Evidence map›Paper›PMID 33993866›Full record

ArticleBMC cardiovascular disorders2021

Reduced plasma level of basic fibroblast growth factor is associated with incomplete device endothelialization at six months following left atrial appendage closure.

Jing Xu, Xin Gong, Chuanzhi Chen, Jun Xing, Qi Wang, Weifeng Shen, Qi Zhang

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
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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

7 authors at 2 institutions in 1 country.

Jing Xu *Department of Cardiology, Shanghai East Hospital, Shanghai, Tongji University School of Medicine, No. 150 Ji Mo Rd, Shanghai, 200120, People's Republic of China.
Xin Gong *Department of Heart Failure, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Chuanzhi ChenDepartment of Radiology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Jun XingDepartment of Radiology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Qi WangDepartment of Ultrasonography, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Weifeng ShenDepartment of Cardiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, People's Republic of China.
Qi ZhangDepartment of Cardiology, Shanghai East Hospital, Shanghai, Tongji University School of Medicine, No. 150 Ji Mo Rd, Shanghai, 200120, People's Republic of China. zhangqnh@hotmail.com.
Shanghai East Hospital · CNRuijin Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate whether inflammatory and growth factors (IGFs) were associated with incomplete device endothelialization (IDE) at 6 months after successful left atrial appendage closure (LAAC).

backgroundIDE after LAAC is correlated with device-related thrombus (DRT) formation and subsequent thromboembolic events. However, biomarkers for early detection of IDE remain lacking.

methodsPlasma levels of IGFs including basic fibroblast growth factor (bFGF), platelet derived growth factor (PDGF), stromal cell derived factor (SDF)-1a, transforming growth factor (TGF)-β

resultsIDE and complete device endothelialization(CDE)were detected in 38 and 17 patients, respectively. Among the six IGFs, only plasma level of bFGF was significantly lower in patients with IDE compared to those with CDE (303.49 ± 246.84 vs. 556.31 ± 197.84 pg/ml, p < 0.001). C-statistics of plasma bFGF for discriminating patients with IDE from those with CDE was 0.785 (95 % CI: 0.663-0.907, p < 0.001), with a cut-off value of 440.52pg/ml (sensitivity 0.765; specificity 0.789). Multivariate logistic regression model showed that lower bFGF was an independent factor for IDE (OR: 11.752, 95 % CI: 2.869-48.144, P = 0.001). bFGF improved the classification of patients (NRI: 0.677,95 % CI: 0.320-1.033, p = 0.004).

conclusionsReduced plasma bFGF level confers an increased risk for IDE after LAAC. Further prospective studies are warranted to examine if bFGF could serve as a biomarker for IDE post LAAC.

Indexed as

Re-EpithelializationAgedAged, 80 and overAtrial AppendageAtrial FibrillationBiomarkersCardiac CatheterizationDown-RegulationEchocardiography, TransesophagealEndothelial CellsFemaleFibroblast Growth Factor 2HumansInflammation MediatorsMaleMiddle AgedBiomarkersFibroblast Growth Factor 2Inflammation MediatorsBasic fibroblast growth factorBiomarkerDevice-related endothelializationLeft atrial appendage closure

Identifiers

PMID33993866
PMCPMC8126129
OpenAlexW3160969223

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Registered trials

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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.