Evidence map›Paper›PMID 34337575›Full record

ArticleHeart rhythm O22021

The contribution of intermittent handheld electrocardiogram and continuous electrocardiogram monitoring with an implantable loop recorder to detect incident and recurrent atrial fibrillation during 1 year after coronary artery bypass graft surgery: A prospective cohort study.

Emma Sandgren, Anders Wickbom, Torbjörn Kalm, Anders Ahlsson, Nils Edvardsson, Johan Engdahl

Open access · goldAbstract read
In one paragraph

Article in Heart rhythm O2, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

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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

6 authors at 5 institutions in 1 country.

Emma SandgrenDepartment of Clinical Sciences, Karolinska Institutet, Danderyd University Hospital, Stockholm, Sweden.
Anders WickbomDepartment of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden.
Torbjörn KalmDepartment of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden.
Anders AhlssonDepartment of Cardiothoracic Surgery, Karolinska University Hospital, Stockholm, Sweden.
Nils EdvardssonSahlgrenska Academy at Sahlgrenska University Hospital, Gothenburg, Sweden.
Johan EngdahlDepartment of Clinical Sciences, Karolinska Institutet, Danderyd University Hospital, Stockholm, Sweden.
Örebro University Hospital · SEKarolinska Institutet · SEKarolinska University Hospital · SESahlgrenska University Hospital · SEVarberg Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is common after coronary artery bypass graft (CABG) surgery.

objectiveTo evaluate the incidence and recurrence rate of AF during 1 year after CABG surgery. We also aimed at calculating the AF burden and compare long-term intermittent vs continuous electrocardiogram (ECG) monitoring.

methodsForty patients scheduled for CABG surgery were equipped with an implantable loop recorder (ILR). After discharge, they carried out handheld ECG 3 times daily during the first 30 postoperative days and during 2 weeks at 3 and 12 months. During hospital stay they were monitored with telemetry.

resultsAltogether 27 of 40 (68%) patients were diagnosed with AF, 24 during the first month (21 in-hospital and 3 after discharge) and 3 during months 2-12. Three patients progressed into persistent AF. In addition, 17 patients had AF recurrence, 9 of them after the first 30 days. In patients with paroxysmal AF, the AF burden was low, 0.1% (interquartile range [IQR] 0.02%-0.3%). Patients with AF had higher CHA

conclusionsPatients with AF during the postoperative hospitalization showed a high likelihood of recurrent AF, usually within 30 days. Continuous ECG monitoring with an ILR was superior to the handheld ECG for detecting patients with AF. The AF burden was low.

Indexed as

Atrial fibrillationCoronary artery bypass graft surgeryECG monitoringHandheld ECGImplantable loop recorder

Identifiers

PMID34337575
PMCPMC8322816
OpenAlexW3161329005

What OpenQuestion holds

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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.