Evidence map›Paper›PMID 36755799›Full record

ReviewFrontiers in cardiovascular medicine2023

COVID-19 and atrial fibrillation: Intercepting lines.

Maria Donniacuo, Antonella De Angelis, Concetta Rafaniello, Eleonora Cianflone, Pasquale Paolisso, Daniele Torella, Gerolamo Sibilio, Giuseppe Paolisso, Giuseppe Castaldo, Konrad Urbanek and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 2023. 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
5.6field-weighted citation impact, top 3% 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, 29 citations in OpenAlex.

  1. Review
  2. Review
  3. Atrial fibrillation and flutter in the Eastern Mediterranean: burden, disparities, and risk factor contributions from 1990 to 2021.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Fine tuning contractility: atrial sarcomere function in health and disease.American journal of physiology. Heart and circulatory physiology · 2024
    Review
  11. Article
  12. The Potential Mechanisms of Arrhythmia in Coronavirus disease-2019.International journal of medical sciences · 2024
    Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Impact of New Onset Atrial Fibrillation in Hospitalized Patients with COVID-19. Results of the "ACO-VID" Registry.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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 6 institutions in 2 countries.

Maria DonniacuoDepartment of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Antonella De AngelisDepartment of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Concetta RafanielloDepartment of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Eleonora CianfloneDepartment of Medical and Surgical Sciences, Magna Græcia University, Catanzaro, Italy.
Pasquale PaolissoCardiovascular Center Aalst, OLV Hospital, Aalst, Belgium.
Daniele TorellaDepartment of Experimental and Clinical Medicine, Magna Græcia University, Catanzaro, Italy.
Gerolamo SibilioSanta Maria delle Grazie Hospital, Pozzuoli, Italy.
Giuseppe PaolissoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Giuseppe CastaldoDepartment of Molecular Medicine and Medical Biotechnology, University of Naples "Federico II", Naples, Italy.
Konrad UrbanekDepartment of Molecular Medicine and Medical Biotechnology, University of Naples "Federico II", Naples, Italy.
Francesco RossiDepartment of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Liberato BerrinoDepartment of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Donato CappettaDepartment of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
University of Campania "Luigi Vanvitelli" · ITCeinge Biotecnologie Avanzate (Italy) · ITMagna Graecia University · ITOnze Lieve Vrouwziekenhuis Hospital · BEOspedale Santa Maria · ITUniversity of Salento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Almost 20% of COVID-19 patients have a history of atrial fibrillation (AF), but also a new-onset AF represents a frequent complication in COVID-19. Clinical evidence demonstrates that COVID-19, by promoting the evolution of a prothrombotic state, increases the susceptibility to arrhythmic events during the infective stages and presumably during post-recovery. AF itself is the most frequent form of arrhythmia and is associated with substantial morbidity and mortality. One of the molecular factors involved in COVID-19-related AF episodes is the angiotensin-converting enzyme (ACE) 2 availability. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) uses ACE2 to enter and infect multiple cells. Atrial ACE2 internalization after binding to SARS-CoV-2 results in a raise of angiotensin (Ang) II, and in a suppression of cardioprotective Ang(1-7) formation, and thereby promoting cardiac hypertrophy, fibrosis and oxidative stress. Furthermore, several pharmacological agents used in COVID-19 patients may have a higher risk of inducing electrophysiological changes and cardiac dysfunction. Azithromycin, lopinavir/ritonavir, ibrutinib, and remdesivir, used in the treatment of COVID-19, may predispose to an increased risk of cardiac arrhythmia. In this review, putative mechanisms involved in COVID-19-related AF episodes and the cardiovascular safety profile of drugs used for the treatment of COVID-19 are summarized.

Indexed as

atrial fibrillationatrial remodelingCOVID-19COVID-19 drugsinflammation

Identifiers

PMID36755799
PMCPMC9899905
OpenAlexW4317717863

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.