ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2021
Impact of P-wave indices in prediction of atrial fibrillation-Insight from loop recorder analysis.
Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Predicting risk of AF in ischaemic stroke using sinus rhythm ECG abnormalities: A meta-analysis.European stroke journal · 2023Pooled it
- Electrocardiographic Predictors of Atrial Fibrillation.Medical sciences (Basel, Switzerland) · 2023Pooled it
- The predictive value of abnormal P-wave axis for the detection of incident atrial fibrillation: A systematic review with meta-analysis.PloS one · 2022Pooled it
- Arrhythmic risk stratification in psoriatic arthritis: a retrospective, electrogram-based comparative analysis.RMD open · 2026Article
- Reimagining atrial fibrillation screening beyond age-based thresholds using AI.NPJ digital medicine · 2026Article
- Interatrial Block as a Common Finding in Patients with Acute Pulmonary Artery Embolism.Journal of clinical medicine · 2025Article
- Rhythm control benefits left ventricular function compared with rate control in patients with atrial fibrillation: A computational study.Heart rhythm O2 · 2025Article
- Short-term effect of low atrial septum pacing on new-onset atrial fibrillation in patients with sinus node dysfunction a prospective randomized single-center study.Annals of medicine and surgery (2012) · 2025Article
- Post-Liver Transplantation Atrial Fibrillation: Insights into Clinical and ECG Predictors.Annals of transplantation · 2025Article
- [An atrial fibrillation prediction model based on quantitative features of electrocardiogram during sinus rhythm in the Chinese population].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025Article
- Predictors of atrial fibrillation after embolic stroke of undetermined source in patients with implantable loop recorders.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024Article
- Digital Electrocardiographic Complex for Risk Stratification of Paroxysmal Atrial Fibrillation.Sovremennye tekhnologii v meditsine · 2024Article
- P-wave parameters and their association with thrombi and spontaneous echo contrast in the left atrial appendage.Clinical cardiology · 2023Article
- High-Sensitivity C-Reactive Protein Modifies P-Wave Terminal Force in Lead V1-Associated Prognosis in Acute Ischemic Stroke or TIA Patients.Journal of clinical medicine · 2023Article
- Multiparametric identification of subclinical atrial fibrillation after an embolic stroke of undetermined source.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023Article
- How should I treat patients with subclinical atrial fibrillation and atrial high-rate episodes? Current evidence and clinical importance.Clinical research in cardiology : official journal of the German Cardiac Society · 2022Review
- P Wave Parameters and Indices: A Critical Appraisal of Clinical Utility, Challenges, and Future Research-A Consensus Document Endorsed by the International Society of Electrocardiology and the International Society for Holter and Noninvasive Electrocardiology.Circulation. Arrhythmia and electrophysiology · 2022Review
- Left Atrial Cardiomyopathy - A Challenging Diagnosis.Frontiers in cardiovascular medicine · 2022Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral P-wave indices are associated with the development of atrial fibrillation (AF). However, previous studies have been limited in their ability to reliably diagnose episodes of AF. Implantable loop recorders allow long-term, continuous, and therefore more reliable detection of AF. HYPOTHESIS: The aim of this study is to identify and evaluate ECG parameters for predicting AF by analyzing patients with loop recorders.
methodsThis study included 366 patients (mean age 62 ± 16 years, mean LVEF 61 ± 6%, 175 women) without AF who underwent loop recorder implantation between 2010-2020. Patients were followed up on a 3 monthly outpatient interval.
resultsDuring a follow-up of 627 ± 409 days, 75 patients (20%) reached the primary study end point (first detection of AF). Independent predictors of AF were as follows: age ≥68 years (hazard risk [HR], 2.66; 95% confidence interval [CI], 1.668-4.235; p < .001), P-wave amplitude in II <0.1 mV (HR, 2.11; 95% CI, 1.298-3.441; p = .003), P-wave terminal force in V
conclusionsOur study indicated that P-wave indices are suitable for predicting AF episodes. Furthermore, it is possible to stratify patients into risk groups for AF using simple ECG parameters, which is particularly important for patients with cryptogenic stroke.
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