Evidence map›Paper›PMID 41406068›Full record

ReviewClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Cancer, Inflammation, and Thrombosis: Drivers of Atrial Fibrillation in Oncology Patients.

Ameer Awashra, Hamza A Abdul-Hafez, Moaath Swalha, Enas Samara, Bayan Mahafdah, Mohammed AbuBaha, Ahmed Emara, Anwar Zahran, Mohamed S Elgendy, Abdalhakim Shubietah

Abstract readReview
In one paragraph

Review in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Incidence of new-onset atrial fibrillation after thoracic radiotherapy in non-small cell lung cancer: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Review
  5. Acute oral Chagas disease following armadillo blood ingestion: a case report.Revista da Sociedade Brasileira de Medicina Tropical · 2026
    Article
  6. Article
  7. Left Atrial Appendage Occlusion in Cancer-Associated Atrial Fibrillation: Who, When, and How to Manage Antithrombotic Therapy.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Review
  8. Left Ventricular Thrombus in Oncology Patients and Beyond: Imaging, Treatment Choices, and Duration.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

10 authors.

Ameer AwashraDepartment of Medicine, An Najah National University, Nablus, Palestine.ORCID 0009-0002-5122-8200
Hamza A Abdul-HafezDepartment of Medicine, An Najah National University, Nablus, Palestine.ORCID 0009-0003-6089-240X
Moaath SwalhaDepartment of Medicine, An Najah National University, Nablus, Palestine.
Enas SamaraDepartment of Medicine, An Najah National University, Nablus, Palestine.
Bayan MahafdahFaculty of Medicine, Yarmouk University, Irbid, Jordan.
Mohammed AbuBahaDepartment of Medicine, An Najah National University, Nablus, Palestine.
Ahmed EmaraFaculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0009-0001-2718-8627
Anwar ZahranDepartment of Medicine, An Najah National University, Nablus, Palestine.
Mohamed S ElgendyFaculty of Medicine, Tanta University, Tanta, Gharbia, Egypt.
Abdalhakim ShubietahDepartment of Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundAtrial fibrillation (AF) is a frequent and serious cardiovascular complication in oncology patients, driven by shared pathophysiological mechanisms of inflammation, thrombosis, and cardiac remodeling. Cancer and its therapies significantly increase AF risk, impacting survival, quality of life, and management complexity.MethodsThis narrative review synthesizes current evidence on the epidemiology, pathogenesis, and management of AF in cancer, emphasizing inflammatory and prothrombotic pathways, treatment-related cardiotoxicity, and cardio-oncology strategies. Literature was retrieved from PubMed and recent cardio-oncology guidelines to provide an integrated overview of mechanistic insights and therapeutic implications.ResultsCancer patients exhibit up to a 10-fold higher risk of AF than the general population, particularly with esophageal, lung, and hematologic malignancies. Mechanistically, the NLRP3 inflammasome, neutrophil extracellular traps, and hypercoagulability promote atrial fibrosis and electrical instability. Cancer therapies-including anthracyclines, platinum agents, tyrosine kinase inhibitors, immunotherapies, and thoracic radiation-further potentiate AF. Management is challenging due to drug-drug interactions, bleeding risks, and altered pharmacokinetics. Evidence supports the use of direct oral anticoagulants when feasible and emphasizes multidisciplinary cardio-oncology collaboration. Personalized anticoagulation, vigilant rhythm monitoring, and shared decision-making are key to optimizing outcomes.ConclusionAF in cancer arises from a convergence of inflammation, thrombosis, and therapy-induced injury. A structured, multidisciplinary cardio-oncology approach integrating early risk stratification, tailored anticoagulation, and preventive strategies is essential. Future research should focus on oncology-specific risk prediction tools, biomarker-guided management, and randomized trials to refine evidence-based care for this high-risk population.

Indexed as

Atrial FibrillationInflammationNeoplasmsThrombosisHumansatrial fibrillationcancerinflammationreviewthrombosis

Identifiers

PMID41406068
PMCPMC12712319

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.