Evidence map›Paper›PMID 38134262›Full record

ReviewStroke2024

Stroke Prevention in Atrial Fibrillation: Our Current Failures and Required Research.

M Edip Gurol, Clinton B Wright, Scott Janis, Eric E Smith, Elif Gokcal, Vivek Y Reddy, José G Merino, Jonathan C Hsu

Open access · greenAbstract readReview
In one paragraph

Review in Stroke, 2024. 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
3.7field-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, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Discovery ofDiagnostics (Basel, Switzerland) · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. 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

8 authors at 6 institutions in 2 countries.

M Edip GurolDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston (M.E.G., E.G.).ORCID 0000-0002-2169-4457
Clinton B WrightDivision of Clinical Research, NINDS, Bethesda, MD (C.B.W., S.J.).ORCID 0000-0002-9797-6215
Scott Janis
Eric E SmithDepartment of Clinical Neurosciences, University of Calgary, Alberta, Canada (E.E.S.).ORCID 0000-0003-3956-1668
Elif GokcalDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston (M.E.G., E.G.).
Vivek Y ReddyHelmsley Trust Electrophysiology Center, Icahn School of Medicine at Mount Sinai, New York (V.Y.R.).ORCID 0000-0002-5638-4993
José G MerinoDepartment of Neurology, Georgetown University Medical Center (J.G.M.).ORCID 0000-0002-6676-0008
Jonathan C HsuDepartment of Cardiology, University of California, San Diego, La Jolla (J.C.H.).ORCID 0000-0002-1523-573X
Massachusetts General Hospital · USClinton Foundation · USGeorgetown University · USIcahn School of Medicine at Mount Sinai · USUniversity of Calgary · CAUniversity of California San Diego · US

Funding

Molecular and Physiological Mechanisms of Hypertensive Cerebral MicroangiopathyR01NS114526 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GUROL, MAHMUT EDIP · 2020 to 2024
$4.4M
Molecular Neuroimaging of Disease Mechanisms in Cerebral Amyloid AngiopathyK23NS083711 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GUROL, MAHMUT EDIP · 2014 to 2018
$988k
NINDS NIH HHS K23 NS083711NINDS NIH HHS R01 NS114526
6 · The paper itself

Abstract

Nonvalvular atrial fibrillation is a common rhythm disorder of middle-aged to older adults that can cause ischemic strokes and systemic embolism. Lifelong use of oral anticoagulants reduces the risk of these ischemic events but increases the risk of major and clinically relevant hemorrhages. These medications also require strict compliance for efficacy, and they have nontrivial failure rates in higher-risk patients. Left atrial appendage closure is a nonpharmacological method to prevent ischemic strokes in atrial fibrillation without the need for lifelong anticoagulant use, but this procedure has the potential for complications and residual embolic events. This workshop of the Roundtable of Academia and Industry for Stroke Prevention discussed future research needed to further decrease the ischemic and hemorrhagic risks among patients with atrial fibrillation. A direct thrombin inhibitor, factor Xa inhibitors, and left atrial appendage closure are FDA-approved approaches whereas factor XIa inhibitors are currently being studied in phase 3 randomized controlled trials for stroke prevention. The benefits, risks, and shortcomings of these treatments and future research required in different high-risk patient populations are reviewed in this consensus statement.

Indexed as

Atrial AppendageAtrial FibrillationEmbolismIschemic StrokeStrokeAgedAnticoagulantsHumansMiddle AgedTreatment OutcomeAnticoagulantsatrial fibrillationfactor XIa inhibitorleft atrial appendage closureoral anticoagulantstroke prevention

Identifiers

PMID38134262
PMCPMC11167726
OpenAlexW4390098850

What OpenQuestion holds

Textmetadata
LicenceTDM
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.