Evidence map›Paper›PMID 34727362›Full record

ReviewEuropean geriatric medicine2022

Atrial fibrillation: a geriatric perspective on the 2020 ESC guidelines.

M Cristina Polidori, Mariana Alves, Gulistan Bahat, Anne Sophie Boureau, Serdar Ozkok, Roman Pfister, Alberto Pilotto, Nicola Veronese, Mario Bo, Special Interest Group “Cardiovascular Diseases” of the EuGMS

Open access · hybridAbstract readReview
In one paragraph

Review in European geriatric medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.1field-weighted citation impact, top 7% 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, 33 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

10 authors at 7 institutions in 5 countries.

M Cristina PolidoriAgeing Clinical Research, Department II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany. maria.polidori-nelles@uk-koeln.de.ORCID 0000-0002-8881-904X
Mariana AlvesServiço de Medicina III, Hospital Pulido Valente, CHULN, Lisbon, Portugal.
Gulistan BahatDepartment of Internal Medicine, Division of Geriatrics, Istanbul Medical School, Istanbul University, Capa, 34390, Istanbul, Turkey.
Anne Sophie BoureauDepartment of Geriatrics, CHU Nantes and Université de Nantes, CNRS, INSERM, l'Institut du Thorax, 44000, Nantes, France.
Serdar OzkokDepartment of Internal Medicine, Division of Geriatrics, Istanbul Medical School, Istanbul University, Capa, 34390, Istanbul, Turkey.
Roman PfisterDepartment of Cardiology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Alberto PilottoDepartment of Geriatric Care, Orthogeriatrics and Rehabilitation, Galliera Hospital, Genoa, Italy.
Nicola VeroneseGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy.
Mario BoSection of Geriatrics, Department of Medical Sciences, University of Turin, A.O.U. Città della Salute e della Scienza, Molinette, Corso Bramante 88, 10126, Turin, Italy.ORCID 0000-0003-2945-0243
Special Interest Group “Cardiovascular Diseases” of the EuGMS
Istanbul University · TRUniversity of Cologne · DECentre National de la Recherche Scientifique · FREnte Ospedaliero Ospedali Galliera · ITUniversity of Lisbon · PTUniversity of Palermo · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Task Force for the diagnosis and management of atrial fibrillation (AF) of the European Society of Cardiology (ESC) published in 2020 the updated Guidelines for the Diagnosis and Management of Atrial Fibrillation with the contribution of the European Heart Rhythm Association (EHRA) of the ESC and the European Association for Cardiothoracic Surgery (EACTS). METHODS AND

resultsIn this narrative viewpoint, we approach AF from the perspective of aging medicine and try to provide the readers with information usually neglected in clinical routine, mainly due to the fact that while the large majority of AF patients in real life are older, frail and cognitively impaired, these are mostly excluded from clinical trials, and physicians' attitudes often prevail over standardized algorithms.

conclusionsOn the basis of existing evidence, (1) opportunistic AF screening by pulse palpation or ECG rhythm strip is cost-effective, and (2) whereas advanced chronological age by itself is not a contraindication to AF treatment, a Comprehensive Geriatric Assessment (CGA) including frailty, cognitive impairment, falls and bleeding risk may assist in clinical decision making to provide the best individualized treatment.

Indexed as

Atrial FibrillationCardiologyFrailtyAgedClinical Decision-MakingGeriatric AssessmentHumansAdvanced ageAnticoagulationAtrial fibrillationCognitive impairmentOlder patients

Identifiers

PMID34727362
PMCPMC8562074
OpenAlexW3210531193

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.