Evidence map›Paper›PMID 36625408›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2023

Predictors of stroke or systemic embolism in patients with non-valvular atrial fibrillation with CHA

Hyohun Choi, Myung Hwan Bae, Yoon Jung Park, Hyuk Kyoon Park, Eunkyu Lee, Myeong Seop Kim, Jong Sung Park, Hyeon Jeong Kim, Bo Eun Park, Hong Nyun Kim and 6 more

Open access · goldAbstract read
In one paragraph

Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Left atrial function as a predictor of stroke or systemic embolism: Beyond the CHAAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023
    Article
  2. Stroke and systemic embolism risk in patients with CHAAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023
    Article
  3. Predictors of stroke or systemic embolism in patients with non-valvular atrial fibrillation with CHAAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Hyohun ChoiDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0003-2274-1734
Myung Hwan BaeDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0001-7677-4895
Yoon Jung ParkDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0001-5132-226X
Hyuk Kyoon ParkDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0001-5589-269X
Eunkyu LeeDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0002-9194-2014
Myeong Seop KimDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0002-4373-1896
Jong Sung ParkDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0001-8594-5983
Hyeon Jeong KimDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0002-3496-3142
Bo Eun ParkDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0002-5245-9863
Hong Nyun KimDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0002-9903-1848
Namkyun KimDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0001-8457-0403
Jang Hoon LeeDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0002-7101-0236
Se Yong JangDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0002-4981-879X
Dong Heon YangDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0002-1646-6126
Hun Sik ParkDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0001-7138-1494
Yongkeun ChoDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.ORCID 0000-0001-9455-0190
Kyungpook National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnticoagulant therapy has been important for stroke prevention in patients with atrial fibrillation (AF). However, it was not recommended due to its relatively higher risk of bleeding than its lower risk of stroke in patients with a CHA HYPOTHESIS: This study aimed to evaluate the predictors of stroke in AF patients with very low risk of stroke.

methodsBetween 1990 and 2020, 542 patients with non-valvular AF (NVAF) with a CHA

resultsThe primary outcome rate was 0.78%/year. In Cox hazard model, age of ≥50 years at diagnosis (hazard ratio [HR] 6.710, 95% confidence interval [CI] 1.811-24.860, p = .004), LVEDD of ≥46 mm (HR 4.513, 95% CI 1.038-19.626, p = .045), and non-paroxysmal AF (HR 5.575, 95% CI 1.621-19.175, p = .006) were identified as independent predictors of stroke or systemic embolism. Patients with all three independent predictors had a higher risk of stroke or systemic embolism (4.21%/year), whereas those without did not have a stroke or systemic embolism.

conclusionThe annual stroke or systemic embolism rate in NVAF patients with CHA

Indexed as

Atrial FibrillationEmbolismStrokeAnticoagulantsElectrocardiographyFemaleHumansMiddle AgedRisk AssessmentRisk FactorsAnticoagulantsanticoagulantsatrial fibrillationrisk factorsstroke

Identifiers

PMID36625408
PMCPMC10023890
OpenAlexW4315435890

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.