Evidence map›Paper›PMID 40436433›Full record

Observational studyOpen heart2025

Left atrial appendage function by strain and structure is associated with thromboembolic risk in patients with cryptogenic stroke and TIA.

Loreta Skrebelyte-Strøm, Jørg Saberniak, Eivind Bjørkan Orstad, Janne Elin Mykland Hilde, Ole Morten Rønning, Kjetil Steine

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Open heart, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02725944 (Prediction and Detection of Occult Atrial Fibrillation in Patients After Acute Cryptogenic Stroke and Transient Ischemic Attack), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT02725944 completednot on this map

Prediction and Detection of Occult Atrial Fibrillation in Patients After Acute Cryptogenic Stroke and Transient Ischemic Attack

TypeobservationalSponsorUniversity Hospital, AkershusRan2016 to 2018Enrolled251ConditionsCerebrovascular Stroke, Atrial FibrillationArmsImplantation of ICRM
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

6 authors.

Loreta Skrebelyte-Strøm *Neurolgy and Cardiology, Akershus University Hospital, Lørenskog, Norway Loreta.Skrebelyte-Strom@ahus.no.ORCID 0000-0002-0534-1694
Jørg Saberniak *Cardiology, Akershus University Hospital, Lørenskog, Norway.
Eivind Bjørkan OrstadCardiology, Akershus University Hospital, Lørenskog, Norway.
Janne Elin Mykland HildeCardiology, Akershus University Hospital, Lørenskog, Norway.
Ole Morten RønningInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Kjetil SteineCardiology, Akershus University Hospital, Lørenskog, Norway.ORCID 0000-0003-4265-3598

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the impact of left atrial appendage (LAA) function by LAA strain, LAA morphology and subclinical atrial fibrillation (AF) on LAA thrombus presence and thromboembolic risk conditions (TRC) in patients with cryptogenic stroke and transient ischaemic attack (TIA).

methods185 patients (mean age 68±13 years, 33% female) were included in this prospective cohort study and underwent clinical evaluation, comprehensive transthoracic and transoesophageal echocardiography shortly after index event. LAA function and morphology were evaluated by monoplane/multiplane/speckle tracking strain and three-dimensional echocardiography. Combination of LAA thrombus and/or spontaneous echo contrast (SEC) was defined as TRC. An insertable cardiac monitor was implanted in all patients to detect subclinical AF.

resultsLAA function by novel LAA strain and LAA chicken wing were independent predictors of LAA thrombus (OR 0.9 (95% CI 0.8 to 0.95), p<0.01 and OR 2.5 (95% CI 1.1 to 5.8), p=0.04, respectively). LAA chicken wing and multilobate LAA were independent predictors of TRC (OR 2.3 (95% CI 1.2 to 4.5), p=0.01 and OR 2.2 (95% CI 1.2 to 4.2), p=0.02, respectively).LAA morphology was characterised as chicken wing in 79 (43%), windsock in 64 (34%), cactus in 35 (19%), cauliflower in 7 (4%) and multilobate LAA in 115 (62%) patients. LAA thrombus was found in 29 (16%), TRC in 123 (67%) and subclinical AF in 60 (32%) patients. Duration of subclinical AF >6 hours was associated with SEC and recurrent stroke and TIA.

conclusionLAA function by novel LAA strain and LAA structure are independently associated with LAA thrombus and TRC in patients with cryptogenic stroke and TIA. TRIAL REGISTRATION NUMBER: NCT02725944.

Indexed as

Atrial AppendageAtrial FibrillationAtrial Function, LeftIschemic Attack, TransientIschemic StrokeThromboembolismAgedEchocardiography, Three-DimensionalEchocardiography, TransesophagealFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRisk Assessmentatrial fibrillationechocardiographystroketelemedicine

Identifiers

PMID40436433
PMCPMC12121606

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Registered trials

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.