Evidence map›Paper›PMID 36967470›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2023

Time of onset of atrial fibrillation and atrial fibrillation progression data from the RACE V study.

Martijn E van de Lande, Rajiv S Rama, Tim Koldenhof, Vicente Artola Arita, Bao-Oanh Nguyen, Colinda van Deutekom, Vanessa Weberndorfer, Harry J G M Crijns, Martin E W Hemels, Robert G Tieleman and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02726698 (Reappraisal of Atrial Fibrillation), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

NCT02726698 completednot on this map

Reappraisal of Atrial Fibrillation: Interaction Between HyperCoagulability, Electrical Remodeling, and Vascular Destabilisation in the Progression of Atrial Fibrillation - An Observational Exploratory Study on Pathophysiological Mechanisms of AF Progression and on the Role of LinQ/CareLink Guided Patient Tailored Therapy in Patients With Atrial Fibrillation

TypeobservationalSponsorUniversity Medical Center GroningenRan2016 to 2024Enrolled750ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Comprehensive atrial fibrillation burden and symptom reduction post-ablation: insights from DECAAF II.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 · 2024
    Trial
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Smartphone app-based approximation of time spent with atrial fibrillation and symptoms in patients after catheter ablation: data from the TeleCheck-AF project.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 · 2024
    Article
  8. Observational
  9. [Characterization of atrial fibrillation burden using wearables].Herzschrittmachertherapie & Elektrophysiologie · 2024
    Review
  10. Longer and better lives for patients with atrial fibrillation: the 9th AFNET/EHRA consensus conference.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 · 2024
    Article
  11. Article
  12. Remote monitoring of cardiac implantable electronic devices and disease management.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 · 2023
    Article
  13. Atrial fibrillation progression: another step in the RACE to full understanding.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 · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Martijn E van de LandeDepartment of Cardiology, University of Groningen University Medical Centre Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.ORCID 0000-0002-6003-5999
Rajiv S RamaDepartment of Cardiology, University of Groningen University Medical Centre Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.ORCID 0000-0001-7562-8650
Tim KoldenhofDepartment of Cardiology, Martini Hospital, Van Swietenplein 1, 9728 NT Groningen, The Netherlands.ORCID 0000-0002-0321-3410
Vicente Artola AritaDepartment of Cardiology, University of Groningen University Medical Centre Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.ORCID 0000-0002-3043-1675
Bao-Oanh NguyenDepartment of Cardiology, University of Groningen University Medical Centre Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.ORCID 0000-0002-6043-4172
Colinda van DeutekomDepartment of Cardiology, University of Groningen University Medical Centre Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.ORCID 0000-0001-5116-7378
Vanessa WeberndorferDepartment of Cardiology, Maastricht University Medical Centre+, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.ORCID 0000-0003-2901-6383
Harry J G M CrijnsDepartment of Cardiology, Maastricht University Medical Centre+, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.ORCID 0000-0003-1073-5337
Martin E W HemelsDepartment of Cardiology, Rijnstate Hospital, Wagnerlaan 55, 6815 AD Arnhem, The Netherlands.ORCID 0000-0002-2373-9858
Robert G TielemanDepartment of Cardiology, Martini Hospital, Van Swietenplein 1, 9728 NT Groningen, The Netherlands.ORCID 0000-0002-7654-2098
Mirko de MelisMedtronic Bakken Research Centre, Endepolsdomein 5, 6229 GW Maastricht, The Netherlands.ORCID 0000-0002-9223-4183
Ulrich SchottenCardiovascular Research Institute Maastricht (CARIM), Maastricht University, Universiteitssingel 50, 632, 6229 ER Maastricht, The Netherlands.ORCID 0000-0003-1532-3315
Dominik LinzDepartment of Cardiology, Maastricht University Medical Centre+, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.ORCID 0000-0003-4893-0824
Isabelle C Van GelderDepartment of Cardiology, University of Groningen University Medical Centre Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.
Michiel RienstraDepartment of Cardiology, University of Groningen University Medical Centre Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.ORCID 0000-0002-2581-070X
RACE V Investigators

Funding

Dutch Heart Foundation CVON 2014-9Netherlands Cardiovascular Research Initiative
6 · The paper itself

Abstract

aimsAtrial fibrillation (AF) progression is associated with adverse outcome, but the role of the circadian or diurnal pattern of AF onset remains unclear. We aim to assess the association between the time of onset of AF episodes with the clinical phenotype and AF progression in patients with self-terminating AF. METHODS AND

resultsThe Reappraisal of AF: Interaction Between Hypercoagulability, Electrical Remodelling, and Vascular Destabilization in the Progression of AF study included patients with self-terminating AF who underwent extensive phenotyping at baseline and continuous rhythm monitoring with an implantable loop recorder (ILR). In this subanalysis, ILR data were used to assess the development of AF progression and the diurnal pattern of AF onset: predominant (>80%) nocturnal AF, predominant daytime AF, or mixed AF without a predominant diurnal AF pattern. The median follow-up was 2.2 (1.6-2.8) years. The median age was 66 (59-71) years, and 117 (42%) were women. Predominant nocturnal (n = 40) and daytime (n = 43) AF onset patients had less comorbidities compared to that of mixed (n = 195) AF patients (median 2 vs. 2 vs. 3, respectively, P = 0.012). Diabetes was more common in the mixed group (12% vs. 5% vs. 0%, respectively, P = 0.031), whilst obesity was more frequent in the nocturnal group (38% vs. 12% vs. 27%, respectively, P = 0.028). Progression rates in the nocturnal vs. daytime vs. mixed groups were 5% vs. 5% vs. 24%, respectively (P = 0.013 nocturnal vs. mixed and P = 0.008 daytime vs. mixed group, respectively).

conclusionIn self-terminating AF, patients with either predominant nocturnal or daytime onset of AF episodes had less associated comorbidities and less AF progression compared to that of patients with mixed onset of AF. CLINICAL

trial registrationNCT02726698.

Indexed as

Atrial FibrillationComorbidityElectrocardiography, AmbulatoryFemaleHumansMaleTime FactorsAtrial fibrillation progressionRhythm monitoringSelf-terminating atrial fibrillationTime of onset

Identifiers

PMID36967470
PMCPMC10227656

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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.