ArticleJACC. CardioOncology2026
Atrial Fibrillation Following Autologous Stem Cell Transplantation in Multiple Myeloma: Incidence, Predictors, and Prognostic Impact.
Article in JACC. CardioOncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Atrial Fibrillation After Stem Cell Transplantation: Sentinel of Systemic Vulnerability.JACC. CardioOncology · 2026Article
- Atrial fibrillation post hematopoietic stem cell transplant: incidence, risk factors, and management challenges.Frontiers in cardiovascular medicine · 2026Review
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Authors and funding
16 authors.
Funding
Abstract
backgroundAtrial fibrillation (AF) is a common and clinically significant complication in cancer patients, but data on its incidence and impact among multiple myeloma (MM) patients undergoing autologous stem cell transplantation (ASCT) remain limited.
objectivesThe aim of this study was to characterize the incidence, predictors, and prognostic implications of AF following ASCT in MM patients.
methodsA total of 801 MM patients who underwent ASCT between 2016 and 2022 were retrospectively analyzed. Pretransplantation evaluation included electrocardiography and echocardiography within 180 days of conditioning. Patients with AF at baseline were excluded. Post-transplantation AF was defined as electrocardiography-confirmed AF occurring after stem cell infusion.
resultsOver a median follow-up period of 36.2 months, 70 patients (8.7%) developed post-transplantation AF. The cumulative incidence was 5.5% at 90 days and 9.0% at 3 years, with a median onset of 13 days. Independent predictors included age >65 years (HR: 1.88; 95% CI: 1.16-3.07), prior paroxysmal AF (HR: 6.19; 95% CI: 3.63-10.5), and obesity (HR: 2.00; 95% CI: 1.10-3.63). Left atrial volume index >34 mL/m
conclusionsAF is a frequent and high-risk complication among MM patients undergoing ASCT. Routinely available clinical factors enable risk stratification, underscoring the importance of cardiovascular evaluation and vigilant post-transplantation monitoring in this vulnerable population.
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