Evidence map›Paper›PMID 37850044›Full record

ArticleCardiovascular digital health journal2023

Episodes of Atrial Fibrillation and Symptoms: A Temporal Analysis.

Hamid Ghanbari, Daniel Whibley, H Immo Lehmann, Zhi Li, Anna Kratz, Daniel J Clauw, Brahmajee K Nallamothu

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular digital health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 1 institution in 1 country.

Hamid GhanbariDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Daniel WhibleyDepartment of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, Michigan.
H Immo LehmannDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Zhi LiDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Anna KratzDepartment of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, Michigan.
Daniel J ClauwDepartment of Internal Medicine, Division of Rheumatology, University of Michigan Medical School, Ann Arbor, Michigan.
Brahmajee K NallamothuDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · US

Funding

Novel Techniques for Evaluating and Assessing Symptoms, Affect. Heart Rhythm and Functional Status in Patients with Atrial Fibrillation: miAfib ProjectK23HL135397 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GHANBARI, HAMID · 2018 to 2022
$983k
NHLBI NIH HHS K23 HL135397
6 · The paper itself

Abstract

Background: Data on the relationship between symptoms and atrial fibrillation (AF) episodes are limited. Objective: The objective of this study was to determine the strength of temporal association between AF episodes and symptoms. Methods: This cross-sectional ambulatory assessment study was performed in a tertiary care center between June 2018 and December 2021. Patients with paroxysmal AF (1 episode of AF, burden not exceeding 95%) who used a mobile application and continuous wearable electrocardiogram monitor for 21 days were enrolled. The primary outcome was worse symptoms (symptoms above the mean score) over the study period. The association between worse symptoms and the presence of AF was evaluated for different time epochs. Multilevel mixed-effects models were used to quantify associations after accounting for confounders. Results: Worse symptoms were more likely to be associated with the presence of AF episodes 15 minutes prior to the reporting of palpitations (OR, 2.8 [95% CI, 1.6-5.0]; Conclusion: There is a significant relationship between onset of AF episodes and reporting of symptoms. This association diminishes over time and varies across different symptoms. If confirmed in larger studies, these findings may inform AF interventions that target symptoms just in time prior to a clinical visit.

Indexed as

Atrial fibrillationHeart rhythm monitoringMobile healthOnset of symptomsPalpitationsShortness of breath

Identifiers

PMID37850044
PMCPMC10577487
OpenAlexW4383532631

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.