Evidence map›Paper›PMID 38497412›Full record

ArticleThe European journal of general practice2024

Biomarkers for predicting atrial fibrillation: An explorative sub-analysis of the randomised SCREEN-AF trial.

Katharina Schmalstieg-Bahr, David J Gladstone, Eva Hummers, Johanna Suerbaum, Jeff S Healey, Antonia Zapf, Denise Köster, Stefanie M Werhahn, Rolf Wachter

Open access · goldAbstract read
In one paragraph

Article in The European journal of general practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. The role of NT-proBNP in screening for atrial fibrillation in hypertensive disease.International journal of cardiology. Heart & vasculature · 2024
    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

9 authors at 4 institutions in 2 countries.

Katharina Schmalstieg-BahrDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-7067-9037
David J GladstoneDivision of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Eva HummersDepartment of General Practice, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0003-2707-6067
Johanna SuerbaumDZHK (German Centre for Cardiovascular Research), Partner Site Göttingen, Göttingen, Germany.
Jeff S HealeyPopulation Health Research Institute, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-1216-7580
Antonia ZapfInstitute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Denise KösterInstitute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-0975-3650
Stefanie M WerhahnDepartment of Cardiology, University Medical Center Göttingen, Göttingen, Germany.
Rolf WachterDZHK (German Centre for Cardiovascular Research), Partner Site Göttingen, Göttingen, Germany.
Universitätsmedizin Göttingen · DEUniversität Hamburg · DEPopulation Health Research Institute · CASunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is a common treatable risk factor for stroke. Screening for paroxysmal AF in general practice is difficult, but biomarkers might help improve screening strategies.

objectivesWe investigated six blood biomarkers for predicting paroxysmal AF in general practice.

methodsThis was a pre-specified sub-study of the SCREEN-AF RCT done in Germany. Between 12/2017-03/2019, we enrolled ambulatory individuals aged 75 years or older with a history of hypertension but without known AF. Participants in the intervention group received active AF screening with a wearable patch, continuous ECG monitoring for 2x2 weeks and usual care in the control group. The primary endpoint was ECG-confirmed AF within six months after randomisation. High-sensitive Troponin I (hsTnI), brain natriuretic peptide (BNP), N-terminal pro-B-type natriuretic peptide (NT-pro BNP), N-terminal pro atrial natriuretic peptide (NT-ANP), mid-regional pro atrial natriuretic peptide (MR-pro ANP) and C-reactive protein (CRP) plasma levels were investigated at randomisation for predicting AF within six months after randomisation.

resultsBlood samples were available for 291 of 301 (96.7%) participants, including 8 with AF (3%). Five biomarkers showed higher median results in AF-patients: BNP 78 vs. 41 ng/L (

conclusionNatriuretic peptide levels and hsTnI are higher in patients with AF than without and may help select patients for AF screening, but larger trials are needed.

Indexed as

Atrial FibrillationStrokeAtrial Natriuretic FactorBiomarkersGermanyHumansAtrial Natriuretic FactorBiomarkersAtrial fibrillationClinicalTrials.gov Identifier: NCT02392754natriuretic peptidespredictionprimary carescreeningwww.DZHK.de: SCREEN-AF DZHK15

Identifiers

PMID38497412
PMCPMC10949835
OpenAlexW4392914323

What OpenQuestion holds

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Registered trials

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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.