Evidence map›Paper›PMID 39367417›Full record

ArticleJournal of cardiothoracic surgery2024

Clinical features between paroxysmal and nonparoxysmal atrial fibrillation: a comparative analysis in eastern China.

Liping Liu, Zhuchao Wu, Weimin Kong, Beibei Qiu, Zhihua Wang, Jian Sun

Erratum issuedAbstract readComparative Study
In one paragraph

Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Association Between TNF-Alpha Levels and Atrial Fibrillation Outcomes: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Liping Liu *The Yancheng Clinical College of Xuzhou Medical University, Yancheng, 224001, China.
Zhuchao Wu *Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing, 211166, China.
Weimin Kong *The Yancheng Clinical College of Xuzhou Medical University, Yancheng, 224001, China.
Beibei QiuDepartment of Chronic Communicable Disease, Nanjing Municipal Center for Disease Control and Prevention, Nanjing, 210003, China.
Zhihua WangThe Yancheng Clinical College of Xuzhou Medical University, Yancheng, 224001, China. wzhxm4@163.com.
Jian SunThe Yancheng Clinical College of Xuzhou Medical University, Yancheng, 224001, China. 15895191698@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) has emerged as a notable public health issue in China due to the aging population and rapid urbanization. This study aimed to describe the characteristics of patients with AF (paroxysmal and nonparoxysmal) and investigate the association between left ventricular ejection fraction (LVEF) levels and AF subtypes to facilitate early prevention in patients with AF.

methodPatients with AF who presented at the cardiology department of the First People's Hospital of Yancheng were recruited in this study. In univariate and multivariate logistic regression analyses, odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to evaluate the relationships between each dependent variable and nonparoxysmal AF. The restricted cubic splines (RCS) curve was employed to explore the linear relationship between LVEF and nonparoxysmal AF on a continuous scale. Subgroup analysis was applied to examine the stability of the results.

resultsThe study included a total of 2054 patients who were diagnosed with AF. 652 (31.74%) patients had paroxysmal AF, and 1402 (68.26%) had nonparoxysmal AF. Multivariate logistic regression analyses indicated that compared to those with paroxysmal AF, patients with nonparoxysmal AF tended to have a higher prevalence of coronary artery disease, lower levels of LVEF, and an elevated heart rate. Additionally, RCS curves also showed that LVEF was negatively and linearly associated with the nonparoxysmal AF. Furthermore, the association between LVEF and nonparoxysmal AF was stronger among patients with hypertension and obesity (P for interaction < 0.05).

conclusionsPatients with nonparoxysmal AF have a more advanced AF burden and the transition from paroxysmal to nonparoxysmal AF should be recognized in time, especially to treat the corresponding comorbidities (including hypertension and obesity) more consistently.

Indexed as

Atrial FibrillationAgedChinaFemaleHumansMaleMiddle AgedPrevalenceRetrospective StudiesRisk FactorsStroke VolumeVentricular Function, LeftClinical featuresDiabetesNonparoxysmal atrial fibrillationParoxysmal atrial fibrillation

Identifiers

PMID39367417
PMCPMC11451112

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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.