Evidence map›Paper›PMID 41357292›Full record

ArticleHeart rhythm O22025

Effect of conflict on atrial fibrillation outcomes in the Middle East: Multicenter international cohort study.

Ibrahim Antoun, Malik Alta'amreh, Alkassem Alkhayer, Alamer Alkhayer, Aref Jalal Eldin, Georgia R Layton, Riyaz Somani, G André Ng, Mustafa Zakkar

Abstract read
In one paragraph

Article in Heart rhythm O2, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Atrial fibrillation and flutter in the Eastern Mediterranean: burden, disparities, and risk factor contributions from 1990 to 2021.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Article
  3. Article
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

9 authors.

Ibrahim AntounDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.
Malik Alta'amrehSchool of Medicine, The University of Jordan, Amman, Jordan.
Alkassem AlkhayerDepartment of Medicine, University of Tishreen's Hospital, Latakia, Syria.
Alamer AlkhayerDepartment of Medicine, University of Tishreen's Hospital, Latakia, Syria.
Aref Jalal EldinDepartment of Medicine, University of Tishreen's Hospital, Latakia, Syria.
Georgia R LaytonDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.
Riyaz SomaniDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.
G André NgDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.
Mustafa ZakkarDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) outcomes vary depending on the stability of the health care system. Objective: This study compared AF outcomes in 2 neighboring Levant countries: Syria, a conflict-affected country, and Jordan, a country with a stable health care system. Methods: We conducted a retrospective observational cohort study of patients with AF from Tishreen University Hospital in Latakia, Syria, and the Jordanian Atrial Fibrillation Registry. Propensity score matching was performed to adjust for baseline characteristics. Primary outcomes included 1-year readmission rates and the 1-month incidence of cerebrovascular accidents (CVAs) or major bleeding. Results: The study included 2677 patients (657 from Syria and 2020 from Jordan). Syrian patients were younger (median age 60 years vs 70 years; Conclusion: AF outcomes are significantly worse in Syria than in Jordan. Health care disruptions contribute to increased readmissions and complications. Strengthening AF management in conflict zones through improved access to medications and structured follow-up is essential to mitigating adverse outcomes.

Indexed as

Atrial fibrillationConflictJordanMiddle EastOutcomesSyria

Identifiers

PMID41357292
PMCPMC12675000

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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.