Evidence map›Paper›PMID 42423179›Full record

Observational studyCardiovascular research2026

Atrial fibrillation in patients with left ventricular non-compaction: incidence and associations with stroke, heart failure, and mortality.

Amir Askarinejad, Thomas F Lüscher, Gregory Y H Lip

Abstract readObservational Study
In one paragraph

Observational study in Cardiovascular research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Amir AskarinejadLiverpool Centre for Cardiovascular Sciences at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, 6 W Derby St, Liverpool L7 8TX, UK.ORCID 0000-0003-2803-079X
Thomas F LüscherCenter for Molecular Cardiology, University of Zürich, 4th Floor Wagistrasse, Schlieren 12 8952, Switzerland.ORCID 0000-0002-5259-538X
Gregory Y H LipLiverpool Centre for Cardiovascular Sciences at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, 6 W Derby St, Liverpool L7 8TX, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsLeft ventricular non-compaction (LVNC) is a genetic cardiomyopathy with presentations ranging from asymptomatic disease to heart failure, stroke, and sudden cardiac death. LVNC-related structural and functional abnormalities may increase atrial fibrillation (AF) risk, but data are limited. We assessed AF incidence in LVNC and compared outcomes in patients with vs. without AF. METHODS AND

resultsTwo cohorts of patients were identified using the TriNetX platform: (i) patients with LVNC without a prior history of AF and (ii) patients with LVNC and AF. The primary objective was to assess the 3 year risk of a composite of all-cause mortality, stroke, acute myocardial infarction, and heart failure in the two cohorts. Hazard ratios (HRs) were derived from univariable Cox proportional models before and after propensity score matching (PSM). Matching was conducted using a greedy nearest-neighbour approach with a calliper of 0.1. Patients with LVNC and AF (N = 29 356) were older and exhibited a higher burden of comorbidities compared with LVNC patients without AF (N = 39 339). In this observational analysis, after PSM, AF in patients with LVNC was associated with higher risks of stroke [HR 1.466, 95% confidence interval (CI) 1.359-1.581], new-onset heart failure (HR 1.439, 95% CI 1.358-1.526), all-cause death (HR 1.255, 95% CI 1.200-1.312), and the composite outcome (HR 1.301, 95% CI 1.269-1.334) compared with LVNC patients without AF. The 1 year incidence of AF in patients with LVNC was 36 per 1000 person-years.

conclusionIn this observational cohort, LVNC was associated with a high incidence of AF, and the presence of AF was associated with higher risks of stroke, heart failure, and all-cause death. Further prospective studies are warranted to assess the prognostic impact of AF in patients with LVNC.

Indexed as

Atrial FibrillationHeart FailureIsolated Noncompaction of the Ventricular MyocardiumStrokeAgedComorbidityFemaleHumansIncidenceMaleMiddle AgedPrognosisRisk AssessmentRisk FactorsTime FactorsAtrial fibrillationLeft ventricular non-compactionStroke

Identifiers

PMID42423179
PMCPMC13604827

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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.