Evidence map›Paper›PMID 39344635›Full record

Observational studyJournal of the American Heart Association2024

Association Between Stroke Lesion Size and Atrial Fibrillation Detected After Stroke: An Observational Cohort Study.

Markus G Klammer, Laura Reimann, Oskar Richter, Simone Lieschke, Helena Stengl, Simon Hellwig, Ramanan Ganeshan, Maximilian Schöls, Alexander Nelde, Christian Meisel and 4 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

5 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. 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

14 authors.

Markus G KlammerCenter for Stroke Research Berlin (CSB) Berlin Germany.ORCID 0000-0002-8990-262X
Laura ReimannCenter for Stroke Research Berlin (CSB) Berlin Germany.
Oskar RichterCenter for Stroke Research Berlin (CSB) Berlin Germany.
Simone LieschkeCenter for Stroke Research Berlin (CSB) Berlin Germany.ORCID 0000-0001-9343-0242
Helena StenglDepartment of Neurology with Experimental Neurology Charité Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0002-9270-7665
Simon HellwigCenter for Stroke Research Berlin (CSB) Berlin Germany.ORCID 0000-0002-6925-4768
Ramanan GaneshanCenter for Stroke Research Berlin (CSB) Berlin Germany.ORCID 0000-0003-4043-1115
Maximilian SchölsDepartment of Neurology with Experimental Neurology Charité Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0002-0060-3245
Alexander NeldeDepartment of Neurology with Experimental Neurology Charité Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0002-1248-8504
Christian MeiselCenter for Stroke Research Berlin (CSB) Berlin Germany.ORCID 0000-0003-2984-5480
Kersten VillringerCenter for Stroke Research Berlin (CSB) Berlin Germany.ORCID 0000-0003-4192-9193
Christian H NolteCenter for Stroke Research Berlin (CSB) Berlin Germany.ORCID 0000-0001-5577-1775
Matthias EndresCenter for Stroke Research Berlin (CSB) Berlin Germany.ORCID 0000-0001-6520-3720
Jan Friedrich ScheitzCenter for Stroke Research Berlin (CSB) Berlin Germany.ORCID 0000-0001-5835-4627

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation detected after stroke (AFDAS) is considered to be a distinct entity influenced by cardiogenic and neurogenic factors. We hypothesized that patients with AFDAS have larger stroke lesions than patients without atrial fibrillation (AF) and with known AF (KAF). METHODS AND

resultsConsecutive patients with magnetic resonance imaging-confirmed acute ischemic stroke admitted to a university hospital between October 2020 and January 2023 were prospectively registered. We categorized patients as AFDAS, no AF or KAF upon hospital discharge. We manually segmented diffusion-weighted imaging lesions to determine lesion volume. We analyzed 1420 patients (median age, 78; 47.2% women, median National Institutes of Health Stroke Scale score, 3; median hospital stay, 5 days). Of these, 81 had AFDAS (5.7%), 329 had KAF (23.2%) and 1010 had no AF (71.1%). Lesion volume was larger in patients with AFDAS (median, 5.4 mL [interquartile range, 1.0-21.6]) compared with patients with no AF and KAF (median, 0.7 [interquartile range,0.2-4.4] and 2.0 [interquartile range,0.3-11.1] mL, respectively; both

conclusionsLarger stroke lesions were independently associated with AFDAS diagnosis during index stroke hospitalization highlighting a potential neurogenic contribution to AFDAS pathogenesis.

Indexed as

Atrial FibrillationDiffusion Magnetic Resonance ImagingIschemic StrokeAgedAged, 80 and overFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsAFDASischemic strokeneurocardiologystroke lesion volume

Identifiers

PMID39344635
PMCPMC11681469

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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.