Evidence map›Paper›PMID 34351783›Full record

ArticleJournal of the American Heart Association2021

Research Priorities in the Secondary Prevention of Atrial Fibrillation: A National Heart, Lung, and Blood Institute Virtual Workshop Report.

Emelia J Benjamin, Sana M Al-Khatib, Patrice Desvigne-Nickens, Alvaro Alonso, Luc Djoussé, Daniel E Forman, Anne M Gillis, Jeroen M L Hendriks, Mellanie True Hills, Paulus Kirchhof and 14 more

Registry-linked trialOpen access · goldAbstract readConference ProceedingsNews
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06754176 (Full-Avoidance vs. Permissive/Regulated Drinking & Outcomes On Fibrillation), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.2field-weighted citation impact, top 3% 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.

NCT06754176 narecruitingnot on this mapstarted 2025, after this paper: background citation

Full-Avoidance vs. Permissive/Regulated Drinking & Outcomes On Fibrillation (FULL-PROOF)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2025 to 2029Enrolled100ConditionsAtrial Fibrillation (AF), Atrial Fibrillation (Paroxysmal)ArmsAlcohol Consumption Randomized Instructions
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. The network of cardiac KNaunyn-Schmiedeberg's archives of pharmacology · 2024
    Review
  6. Exploring the bidirectional relationship between sleep disorders and atrial fibrillation: implications for risk stratification and management.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Review
  7. Article
  8. Accuracy of symptoms and pulse checking for detecting atrial fibrillation following catheter ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Article
  9. A call for action to include psychosocial management into holistic, integrated care for patients with atrial fibrillation.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 · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

24 authors at 20 institutions in 6 countries.

Emelia J BenjaminCardiovascular Medicine Department of Medicine Boston University School of Medicine Boston MA.
Sana M Al-KhatibDivision of Cardiology and Duke Clinical Research Institute Duke University Medical Center Durham NC.
Patrice Desvigne-NickensDivision of Cardiovascular Sciences National Heart, Lung, and Blood InstituteNational Institutes of Health Bethesda MD.
Alvaro AlonsoDepartment of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Luc DjousséDivision of Aging Department of Medicine Brigham and Women's Hospital and Harvard Medical School Boston MA.
Daniel E FormanDivisions of Geriatrics and Cardiology University of Pittsburgh Medical CenterAging InstituteUniversity of PittsburghVA Pittsburgh Healthcare System Pittsburgh PA.
Anne M GillisLibin Cardiovascular Institute of AlbertaUniversity of Calgary Alberta Canada.
Jeroen M L HendriksCentre for Heart Rhythm Disorders University of Adelaide, and Royal Adelaide Hospital Adelaide Australia.
Mellanie True HillsStopAfib.org American Foundation for Women's Health Decatur TX.
Paulus KirchhofDepartment of Cardiology University Heart and Vascular Center UKE Hamburg Hamburg Germany.
Mark S LinkDivision of Cardiology Department of Medicine UT Southwestern Medical Center Dallas TX.
Gregory M MarcusDivision of Cardiology University of California, San Francisco San Francisco CA.
Reena MehraSleep Disorders Center Neurologic Institute Respiratory Institute Heart and Vascular Institute, and Molecular Cardiology Department of the Lerner Research Institute Cleveland Clinic Cleveland OH.
Katherine T MurrayVanderbilt University School of Medicine Nashville TN.
Ratika ParkashDivision of Cardiology QEII Health Sciences Center/Dalhousie University Halifax Nova Scotia Canada.
Ileana L PiñaWayne State University Detroit MI.
Susan RedlineDepartment of Medicine Brigham and Women's Hospital Boston MA.
Michiel RienstraDepartment of Cardiology University of GroningenUniversity Medical Center Groningen Groningen the Netherlands.
Prashanthan SandersCentre for Heart Rhythm Disorders University of Adelaide, and Royal Adelaide Hospital Adelaide Australia.
Virend K SomersDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.
David R Van WagonerCleveland Clinic Lerner College of Medicine Cleveland OH.
Paul J WangStanford University School of Medicine Palo Alto CA.
Lawton S CooperDivision of Cardiovascular Sciences National Heart, Lung, and Blood InstituteNational Institutes of Health Bethesda MD.
Alan S GoDivision of Research Kaiser Permanente Northern California Oakland CA.
Brigham and Women's Hospital · USCleveland Clinic Lerner College of Medicine · USNational Institutes of Health · USRoyal Adelaide Hospital · AUAmerican Society for Reproductive Medicine · USBoston University · USCenter for Devices and Radiological Health · USClinical Research Institute · USDalhousie University · CAEmory University · USKaiser Permanente · USMayo Clinic in Arizona · USPalo Alto University · USSouthwestern Medical Center · USUniversität Hamburg · DEUniversity Medical Center Groningen · NLUniversity of Calgary · CAUniversity of California, San Francisco · USVanderbilt University · USVA Pittsburgh Healthcare System · US

