Evidence map›Paper›PMID 36082257›Full record

ArticleEuropean stroke journal2022

European Stroke Organisation (ESO) guideline on screening for subclinical atrial fibrillation after stroke or transient ischaemic attack of undetermined origin.

Marta Rubiera, Ana Aires, Kateryna Antonenko, Sabrina Lémeret, Christian H Nolte, Jukka Putaala, Renate B Schnabel, Anil M Tuladhar, David J Werring, Dena Zeraatkar and 1 more

Erratum issued 2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in European stroke journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 66 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 2 pooled it
17.6field-weighted citation impact, top 1% 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.

NCT06542770 narecruitingnot on this map

Subtle Ultrasound Atrial Anomalies Predicts the Early Diagnosis of Silent Atrial Fibrillation Detected by Implantable Cardiac Monitor in Patients With Cryptogenic Stroke. A Randomized Trial

TypeinterventionalSponsorParc de Salut MarRan2021 to 2024Enrolled100ConditionsParoxysmal Atrial Fibrillation, Cardiac Rhythm Disorder, Left Atrial Dilatation, Cryptogenic StrokeArmsEarly implant of cardiac monitor
NCT06807814 nacompletednot on this mapstarted 2024, after this paper: background citation

COMPERATIVE EFFECTS of CONSTRAINT- INDUCED MOVEMENT THERAPY and MIRROR THERAPY on FUNCTIONAL AMBULATION and QUALITY of LIFE in CHRONIC STROKE PATIENTS

TypeinterventionalSponsorUniversity of LahoreRan2024 to 2024Enrolled56ConditionsStroke, Stroke Rehabilitation, Mirror Therapy, Quality of Life (QOL)ArmsConstraint-Induced Movement Therapy (CIMT)), Mirror Therapy
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

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  6. Identifying patients at low risk for atrial fibrillation after cryptogenic stroke: the PAVA score.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 · 2026
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  11. Cryptogenic stroke in women: impact of insertable cardiac monitoring in the STROKEWISE cohort study.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 · 2026
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  12. Impact of prior oral anticoagulation on admission stroke severity in patients with atrial fibrillation.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2026
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  14. The role of computed tomography in thrombus characterization: Insights from a stroke cohort of known and unknown etiology.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 11 institutions in 12 countries.

Marta RubieraStroke Unit, Department of Neurology, Hospital Vall d'Hebron, Barcelona, Spain.ORCID https://orcid.org/0000-0001-8100-9477
Ana AiresDepartment of Neurology, Centro Hospitalar Universitário de São João, Porto, Portugal.
Kateryna AntonenkoDepartment of Neurology, Bogomolets National Medical University, Kyiv, Ukraine.
Sabrina LémeretEuropean Stroke Organisation, Basel, Switzerland.ORCID https://orcid.org/0000-0001-8611-1630
Christian H NolteKlinik und Hochschulambulanz für Neurologie and Center for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0001-5577-1775
Jukka PutaalaDepartment of Neurology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Renate B SchnabelDepartment of Cardiology University Heart and Vascular Center Hamburg, University Medical Center Hamburg Eppendorf, Hamburg, Germany.
Anil M TuladharDepartment of Neurology, Donders Center for Medical Neurosciences, Radboud University Medical Center, Nijmegen, The Netherlands.
David J WerringStroke Research Centre, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology and The National Hospital for Neurology and Neurosurgery, London, UK.
Dena ZeraatkarBiomedical Informatics, Harvard Medical School, Boston, MA, USA.
Maurizio PaciaroniStroke Unit, Santa Maria della Misericordia Hospital, University of Perugia, Perugia, Italy.
Bogomolets National Medical University · UAEuropean CanCer Organisation · BEHarvard University · USHospital de São João · PTHumboldt-Universität zu Berlin · DENational Hospital for Neurology and Neurosurgery · GBRadboud University Nijmegen · NLUniversität Hamburg · DEUniversity of Helsinki · FIUniversity of Perugia · ITVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to provide practical recommendations for the screening of subclinical atrial fibrillation (AF) in patients with ischaemic stroke or transient ischaemic attack (TIA) of undetermined origin. These guidelines are based on the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology. Five relevant Population, Intervention, Comparator, Outcome questions were defined by a multidisciplinary module working group (MWG). Longer duration of cardiac rhythm monitoring increases the detection of subclinical AF, but the optimal monitoring length is yet to be defined. We advise longer monitoring to increase the rate of anticoagulation, but whether longer monitoring improves clinical outcomes needs to be addressed. AF detection does not differ from in- or out-patient ECG-monitoring with similar monitoring duration, so we consider it reasonable to initiate in-hospital monitoring as soon as possible and continue with outpatient monitoring for more than 48 h. Although insertable loop recorders (ILR) increase AF detection based on their longer monitoring duration, comparison with non-implantable ECG devices for similar monitoring time is lacking. We suggest the use of implantable devices, if feasible, for AF detection instead of non-implantable devices to increase the detection of subclinical AF. There is weak evidence of a useful role for blood, ECG and brain imaging biomarkers for the identification of patients at high risk of AF. In patients with patent foramen ovale, we found insufficient evidence from RCT, but prolonged cardiac monitoring in patients >55 years is advisable for subclinical AF detection. To conclude, in adult patients with ischaemic stroke or TIA of undetermined origin, we recommend longer duration of cardiac rhythm monitoring of more than 48 h and if feasible with IRL to increase the detection of subclinical AF.

Indexed as

ECG monitoringGuidelinestrokestroke of undetermined originsubclinical atrial fibrillationsystematic review

Identifiers

PMID36082257
PMCPMC9446336
OpenAlexW4229027514

What OpenQuestion holds

Textmetadata
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.