Evidence map›Paper›PMID 34537932›Full record

ArticleThe international journal of cardiovascular imaging2022

Mechanical concordance between left atrium and left atrial appendage in nonvalvular atrial fibrillation: can it be exploited to avoid transesophageal echocardiography prior to electrical cardioversion during Covid-19 pandemic?

Andrea Sonaglioni, Michele Lombardo, Gian Luigi Nicolosi, Gian Franco Gensini, Giuseppe Ambrosio

Open access · bronzeAbstract read
In one paragraph

Article in The international journal of cardiovascular imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

17 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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  6. Left atrial global strain supports left atrial end-diastolic volume as a measure of left atrial function.American heart journal plus : cardiology research and practice · 2025
    Article
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  9. Critical Reflections on the Role of Transesophageal Echocardiography in Guiding Left Atrial Appendage Occlusion in Patients With Non-Organic Heart Disease.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025
    Article
  10. Role of Transesophageal Echocardiography in Guiding and Evaluating Left Atrial Appendage Occlusion in Patients With Non-Organic Heart Disease.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025
    Observational
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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

5 authors at 2 institutions in 1 country.

Andrea SonaglioniDepartment of Cardiology, Ospedale San Giuseppe MultiMedica, IRCCS, Via San Vittore 12, 20123, Milan, Italy. sonaglioniandrea@gmail.com.ORCID http://orcid.org/0000-0001-7641-8831
Michele LombardoDepartment of Cardiology, Ospedale San Giuseppe MultiMedica, IRCCS, Via San Vittore 12, 20123, Milan, Italy.
Gian Luigi NicolosiDepartment of Cardiology, Policlinico San Giorgio, Pordenone, Italy.
Gian Franco GensiniDepartment of Cardiology, Ospedale San Giuseppe MultiMedica, IRCCS, Via San Vittore 12, 20123, Milan, Italy.
Giuseppe AmbrosioCardiology and Cardiovascular Pathophysiology, Azienda Ospedaliero-Universitaria "S. Maria Della Misericordia", Perugia, Italy.
MultiMedica · ITAzienda Ospedaliera di Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transesophageal echocardiography (TEE) is the gold standard for assessing left atrial appendage (LAA) mechanic and thrombosis (LAAT); however, TEE is a high-risk procedure for viral transmission during coronavirus disease 2019 (COVID-19) pandemic. We investigated whether deformation indices of left atrium (LA) at transthoracic echocardiography (TTE) correlate with those of LAA assessed by TEE in nonvalvular atrial fibrillation (NVAF) patients undergoing electrical cardioversion (ECV). Consecutive patients with NVAF of ≥ 48 h or unknown duration, who underwent TEE and TTE at our Institution before ECV were retrospectively investigated. Standard echo-Doppler and LA and LAA myocardial strain and strain rate parameters were analyzed. A total of 115 NVAF patients (71.3 ± 8.1 yr/o, 59.1% men) were included: LAAT was diagnosed in 25 (21.7%) patients. Compared to patients without LAAT, those with LAAT had significantly higher CHA

Indexed as

Atrial AppendageAtrial FibrillationCOVID-19Echocardiography, TransesophagealElectric CountershockFemaleHeart AtriaHumansMalePandemicsPredictive Value of TestsRetrospective StudiesSARS-CoV-2COVID-19Left atrial appendage thrombosisLeft atrial myocardial strain analysisNonvalvular atrial fibrillationTransesophageal echocardiography

Identifiers

PMID34537932
PMCPMC8449702
OpenAlexW3201606066

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.