Evidence map›Paper›PMID 36383264›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2023

Multiparametric identification of subclinical atrial fibrillation after an embolic stroke of undetermined source.

Alvise Del Monte, Francesco Rivezzi, Enrico Giacomin, Francesco Peruzza, Maurizio Del Greco, Massimiliano Maines, Federico Migliore, Alessandro Zorzi, Federica Viaro, Alessio Pieroni and 3 more

Abstract read
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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Predictors of atrial fibrillation after embolic stroke of undetermined source in patients with implantable loop recorders.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    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

13 authors at 2 institutions in 1 country.

Alvise Del MonteDepartment of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Via Forcellini, 209/d, Padua, Italy.
Francesco RivezziDepartment of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Via Forcellini, 209/d, Padua, Italy.
Enrico GiacominDepartment of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Via Forcellini, 209/d, Padua, Italy.
Francesco PeruzzaDepartment of Cardiology, Santa Maria del Carmine Hospital, Rovereto, Italy.
Maurizio Del GrecoDepartment of Cardiology, Santa Maria del Carmine Hospital, Rovereto, Italy.
Massimiliano MainesDepartment of Cardiology, Santa Maria del Carmine Hospital, Rovereto, Italy.
Federico MiglioreDepartment of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Via Forcellini, 209/d, Padua, Italy.
Alessandro ZorziDepartment of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Via Forcellini, 209/d, Padua, Italy.
Federica ViaroStroke Unit and Neurosonology Laboratory, Padua University Hospital, Padua, Italy.
Alessio PieroniStroke Unit and Neurosonology Laboratory, Padua University Hospital, Padua, Italy.
Andrea La LicataDepartment of Neurology, Santa Maria del Carmine Hospital, Rovereto, Italy.
Claudio BaracchiniStroke Unit and Neurosonology Laboratory, Padua University Hospital, Padua, Italy.
Emanuele BertagliaDepartment of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Via Forcellini, 209/d, Padua, Italy. bertagliaferro@gmail.com.ORCID http://orcid.org/0000-0002-3878-2904
University of Padua · ITOspedale Santa Maria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubclinical atrial fibrillation (SCAF) may represent a cause of embolic stroke of undetermined source (ESUS) and its detection has important implications for secondary prevention with anticoagulation. Indications to implantable cardiac monitors (ICM) include SCAF detection. The aims of this study were to (1) evaluate the frequency of ICM-detected SCAF; (2) determine predictors of SCAF; and (3) identify patients who would benefit most from ICM implantation.

methodsBetween February 2017 and November 2020, all consecutive patients referred for ICM implantation after a diagnosis of ESUS and without previous history of atrial fibrillation or atrial flutter were included in this study. SCAF was diagnosed if the ICM electrogram demonstrated an episode of irregularly irregular rhythm without distinct P waves lasting > 2 min.

resultsWe enrolled 109 patients (age 66, SD = 13 years; 36% females). During a median follow-up of 19.2 (IQR 11.0-27.5) months, SCAF episodes were detected in 36 (33%) patients. Only abnormal P wave terminal force in lead V1, left atrial end-systolic indexed volume > 34 ml/m

conclusionA multiparametric evaluation has the best accuracy to predict SCAF in ESUS patients and may help identifying those who would benefit most from ICM.

Indexed as

Atrial FibrillationEmbolic StrokeStrokeAgedElectrocardiographyFemaleHumansMaleRisk FactorsAtrial fibrillationElectrocardiographic predictorsEmbolic stroke of undetermined sourceImplantable cardiac monitor

Identifiers

PMID36383264
OpenAlexW4309163167

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.