Evidence map›Paper›PMID 40486327›Full record

ArticleCureus2025

Beyond Atrial Fibrillation: Prioritizing Stroke Evaluation in Resource-Limited Settings.

Hong Yee Lim, Yew Chung Chan, Wee Lee Chin

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Hong Yee LimDepartment of Internal Medicine, Tengku Ampuan Rahimah Hospital, Klang, MYS.
Yew Chung ChanDepartment of Internal Medicine, Duchess of Kent Hospital, Sandakan, MYS.
Wee Lee ChinDepartment of Cardiology, Raja Permaisuri Bainun Hospital, Ipoh, MYS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial fibrillation (AF) accounts for the majority of cardioembolic strokes. In addition to AF screening, echocardiography is recommended to evaluate structural heart diseases including congenital anomalies. In resource-limited settings, in-hospital echocardiography for all stroke patients may not be feasible. However, careful assessment of readily available clinical parameters, such as bedside examination, electrocardiography, and chest X-ray, can offer essential clues to guide prioritization of echocardiography in selected patients and facilitate timely management. We present a case of recurrent cardioembolic stroke in a patient with AF, who was later found to have an underlying atrial septal defect, highlighting the importance of a comprehensive approach beyond AF in stroke evaluation.

Indexed as

adult congenital heart diseaseatrial fibrillationatrial septal defectcardioembolic strokecrochetage signelectrocardiography

Identifiers

PMID40486327
PMCPMC12145574

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.