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ArticleInternational journal of environmental research and public health2025

Atrial Fibrillation as a Geriatric Syndrome: Why Are Frailty and Disability Often Confused? A Geriatric Perspective from the New Guidelines.

Crescenzo Testa, Marco Salvi, Irene Zucchini, Chiara Cattabiani, Francesco Giallauria, Laura Petraglia, Dario Leosco, Fulvio Lauretani, Marcello Maggio

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Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

9 authors.

Crescenzo TestaGeriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy.ORCID 0000-0002-8360-5173
Marco SalviGeriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy.ORCID 0000-0002-6798-2948
Irene ZucchiniGeriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy.ORCID 0000-0002-7048-080X
Chiara CattabianiGeriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy.
Francesco GiallauriaDepartment of Translational Medical Sciences, "Federico II" University of Naples, Via S. Pansini 5, 80131 Naples, Italy.ORCID 0000-0003-4119-9397
Laura PetragliaDepartment of Translational Medical Sciences, "Federico II" University of Naples, Via S. Pansini 5, 80131 Naples, Italy.
Dario LeoscoDepartment of Translational Medical Sciences, "Federico II" University of Naples, Via S. Pansini 5, 80131 Naples, Italy.
Fulvio LauretaniGeriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy.
Marcello MaggioGeriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial Fibrillation can be considered a geriatric syndrome for its prevalence and incidence, its impact on patients' quality of life, and Health Systems' economy. The European Society of Cardiology 2024 guidelines introduce a recommendation for maintaining vitamin K antagonist therapy over switching to direct oral anticoagulants in clinically stable elderly patients with atrial fibrillation. This article explores the implications of this indication for the geriatric clinical context. The focus will also be devoted to the need for the stratification of older patients with atrial fibrillation, making an appropriate distinction between frailty and disability.

Indexed as

Atrial FibrillationFrailtyPersons with DisabilitiesAgedAged, 80 and overAnticoagulantsFrail ElderlyGeriatric AssessmentHumansPractice Guidelines as TopicSyndromeAnticoagulantsatrial fibrillationconcepts discrepancydisabilityfrailtyolder persons

Identifiers

PMID40003404
PMCPMC11855129

What Socratic holds

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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.