Evidence map›Paper›PMID 41908198›Full record

ArticleHeart rhythm O22026

Efficacy and safety of direct oral anticoagulants for intermediate stroke risk in patients with atrial fibrillation (SINGLE-AF): Study design and protocol.

Daehoon Kim, Young Soo Lee, Jaemin Shim, Junbeom Park, Jin-Kyu Park, Il-Young Oh, Ki-Woon Kang, Eue-Keun Choi, Kyoung-Min Park, Hyoung-Seob Park and 5 more

Abstract read
In one paragraph

Article in Heart rhythm O2, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Daehoon KimDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Young Soo LeeDivision of Cardiology, Daegu Catholic University Hospital, Daegu, Republic of Korea.
Jaemin ShimDepartment of Cardiology, Korea University Hospital, Seoul, Republic of Korea.
Junbeom ParkDepartment of Cardiology, Ewha Womans University Hospital, Seoul, Republic of Korea.
Jin-Kyu ParkDepartment of Cardiology, Hanyang University Seoul Hospital, Seoul, Republic of Korea.
Il-Young OhDepartment of Cardiology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Ki-Woon KangDivision of Cardiology, Chung-Ang University Hospital, Seoul, Republic of Korea.
Eue-Keun ChoiDepartment of Internal Medicine, Seoul National University College of Medicine and Seoul National University Hospital, Seoul, Republic of Korea.
Kyoung-Min ParkDivision of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Hyoung-Seob ParkDivision of Cardiology, Keimyung University Hospital, Daegu, Republic of Korea.
Hee Tae YuDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Tae-Hoon KimDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Jae-Sun UhmDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Hui-Nam PakDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Boyoung JoungDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The optimal antithrombotic strategy for patients with atrial fibrillation (AF) with intermediate stroke risk (CHA Objective: This study aimed to conduct a randomized clinical trial evaluating the safety and efficacy of OAC therapy compared with no OAC therapy in patients with AF at intermediate stroke risk. Methods: The Efficacy and Safety of Nonvitamin K Antagonist Oral Anticoagulants for Intermediate Stroke Risk in Patients With Atrial Fibrillation trial is an investigator-initiated, multicenter, open-label, superiority, randomized trial with blinded outcome assessment, enrolling 1800 patients with AF who have 1 nongender stroke risk factor, as indicated by their CHA Results: The primary endpoint is a composite of stroke, systemic embolism, major bleeding as defined by the International Society on Thrombosis and Hemostasis criteria, and cardiovascular death, assessed at 2 years after randomization. We hypothesized that OAC therapy would be superior to no OAC therapy for the net composite outcome among patients with AF. Conclusion: The Efficacy and Safety of Nonvitamin K Antagonist Oral Anticoagulants for Intermediate Stroke Risk in Patients With Atrial Fibrillation trial will evaluate the efficacy and safety of OAC therapy vs no OAC in patients with AF with a single nongender stroke risk factor, aiming to provide evidence to guide anticoagulation strategies in those with intermediate stroke risk.

Indexed as

AnticoagulationAtrial fibrillationMajor bleedingStroke preventionStudy protocol

Identifiers

PMID41908198
PMCPMC13031020

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.