Evidence map›Paper›PMID 42277666›Full record

Observational studyBMC cardiovascular disorders2026

Clinical characteristics, antithrombotic strategies, and outcomes in patients with atrial fibrillation and coronary heart disease undergoing percutaneous coronary intervention: a multicenter real-world study in Chongqing, China.

Naiyue Bao, Jiacan Wu, Zhuo Li, Chengcheng Li, Hua Xiao

Abstract readMulticenter StudyObservational StudyComparative Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Naiyue BaoDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Jiacan WuDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Zhuo LiDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Chengcheng LiDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Hua XiaoDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China. 202235@hospital.cqmu.edu.cn.ORCID http://orcid.org/0000-0002-6116-627X

Funding

The Natural Science Foundation of Chongqing GSTB2023NSCQ-MSX0491
6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) with coronary artery disease (CAD) requiring percutaneous coronary intervention (PCI) - including both acute and chronic presentations - is common, yet the optimal antithrombotic regimen remains unclear. This study aimed to characterize clinical features, current antithrombotic therapy, and discharge prognosis in this population.

methodsData were collected from three independent annual cohorts of patients with atrial fibrillation and coronary heart disease undergoing PCI (2013, 2018, and 2023). First, cross-sectional comparisons across the three years were performed to examine temporal trends in clinical characteristics and discharge antithrombotic therapy. Predictors of discharge antithrombotic therapy were then analyzed in the 2023 cohort. Second, the 2023 cohort was prospectively followed for a median of 17 months (interquartile range 9-24 months; range 0.5-32 months) to evaluate clinical outcomes according to different antithrombotic regimens and to identify independent risk factors.

resultsOf the 1,062 participants, 479 underwent longitudinal follow-up (median 17 months, IQR 9-24; range 0.5-32). Independent predictors of intensified antithrombotic therapy included recent PCI, proton pump inhibitor use, and statin use; independent predictors of antiplatelet therapy included recent PCI, age, liver dysfunction, left atrial diameter, proton pump inhibitor use, heart failure, and non-paroxysmal atrial fibrillation. During follow-up, anticoagulant therapy showed a trend toward higher MACCEs risk compared with intensified antithrombotic therapy (HR 1.47, 95% CI 0.97-2.24, P=0.073) and antiplatelet therapy (HR 1.33, 95% CI 0.79-2.22, P=0.280), with no significant difference between the latter two (HR 1.15, 95% CI 0.71-1.88, P=0.567). Multivariate Cox regression identified liver dysfunction, diabetes, and HAS-BLED score as independently associated with MACCEs, while higher hemoglobin and statin use were associated with lower risk.

conclusionsOver the years, more AF with CHD patients after PCI received post-discharge antithrombotic therapy. Liver dysfunction, diabetes, and a high HAS‑BLED score were independently associated with MACCEs, while statin use was associated with lower risks of all‑cause death, MI, and ischemia‑driven revascularization.

Indexed as

AnticoagulantsAtrial FibrillationCoronary Artery DiseaseFibrinolytic AgentsPercutaneous Coronary InterventionAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPatient DischargeProspective StudiesRisk AssessmentRisk FactorsAnticoagulantsFibrinolytic AgentsAntithrombotic therapyAtrial fibrillationChronic coronary syndromeClinical featuresPrognosis

Identifiers

PMID42277666
PMCPMC13483728

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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.