucus, USA.
Surya AedmaInternal Medicine, Carle Foundation Hospital, Urbana, USA.
Raja Chandra ChakinalaMedicine, Geisinger Commonwealth School of Medicine, Danville, USA.
Shamik ShahNeurology, Stormont Vail Health, Topeka, USA.
Kogulavadanan ArumaithuraiNeurology, Mayo Clinic Health System, Albert Lea, USA.
Drexel University · USCarle Foundation Hospital · USGuthrie Robert Packer Hospital · USIcahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial fibrillation (Afib) is the most common and underestimated cardiac arrhythmia with a lifetime risk of >35% after the age of 55 years and the risk continues to rise exponentially. Afib leads to stasis of blood within the atria allowing clot formation and increasing the risk for systemic embolization leading to strokes. Outcomes due to Afib can improve significantly with appropriate treatment. Thus, the need for convenient, well-tolerated, cost-effective cardiac monitoring for Afib is needed. The study aims to evaluate the various newer devices and compare them with traditional Holter monitoring, keeping diagnostic yield, cost-effectiveness, and patients' convenience in mind. Though Holter monitoring is simple and non-expensive, it has major limitations including limited recording capacity, inability for real-time recordings, and inconvenience to patients. Zio Patch (iRhythm Technologies, Inc; San Francisco, CA) and other loop recording devices are patient-friendly, inexpensive, and can offer real-time data for longer days. More prospective studies are needed to evaluate the sensitivity, specificity, and the actual number of patients getting benefits from newer devices by diagnosing Afib sooner and start early prevention therapy.

Indexed as

acute ischemic strokeambulatory electrocardiography devicesatrial fibrillationcardiac arrhythmiacardiac rhythm monitoringelectrocardiographyholter monitoringloop recording devicestrokezio patch

Identifiers

PMID33552757
PMCPMC7854334
OpenAlexW3120543628

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.