Evidence map›Paper›PMID 37051263›Full record

ReviewEuropean heart journal open2023

Yield of diagnosis and risk of stroke with screening strategies for atrial fibrillation: a comprehensive review of current evidence.

Bernadette Corica, Niccolò Bonini, Jacopo Francesco Imberti, Giulio Francesco Romiti, Marco Vitolo, Lisa Attanasio, Stefania Basili, Ben Freedman, Tatjana S Potpara, Giuseppe Boriani and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in European heart journal open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Management of device-detected subclinical atrial fibrillation: a European Heart Rhythm Association survey.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 · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. The feasibility of population screening for paroxysmal atrial fibrillation using hand-held electrocardiogram devices.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. Article
  9. Atrial fibrillation and stroke prevention: 25 years of research at EP Europace journal.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
    Review
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

12 authors at 5 institutions in 5 countries.

Bernadette CoricaLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, 6 West Derby Street, Liverpool L7 8TX, UK.ORCID https://orcid.org/0000-0001-9460-4435
Niccolò BoniniLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, 6 West Derby Street, Liverpool L7 8TX, UK.
Jacopo Francesco ImbertiLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, 6 West Derby Street, Liverpool L7 8TX, UK.
Giulio Francesco RomitiLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, 6 West Derby Street, Liverpool L7 8TX, UK.
Marco VitoloLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, 6 West Derby Street, Liverpool L7 8TX, UK.ORCID https://orcid.org/0000-0002-5196-6249
Lisa AttanasioCentro Medico, Corso S. Gottardo 6 e/13, Chiasso 6830, Switzerland.
Stefania BasiliDepartment of Translational and Precision Medicine, Sapienza University of Rome, Viale del Policlinico 155, Rome 00161, Italy.ORCID https://orcid.org/0000-0002-6987-1926
Ben FreedmanThe Heart Research Institute, Charles Perkins Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.ORCID https://orcid.org/0000-0002-3809-2911
Tatjana S PotparaSchool of Medicine, University of Belgrade, dr Subotica 8, Belgrade 11000, Serbia.
Giuseppe BorianiCardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, via Giuseppe Campi 287, Modena 41125, Italy.ORCID https://orcid.org/0000-0002-9820-4815
Gregory Y H LipLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, 6 West Derby Street, Liverpool L7 8TX, UK.ORCID https://orcid.org/0000-0002-7566-1626
Marco ProiettiLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, 6 West Derby Street, Liverpool L7 8TX, UK.ORCID https://orcid.org/0000-0003-1452-2478
University of Liverpool · GBUniversity of Modena and Reggio Emilia · ITPoliclinico Umberto I · ITThe University of Sydney · AUUniversity of Belgrade · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial fibrillation (AF) is the most prevalent arrhythmia worldwide. The presence of AF is associated with increased risk of systemic thromboembolism, but with the uptake of oral anticoagulant (OAC) and implementation of a holistic and integrated care management, this risk is substantially reduced. The diagnosis of AF requires a 30-s-long electrocardiographic (ECG) trace, irrespective of the presence of symptoms, which may represent the main indication for an ECG tracing. However, almost half patients are asymptomatic at the time of incidental AF diagnosis, with similar risk of stroke of those with clinical AF. This has led to a crucial role of screening for AF, to increase the diagnosis of population at risk of clinical events. The aim of this review is to give a comprehensive overview about the epidemiology of asymptomatic AF, the different screening technologies, the yield of diagnosis in asymptomatic population, and the benefit derived from screening in terms of reduction of clinical adverse events, such as stroke, cardiovascular, and all-cause death. We aim to underline the importance of implementing AF screening programmes and reporting about the debate between scientific societies' clinical guidelines recommendations and the concerns expressed by the regulatory authorities, which still do not recommend population-wide screening. This review summarizes data on the ongoing trials specifically designed to investigate the benefit of screening in terms of risk of adverse events which will further elucidate the importance of screening in reducing risk of outcomes and influence and inform clinical practice in the next future.

Indexed as

Atrial fibrillationReviewScreening strategiesStroke

Identifiers

PMID37051263
PMCPMC10083691
OpenAlexW4353071147

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.