Evidence map›Paper›PMID 42845901›Full record

ArticleFrontiers in cardiovascular medicine2026

Diagnostic value of left atrial three-dimensional strain for paroxysmal atrial fibrillation in patients with acute ischemic stroke.

Yanni Wu, Xueyi Li, Chao Tang, Xiaorui Lv, Xia Zhang, Hui Li

Abstract read
In one paragraph

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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0citing papers in PubMed
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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yanni Wu *Department of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Xueyi Li *Department of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Chao Tang *Department of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Xiaorui LvDepartment of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Xia ZhangDepartment of Neurology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Hui LiDepartment of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the diagnostic and incremental value of left atrial three-dimensional (3D) strain parameters for paroxysmal atrial fibrillation (PAF) detected by short-term in-hospital cardiac monitoring and early Holter recording in patients with acute ischemic stroke (AIS). Methods: A total of 340 consecutive AIS patients were enrolled and divided into non-PAF ( Results: All 3D left atrial strain parameters showed diagnostic value for PAF [all area under the curve (AUC) > 0.6]. The base model incorporating age, sex, B-type natriuretic peptide (BNP, log-transformed), and left atrial maximum volume index (LAVI) yielded a C-index of 0.910. After adding left atrial reservoir-phase circumferential strain (LASr-c), the C-index increased to 0.932, with a continuous NRI of 0.8638 and IDI of 0.0973. Bootstrap validation confirmed model robustness (bias-corrected C-index = 0.919). DCA showed that the new model provided greater net clinical benefit across most risk threshold ranges. Conclusion: Left atrial 3D strain has good diagnostic value for in-hospital detected PAF in AIS patients. Adding LASr-c may improve PAF risk stratification and inform subsequent targeted rhythm monitoring.

Indexed as

acute ischemic strokediagnostic valueechocardiographyleft atrial three-dimensional strainparoxysmal atrial fibrillation

Identifiers

PMID42845901
PMCPMC13642124

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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.