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
ConProject-006U54HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BHATNAGAR, ARUNI, ROBERTSON, ROSE MARIE · 2018 to 2022
$18.8M
Molecular Transducers of Physical Activity Consortium Adult Clinical CenterU01AR071130 · NIAMS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MUSI, NICOLAS, RASMUSSEN, BLAKE B · 2017 to 2024
$17.7M
The Health ePeople Resource for Mobilized ResearchU2CEB021881 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MARCUS, GREGORY M, OLGIN, JEFFREY E · 2015 to 2020
$10.3M
Phenotypic and Molecular Signatures for Sleep Apnea and Related MorbiditiesR35HL135818 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REDLINE, SUSAN S. · 2017 to 2023
$7.2M
NATIONAL SLEEP RESEARCH RESOURCE (NSRR)75N92019C00011 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REDLINE, SUSAN · 2019 to 2024
$6.5M
Functional Genomics of Atrial Fibrillation in Human AtriaR01HL111314 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BARNARD, JOHN, CHUNG, MINA KAY · 2012 to 2019
$6.1M
Modified Application of Cardiac Rehabilitation (CR) for Older Adults (MACRO)R01AG060499 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FORMAN, DANIEL E. · 2018 to 2022
$5.0M
Mechanistic Relationships Between Ethanol and Human Atrial FibrillationR01AA022222 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GREGORY M MARCUS · 2014 to 2026
$4.4M
Infant Sleep Patterns and Accelerated Growth Trajectories from Birth to 24 monthsR01DK107972 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI DAVISON, KIRSTEN, REDLINE, SUSAN S. · 2015 to 2019
$4.0M
Non-esterified fatty acids and dementia: risk, structure, and biomarkersR01AG053325 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI DJOUSSE, LUC, MUKAMAL, KENNETH JAY · 2016 to 2019
$3.5M
American Heart Association-American Stroke Association 16EIA26410001British Heart Foundation AA/18/2/34218British Heart Foundation FS/13/43/30324British Heart Foundation PG/17/30/32961British Heart Foundation PG/20/22/35093NCI NIH HHS 75N91020C00039NHLBI NIH HHS 75N92019C00011NHLBI NIH HHS K24 HL148521NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL111314NHLBI NIH HHS R01 HL128914NHLBI NIH HHS R01 HL131687NHLBI NIH HHS R01 HL137338NHLBI NIH HHS R01 HL141434NHLBI NIH HHS R01 HL142834NHLBI NIH HHS R01 HL153874NHLBI NIH HHS R35 HL135818NHLBI NIH HHS U54 HL120163NIAAA NIH HHS R01 AA022222NIAMS NIH HHS U01 AR071130NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG053325NIA NIH HHS R01 AG058883NIA NIH HHS R01 AG060499NIA NIH HHS R01 AG066010NIA NIH HHS R01 AG066914NIA NIH HHS R21 AG058445NIBIB NIH HHS U2C EB021881NIDDK NIH HHS R01 DK103612NIDDK NIH HHS R01 DK107972
6 · The paper itself

Abstract

There has been sustained focus on the secondary prevention of coronary heart disease and heart failure; yet, apart from stroke prevention, the evidence base for the secondary prevention of atrial fibrillation (AF) recurrence, AF progression, and AF-related complications is modest. Although there are multiple observational studies, there are few large, robust, randomized trials providing definitive effective approaches for the secondary prevention of AF. Given the increasing incidence and prevalence of AF nationally and internationally, the AF field needs transformative research and a commitment to evidenced-based secondary prevention strategies. We report on a National Heart, Lung, and Blood Institute virtual workshop directed at identifying knowledge gaps and research opportunities in the secondary prevention of AF. Once AF has been detected, lifestyle changes and novel models of care delivery may contribute to the prevention of AF recurrence, AF progression, and AF-related complications. Although benefits seen in small subgroups, cohort studies, and selected randomized trials are impressive, the widespread effectiveness of AF secondary prevention strategies remains unknown, calling for development of scalable interventions suitable for diverse populations and for identification of subpopulations who may particularly benefit from intensive management. We identified critical research questions for 6 topics relevant to the secondary prevention of AF: (1) weight loss; (2) alcohol intake, smoking cessation, and diet; (3) cardiac rehabilitation; (4) approaches to sleep disorders; (5) integrated, team-based care; and (6) nonanticoagulant pharmacotherapy. Our goal is to stimulate innovative research that will accelerate the generation of the evidence to effectively pursue the secondary prevention of AF.

Indexed as

Biomedical ResearchNational Heart, Lung, and Blood Institute (U.S.)Research DesignSecondary PreventionAnimalsAnti-Arrhythmia AgentsAtrial FibrillationBody CompositionCardiac RehabilitationComorbidityDisease ProgressionHealth PrioritiesHealth Services Needs and DemandHealthy LifestyleHumansNeeds AssessmentAnti-Arrhythmia Agentsatrial fibrillationcardiac rehabilitationpreventionresearchrisk factorssleep

Identifiers

PMID34351783
PMCPMC8475065
OpenAlexW3192592192

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.