Evidence map›Paper›PMID 34755543›Full record

SynthesisJournal of the American Heart Association2021

Atrial High-Rate Episode Duration Thresholds and Thromboembolic Risk: A Systematic Review and Meta-Analysis.

Dimitrios Sagris, Georgios Georgiopoulos, Konstantinos Pateras, Kalliopi Perlepe, Eleni Korompoki, Haralampos Milionis, Dimitrios Tsiachris, Cheuk Chan, Gregory Y H Lip, George Ntaios

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 NCT07447297 (Efficacy of Early Rhythm Control Therapy in Patients With Subclinical Atrial Fibrillation), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07447297 narecruitingnot on this mapstarted 2024, after this paper: background citation

Efficacy of Early Rhythm Control Therapy in Patients With Subclinical Atrial Fibrillation

TypeinterventionalSponsorSamsung Medical CenterRan2024 to 2029Enrolled520ConditionsAtrial Fibrillation (AF), Diseases of the Circulatory System, Atrial FlutterArmsearly rhythm control group, cardioversion, catheter ablation, general control
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Device-detected Atrial Fibrillation: How Much is Too Much?Arrhythmia & electrophysiology review · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Observational
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. When to set anticoagulant therapy in asymptomatic AF? looking for a cut-off duration.European heart journal supplements : journal of the European Society of Cardiology · 2022
    Article
  18. Review
  19. 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

10 authors.

Dimitrios SagrisDepartment of Internal Medicine School of Health Sciences Faculty of Medicine University of Thessaly Larissa Greece.ORCID 0000-0001-6657-5665
Georgios GeorgiopoulosSchool of Biomedical Engineering and Imaging Sciences King's College London United Kingdom.ORCID 0000-0001-7661-5253
Konstantinos PaterasDepartment of Biostatistics and Research Support Julius Center for Health Sciences and Primary Care University Medical Center Utrecht Utrecht the Netherlands.
Kalliopi PerlepeDepartment of Internal Medicine School of Health Sciences Faculty of Medicine University of Thessaly Larissa Greece.
Eleni KorompokiDepartment of Clinical Therapeutics National and Kapodistrian University of Athens Athens Greece.
Haralampos MilionisDepartment of Internal Medicine University Hospital of Ioannina Ioannina Greece.
Dimitrios TsiachrisAthens Heart Center Athens Medical Center Athens Greece.
Cheuk ChanSchool of Biomedical Engineering and Imaging Sciences King's College London United Kingdom.
Gregory Y H LipLiverpool Centre for Cardiovascular Science University of Liverpool and Liverpool Heart and Chest Hospital Liverpool United Kingdom.ORCID 0000-0002-7566-1626
George NtaiosDepartment of Internal Medicine School of Health Sciences Faculty of Medicine University of Thessaly Larissa Greece.ORCID 0000-0002-0629-9248

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Available evidence supports an association between atrial high-rate episode (AHRE) burden and thromboembolic risk, but the necessary extent and duration of AHREs to increase the thromboembolic risk remain to be defined. The aim of this systematic review and meta-analysis was to identify the thromboembolic risk associated with various AHRE thresholds. Methods and Results We searched PubMed and Scopus until January 9, 2020, for literature reporting AHRE duration and thromboembolic risk in patients with implantable electronic devices. The outcome assessed was stroke or systemic embolism. Risk estimates were reported as hazard ratio (HR) or relative risk alongside 95% CIs. We used the Paule-Mandel estimator, and heterogeneity was calculated with I

Indexed as

Atrial FibrillationEmbolismIschemic Attack, TransientStrokeThromboembolismHumansRisk Factorsatrial high‐rate episodeembolismimplantable devicestroke

Identifiers

PMID34755543
PMCPMC8751956

What OpenQuestion holds

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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.