Evidence map›Paper›PMID 41314845›Full record

Observational studyBMJ open2025

Incidence of atrial fibrillation after coronary artery bypass graft surgery and percutaneous coronary intervention: a prospective 2-year follow-up observational study.

Anders Wickbom, Espen Fengsrud, Joakim Alfredsson, Johan Engdahl, Torbjörn Kalm, Anders Ahlsson

Registry-linked trialAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04307225 (Atrial Fibrillation After CABG and PCI), which is not on this 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.

NCT04307225 completednot on this map

Atrial Fibrillation After CABG and PCI

Typeobservational_patient_registrySponsorRegion Örebro CountyRan2015 to 2022Enrolled250ConditionsPostoperative Atrial Fibrillation, Post PCI Atrial Fibrillation, Stroke, Oral AnticoagulationArmsZenicor
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

6 authors.

Anders WickbomDepartment of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden anders.wickbom@gmail.com.ORCID http://orcid.org/0000-0001-7447-8996
Espen FengsrudDepartment of Medical Sciences, Örebro University, Örebro, Sweden.
Joakim AlfredssonDivision of Cardiology, Linköping University, Linköping, Sweden.
Johan EngdahlDepartment of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-1677-7215
Torbjörn KalmDepartment of Cardiology, Örebro University Hospital, Örebro, Sweden.ORCID http://orcid.org/0000-0002-1348-0133
Anders AhlssonDepartment of Medical Sciences, Örebro University, Örebro, Sweden.ORCID http://orcid.org/0000-0002-6913-0669

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation is a common arrhythmia in patients with ischaemic heart disease. New-onset atrial fibrillation after coronary revascularisation is associated with adverse cardiovascular outcomes. This study aimed to determine the long-term cumulative incidence of new-onset atrial fibrillation after percutaneous coronary intervention or coronary artery bypass grafting surgery.

methodsA prospective observational cohort study in a real-world population setting, conducted at three tertiary centres, on new-onset atrial fibrillation incidence after percutaneous coronary intervention (N=123) or coronary artery bypass grafting (N=123). Heart rhythm was monitored the first 30 days in hospital by telemetry and on discharge using a handheld thumb ECG device three times a day, and thereafter for 2-week periods at 3, 12 and 24 months. The primary endpoint was the cumulative incidence of new-onset atrial fibrillation 24 months after the index procedure. Secondary objectives were to describe the incidence of cerebral ischaemic stroke and bleeding, myocardial infarction and major bleeding events during 24 months follow-up.

resultsMean age was 67 years, and male sex was more prevalent. At 30 days, the cumulative incidence of atrial fibrillation was 56% (69/123) in the coronary artery bypass graft group and 2% (3/123) in the percutaneous coronary intervention group. At 24 months, the cumulative incidence of atrial fibrillation was 58% (71/123) in the coronary artery bypass graft group and 6% (7/123) in the percutaneous coronary intervention group. Stroke, myocardial infarction and major bleeding were infrequent during follow-up.

conclusionOver 24 months of follow-up, incident new-onset atrial fibrillation mainly occurred during the first 30 days after coronary artery bypass grafting but was more evenly distributed during 24 months after percutaneous coronary intervention. TRIAL REGISTRATION NUMBER: NCT04307225.

Indexed as

Atrial FibrillationCoronary Artery BypassPercutaneous Coronary InterventionPostoperative ComplicationsAgedFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedProspective StudiesAdult cardiologyCardiac surgeryCoronary heart diseaseCoronary interventionIschaemic heart disease

Identifiers

PMID41314845
PMCPMC12666116

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.