Evidence map›Paper›PMID 32861381›Full record

ArticleIndian heart journal

Association of left atrial deformation indices with left atrial appendage thrombus in patients with non valvular atrial fibrillation.

Shaimaa Mostafa, Khaled El-Rabbat, Safaa Salah, Eman Elkeishk

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
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

8 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Shaimaa MostafaDepartment of Cardiovascular Medicine, Benha Faculty of Medicine, Benha University, Egypt. Electronic address: shaimaamustafa2011@gmail.com.
Khaled El-RabbatDepartment of Cardiovascular Medicine, Benha Faculty of Medicine, Benha University, Egypt.
Safaa SalahDepartment of Cardiovascular Medicine, Benha Faculty of Medicine, Benha University, Egypt.
Eman ElkeishkDepartment of Cardiovascular Medicine, Benha Faculty of Medicine, Benha University, Egypt.
Benha University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAssessment of the value of left atrial deformation indices for prediction of left atrial appendage functioning patients with non-valvular atrial fibrillation.

methodThe study included 250 patients with non-valvular atrial fibrillation and normal left atrial dimension. Trans-thoracic and trans-esophageal echocardiography were performed. Patients were divided into two groups; patients with LAA thrombus (group I) and patients without LAA thrombus (group II), a correlation between trans-esophageal and trans-thoracic data was analyzed.

resultsGroup I included110 patients (44%) and Group II 140 patients (56%). By TDI mean LA strain and strain rate were lower in group I (21.89 ± 7.75% vs 35.14 ± 9.28%; p < 0.001) and (1.15/sec, IQR 0.12-3/sec versus 2.1/sec, IQR 0.21-3/sec, p < 0.001) respectively. By speckle tracking PALS and strain rate were lower in group I (24.79 ± 7.78% vs 37.63 ± 8.64%; p value < 0.001) and (0.95 ± 0.32/sec. Vs 1.27 ± 0.32/sec p, value < 0.001) respectively. By TEE; group I had lower LAA EF (39.2 ± 13.55% vs 53.86 ± 12.7%); p < 0.001, and lower LAA emptying velocity (17.53 cm/s, IQR 9.54-77.4 vs 63.5 cm/s, IQR 7.89-86.4; p < 0.001). There was a good correlation between LA TDI and speckle tracking PALS and PALSR and LAA EF% and velocity p < 0.001. TDI and PALS and PALSR were found to be significant predictors for LAA thrombus (P < 0.05) with good sensitivity and specificity.

conclusionLeft atrium deformation indices are predictors of LAA thrombus or SEC in patients with non-valvular AF with accepted sensitivity and specificity.

Indexed as

Atrial AppendageAtrial FibrillationAtrial Function, LeftCase-Control StudiesEchocardiography, TransesophagealFemaleHeart DiseasesHumansMaleMiddle AgedROC CurveThrombosisLeft atrial appendageSpeckle trackingStrainStrain rateTDI

Identifiers

PMID32861381
PMCPMC7474115
OpenAlexW3042250816

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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 Socratic graph.