Evidence map›Paper›PMID 42712927›Full record

ArticleFrontiers in cardiovascular medicine2026

Serum copeptin predicts atrial fibrillation recurrence and is associated with increased all-cause mortality.

Martin Ihnatko, Zora Lazúrová, Ivana Jochmanová, Ľudmila Ihnatková, Ivica Lazúrová

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Article in Frontiers in cardiovascular medicine, 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

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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

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Martin Ihnatko1st Department of Internal Medicine, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovakia.
Zora Lazúrová4th Department of Internal Medicine, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovakia.
Ivana Jochmanová1st Department of Internal Medicine, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovakia.
Ľudmila IhnatkováDepartment of Hematology and Oncohematology, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovakia.
Ivica Lazúrová1st Department of Internal Medicine, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovakia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Copeptin, a stable surrogate marker of arginine vasopressin, reflects neurohumoral activation and hemodynamic stress. Its prognostic value in heart failure is established, but its role in atrial fibrillation (AF) recurrence and mortality remains unclear. This study aimed to compare copeptin concentrations in patients with AF and controls, evaluate biochemical and echocardiographic associations, and assess copeptin associations with 12-month AF recurrence and all-cause mortality. Methods: This prospective observational study included 100 hospitalized patients with AF and 50 controls in sinus rhythm. Participants underwent clinical evaluation, echocardiography, biochemical testing, and measurement of copeptin, N-terminal pro-B-type natriuretic peptide (NT-proBNP), and high-sensitivity cardiac troponin T (hsTnT). AF recurrence was evaluated in 62 patients after sinus-rhythm restoration; mortality was assessed in all 100 patients over a 12-month follow-up period. Results: Median copeptin concentration was higher in patients with AF than in controls, 14.52 (6.98-36.83) versus 4.10 (2.70-6.88) pmol/L ( Discussion: In hospitalized patients with AF, copeptin is elevated and associated with cardiac biomarkers, inflammation, and structural and functional echocardiographic abnormalities. Higher copeptin independently predicts AF recurrence after sinus-rhythm restoration and is associated with 12-month all-cause mortality, supporting its potential for risk stratification and prognostic assessment.

Indexed as

atrial fibrillationbiomarkerscopeptinmortalityrecurrence

Identifiers

PMID42712927
PMCPMC13550959

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