Evidence map›Paper›PMID 41034717›Full record

Observational studyBMC cardiovascular disorders2025

The incidence and risk factor of atrial fibrillation after percutaneous coronary intervention.

Sheng Su, Le Li, Xi Peng, Likun Zhou, Yulong Xiong, Zhenhao Zhang, Yan Yao

Abstract readObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 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
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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

7 authors.

Sheng Su *Arrhythmia Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, 100037, China.
Le Li *Arrhythmia Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, 100037, China.
Xi PengArrhythmia Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, 100037, China.
Likun ZhouArrhythmia Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, 100037, China.
Yulong XiongArrhythmia Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, 100037, China.
Zhenhao ZhangArrhythmia Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, 100037, China.
Yan YaoArrhythmia Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, 100037, China. ianyao@263.net.cn.

Funding

National High Level Hospital Clinical Research Funding 2023-GSP-GG-22
6 · The paper itself

Abstract

backgroundPatients with coronary artery disease and atrial fibrillation (AF) have poor clinical outcomes. However, the incidence of new-onset AF occurring after hospital discharge following percutaneous coronary intervention (PCI) has not been well characterized. The aim of this study was to investigate the incidence and risk factors of AF developing after PCI discharge.

methodsPatients undergoing PCI enrolled from January 2013 to December 2013. The primary endpoint was new-onset AF occurring after hospital discharge following PCI, defined as AF documented during follow-up and not present during the index PCI hospitalization. Cox proportional hazards regression models with covariate adjustments, complemented by Fine-Gray competing risk analyses, were employed to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for assessing AF risk factors.

resultsAmong 8,367 patients, 94 (1.1%) developed new-onset AF during 3-year follow-up, with no significant incidence difference between acute/chronic coronary syndromes (1.1% vs. 1.2%, P = 0.59). Age > 56.5 years (HR 2.97, 95%CI 1.72-5.12) and prior PCI (HR 1.73, 95%CI 1.13-2.65) independently predicted AF. Recalibration modestly improved all scores (the Postoperative Atrial Fibrillation score, CHA2DS2-VASc score, Atrial Fibrillation Risk Index, CHARGE-AF score) without statistical significance. CHARGE-AF outperformed other scores (all P < 0.05), while an age/ prior PCI-only model demonstrated non-inferior predictive capability versus CHARGE-AF.

conclusionsIn this large PCI cohort, a simplified model using only age > 56.5 years and prior PCI demonstrated non-inferior AF prediction compared to the best-performing CHARGE-AF score, supporting streamlined risk stratification for new-onset AF.

Indexed as

Atrial FibrillationCoronary Artery DiseasePercutaneous Coronary InterventionAgedAge FactorsFemaleHumansIncidenceMaleMiddle AgedPatient DischargeRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeNew-onset atrial fibrillationPercutaneous coronary interventionPrognosis

Identifiers

PMID41034717
PMCPMC12486836

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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.