Evidence map›Paper›PMID 41033708›Full record

Observational studyOpen heart2025

Association between circulating biomarkers and atrial fibrillation burden in patients with paroxysmal atrial fibrillation: a subanalysis of the RACE V study.

Maria Hee Jung Park Frausing, Michiel Rienstra, Mads Brix Kronborg, Mirko De Melis, Ulrich Schotten, Jens C Nielsen, Robert Tieleman, Harry Jgm Crijns, Isabelle C Van Gelder, Michelle Samuel

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Open heart, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02726698 (Reappraisal of Atrial Fibrillation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT02726698 completednot on this map

Reappraisal of Atrial Fibrillation: Interaction Between HyperCoagulability, Electrical Remodeling, and Vascular Destabilisation in the Progression of Atrial Fibrillation - An Observational Exploratory Study on Pathophysiological Mechanisms of AF Progression and on the Role of LinQ/CareLink Guided Patient Tailored Therapy in Patients With Atrial Fibrillation

TypeobservationalSponsorUniversity Medical Center GroningenRan2016 to 2024Enrolled750ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

10 authors.

Maria Hee Jung Park FrausingDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark mariseje@rm.dk.ORCID http://orcid.org/0000-0003-2026-1032
Michiel RienstraDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-2581-070X
Mads Brix KronborgDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Mirko De MelisCardiovascular Diagnostics, Medtronic Bakken Research Center BV, Maastricht, The Netherlands.
Ulrich SchottenDepartment of Cardiology, Maastricht University Medical Center, Maastricht, The Netherlands.
Jens C NielsenDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Robert TielemanDepartment of Cardiology, Martini Hospital, Groningen, The Netherlands.
Harry Jgm CrijnsDepartment of Cardiology, Maastricht University Medical Center, Maastricht, The Netherlands.
Isabelle C Van GelderDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Michelle SamuelDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiochemical markers of inflammation, coagulation and myocardial stress have been associated with both prevalent and incident atrial fibrillation (AF), but little is known about the relationship between biomarker expression and AF burden.

aimsOur aim was to investigate the association between cardiovascular biomarkers and AF burden and AF episode duration ≥24 hours. METHODS AND

resultsIn this multicentre observational cohort study, we included 404 patients with paroxysmal AF from the Reappraisal of Atrial Fibrillation: Interaction between Hypercoagulability, Electrical Remodelling and Vascular Destabilisation in the Progression of AF study and evaluated a total of 92 potential cardiovascular blood biomarkers. All patients completed 1 year of follow-up with continuous rhythm monitoring using an implanted loop recorder or a dual-chamber pacemaker. The relationship between biomarker expression and AF was investigated using multiple regression including nine preselected covariates: age, sex, prior heart failure, hypertension, renal insufficiency, prior stroke, coronary artery disease, body mass index and treatment with antiarrhythmic drugs. Elevated levels of N-terminal pro-B-type natriuretic peptide (NT-proBNP) were associated with higher AF burden (incidence rate ratio 1.75, 95% CI 1.75 to 2.06) and AF episode duration ≥24 hours (OR 1.78, 95% CI 1.39 to 2.27). Increased levels of matrix metalloproteinase 2, neurogenic locus notch homologue protein 3 and tumour necrosis factor receptor 2 were additionally associated with AF episode durations ≥24 hours.

conclusionsHigher circulating levels of NT-proBNP are associated with increased AF burden and AF episode duration ≥24 hours in patients with paroxysmal AF. TRIAL REGISTRATION NUMBER: NCT02726698.

Indexed as

Atrial FibrillationNatriuretic Peptide, BrainPeptide FragmentsAgedBiomarkersFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedProspective StudiesRisk FactorsTime FactorsBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Atrial FibrillationBiomarkersEpidemiology

Identifiers

PMID41033708
PMCPMC12496087

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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.