Evidence map›Paper›PMID 33942719›Full record

ArticleeLife2021

Computational modeling identifies embolic stroke of undetermined source patients with potential arrhythmic substrate.

Savannah F Bifulco, Griffin D Scott, Sakher Sarairah, Zeinab Birjandian, Caroline H Roney, Steven A Niederer, Christian Mahnkopf, Peter Kuhnlein, Marcel Mitlacher, David Tirschwell and 3 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  13. Machine Learning and the Conundrum of Stroke Risk Prediction.Arrhythmia & electrophysiology review · 2023
    Review
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  17. Review
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

13 authors at 3 institutions in 3 countries.

Savannah F BifulcoDepartment of Bioengineering, University of Washington, Seattle, United States.ORCID 0000-0001-6679-6716
Griffin D ScottDepartment of Bioengineering, University of Washington, Seattle, United States.
Sakher SarairahDivision of Cardiology, University of Washington, Seattle, United States.
Zeinab BirjandianDivision of Cardiology, University of Washington, Seattle, United States.
Caroline H RoneySchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.ORCID 0000-0001-6809-0928
Steven A NiedererSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.ORCID 0000-0002-4612-6982
Christian MahnkopfDepartment of Cardiology, Klinikum Coburg, Coburg, Germany.
Peter KuhnleinDepartment of Cardiology, Klinikum Coburg, Coburg, Germany.
Marcel MitlacherDepartment of Cardiology, Klinikum Coburg, Coburg, Germany.
David TirschwellDepartment of Neurology, University of Washington, Seattle, United States.
W T LongstrethDepartment of Neurology, University of Washington, Seattle, United States.
Nazem AkoumDivision of Cardiology, University of Washington, Seattle, United States.ORCID 0000-0002-2001-6806
Patrick M BoyleDepartment of Bioengineering, University of Washington, Seattle, United States.ORCID 0000-0001-9048-1239
University of Washington · USKlinikum Coburg · DEKing's College London · GB

Funding

AtRial Cardiopathy and Antithrombotic Drugs In prevention After cryptogenicstroke (ARCADIA)U01NS095869 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRODERICK, JOSEPH PAUL, KAMEL, HOOMAN · 2017 to 2022
$22.0M
Bioengineering Cardiovascular Training GrantT32EB001650 · NIBIB · UNIVERSITY OF WASHINGTON · PI REGNIER, MICHAEL · 2004 to 2019
$3.6M
Using Atrial Mechanics To Identify Fibrosis In Patients with Atrial FibrillationR01HL152256 · NHLBI · STANFORD UNIVERSITY · PI ENNIS, DANIEL B · 2020 to 2023
$2.8M
British Heart Foundation RG/20/4/34803Medical Research Council MR/S015086/1NHLBI NIH HHS R01 HL152256NIBIB NIH HHS T32 EB001650NINDS NIH HHS U01 NS095869Wellcome TrustWellcome Trust 203148/Z/16/Z
6 · The paper itself

Abstract

Cardiac magnetic resonance imaging (MRI) has revealed fibrosis in embolic stroke of undetermined source (ESUS) patients comparable to levels seen in atrial fibrillation (AFib). We used computational modeling to understand the absence of arrhythmia in ESUS despite the presence of putatively pro-arrhythmic fibrosis. MRI-based atrial models were reconstructed for 45 ESUS and 45 AFib patients. The fibrotic substrate's arrhythmogenic capacity in each patient was assessed computationally. Reentrant drivers were induced in 24/45 (53%) ESUS and 22/45 (49%) AFib models. Inducible models had more fibrosis (16.7 ± 5.45%) than non-inducible models (11.07 ± 3.61%; p<0.0001); however, inducible subsets of ESUS and AFib models had similar fibrosis levels (p=0.90), meaning that the

Indexed as

AgedAtrial FibrillationComputer SimulationEmbolic StrokeFemaleFibrosisHeart AtriaHumansMagnetic Resonance ImagingMaleMiddle Agedatrial fibrillationcomputational biologycomputational modeling & simulationembolic stroke offibrosishumanLGE-MRImedicinereentrysystems biologyundetermined source

Identifiers

PMID33942719
PMCPMC8143793
OpenAlexW3157936913

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.