Evidence map›Paper›PMID 39190571›Full record

SynthesisJournal of the American Heart Association2024

Assessment of Left Atrial Fibrosis by Cardiac Magnetic Resonance Imaging in Ischemic Stroke Patients Without Atrial Fibrillation: A Systematic Review and Meta-Analysis.

Jin Hean Koh, Lincoln Kai En Lim, Ying Kiat Tan, Claire Goh, Yao Hao Teo, Jamie Sin Ying Ho, Mayank Dalakoti, Mark Yan Yee Chan, Ching-Hui Sia, Leonard Leong Litt Yeo and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Journal of the American Heart Association · 2024
    Article
  6. Article
  7. 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

11 authors.

Jin Hean KohYong Loo Lin School of Medicine National University of Singapore Singapore City Singapore.ORCID 0000-0003-3631-3810
Lincoln Kai En LimYong Loo Lin School of Medicine National University of Singapore Singapore City Singapore.ORCID 0000-0002-5131-3109
Ying Kiat TanYong Loo Lin School of Medicine National University of Singapore Singapore City Singapore.ORCID 0000-0002-0118-5049
Claire GohYong Loo Lin School of Medicine National University of Singapore Singapore City Singapore.
Yao Hao TeoYong Loo Lin School of Medicine National University of Singapore Singapore City Singapore.ORCID 0000-0003-0439-4097
Jamie Sin Ying HoDepartment of Medicine National University Health System Singapore City Singapore.ORCID 0000-0002-1180-6902
Mayank DalakotiDepartment of Cardiology National University Heart Centre Singapore City Singapore.
Mark Yan Yee ChanYong Loo Lin School of Medicine National University of Singapore Singapore City Singapore.ORCID 0000-0003-0389-7450
Ching-Hui SiaYong Loo Lin School of Medicine National University of Singapore Singapore City Singapore.ORCID 0000-0002-2764-2869
Leonard Leong Litt YeoYong Loo Lin School of Medicine National University of Singapore Singapore City Singapore.ORCID 0000-0002-4249-0402
Benjamin Yong Qiang TanYong Loo Lin School of Medicine National University of Singapore Singapore City Singapore.ORCID 0000-0003-1824-9077

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft atrial (LA) fibrosis is a marker of atrial cardiomyopathy and has been reported to be associated with both atrial fibrillation and ischemic stroke. Elucidating this relationship is clinically important as LA fibrosis could serve as a surrogate biomarker of LA cardiomyopathy. The objective of this study is to investigate the association of LA fibrosis and embolic stroke of undetermined source (ESUS) using cardiac magnetic resonance imaging. METHODS AND

resultsFollowing an International Prospective Register of Systematic Reviews-registered protocol, 3 blinded reviewers performed a systematic review for studies that quantified the degree of LA fibrosis in patients with ESUS as compared with healthy patients from inception to February 2024. A meta-analysis was conducted in the mean difference. From 7 studies (705 patients), there was a significantly higher degree of LA fibrosis in patients with ESUS compared with healthy controls (MD, 5.71% [95% CI, 3.55%-7.87%],

conclusionsA significantly higher degree of LA fibrosis was found in patients with ESUS as compared with healthy controls. This suggests that LA fibrosis may play a significant role in the pathogenesis of ESUS. Further research is warranted to investigate LA fibrosis as a surrogate biomarker of atrial cardiomyopathy and recurrent stroke risk in patients with ESUS.

Indexed as

CardiomyopathiesHeart AtriaIschemic StrokeAtrial Function, LeftFibrosisHumansMagnetic Resonance ImagingMagnetic Resonance Imaging, Cineacute strokeembolic strokeischemic strokemagnetic resonance imagingmodifiable risk factors for stroke

Identifiers

PMID39190571
PMCPMC11646534

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.