Evidence map›Paper›PMID 41375667›Full record

ReviewJournal of clinical medicine2025

Atrial Cardiomyopathy: A "Distinct Clinical Entity" for a Deeper Understanding of Atrial Fibrillation and Cardioembolic Stroke.

Cristian Martignani, Alberto Spadotto, Maria Carelli, Giulia Massaro, Lorenzo Bartoli, Igor Diemberger, Mauro Biffi, Cristiana Corsi, Barbara Zanuttigh

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Cristian MartignaniCardiology Unit, Cardio-Thoracic and Vascular Department, Azienda Ospedaliera Universitaria di Bologna, IRCCS Policlinico S. Orsola, 40138 Bologna, Italy.ORCID 0000-0001-8774-2127
Alberto SpadottoCardiology Unit, Cardio-Thoracic and Vascular Department, Azienda Ospedaliera Universitaria di Bologna, IRCCS Policlinico S. Orsola, 40138 Bologna, Italy.ORCID 0000-0001-8452-7405
Maria CarelliCardiology Unit, Cardio-Thoracic and Vascular Department, Azienda Ospedaliera Universitaria di Bologna, IRCCS Policlinico S. Orsola, 40138 Bologna, Italy.ORCID 0000-0001-5518-6226
Giulia MassaroCardiology Unit, Cardio-Thoracic and Vascular Department, Azienda Ospedaliera Universitaria di Bologna, IRCCS Policlinico S. Orsola, 40138 Bologna, Italy.ORCID 0000-0002-1227-5787
Lorenzo BartoliCardiology Unit, Cardio-Thoracic and Vascular Department, Azienda Ospedaliera Universitaria di Bologna, IRCCS Policlinico S. Orsola, 40138 Bologna, Italy.ORCID 0000-0002-8437-0222
Igor DiembergerCardiology Unit, Cardio-Thoracic and Vascular Department, Azienda Ospedaliera Universitaria di Bologna, IRCCS Policlinico S. Orsola, 40138 Bologna, Italy.ORCID 0000-0002-3823-3809
Mauro BiffiCardiology Unit, Cardio-Thoracic and Vascular Department, Azienda Ospedaliera Universitaria di Bologna, IRCCS Policlinico S. Orsola, 40138 Bologna, Italy.ORCID 0000-0003-4590-8584
Cristiana CorsiDepartment of Electrical, Electronic and Information Engineering "Guglielmo Marconi" (DEI), University of Bologna, Campus of Cesena, 40126 Cesena, Italy.
Barbara ZanuttighDipartimento di Ingegneria Civile, Chimica, Ambientale e dei Materiali (DICAM), Università di Bologna, 40136 Bologna, Italy.ORCID 0000-0001-7728-1320

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A significant portion of embolic strokes occurs without documented atrial fibrillation (AF), challenging the traditional paradigm of cardioembolism. This review addresses the emerging concept of "atrial cardiopathy" as a distinct clinical entity-an underlying atrial substrate abnormality, characterized by fibrosis and dysfunction, that promotes thromboembolism independent of AF. We posit that AF is often a late-stage manifestation of atrial cardiopathy, not the sole trigger for thrombosis. This paper synthesizes the growing evidence linking biomarkers of atrial cardiopathy to Embolic Stroke of Undetermined Source (ESUS). This new framework has profound clinical implications, suggesting a shift from arrhythmia detection to assessing atrial substrate health for stroke risk stratification. Recognizing atrial cardiopathy is fundamental for developing novel "upstream" therapies, such as targeted anticoagulation, aimed at preventing both AF and its devastating thromboembolic consequences. This review critically evaluates the evidence and translational gaps in the field, synthesizing the emerging role of advanced computational modeling as a key future tool for personalized risk stratification.

Indexed as

atrial cardiomyopathyatrial failureatrial fibrillationatrial fibrosisCardiac Magnetic ResonanceEmbolic Stroke of Undetermined Sourceleft atrial strainstroke prevention

Identifiers

PMID41375667
PMCPMC12693168

What Socratic holds

Textmetadata
LicenceCC BY
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.