Altered left atrial metrics in patients with cryptogenic stroke: A systematic review and meta‐analysis Article Swipe
Amy Clark
,
Aaisha Ferkh
,
Jamie I. Vandenberg
,
James Elhindi
,
Liza Thomas
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/eci.14175
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/eci.14175
Background There is no defined cause for cryptogenic stroke/embolic stroke of undetermined source (CS‐ESUS). As atrial fibrillation (AF) develops in a significant proportion of these patients, it has been suggested that left atrial (LA) myopathy may predispose to CS‐ESUS. We investigated alterations in echocardiographic measures of LA size and function in patients with CS‐ESUS. Methods A systematic literature review and meta‐analysis was performed. PubMed, EMBASE, Cochrane Library, Web of Science and SCOPUS were searched for articles published between 1 January 1990 and 10 February 2023. All observational studies of adult CS‐ESUS patients with LA volume or function measurements performed by transthoracic echocardiogram were included. Individual random effects meta‐analyses were performed on LA measurements in the CS‐ESUS patients using subgroup analysis of comparator groups. Results We included 29 articles with 3927 CS‐ESUS patients. Analysis of weighted mean differences showed CS‐ESUS patients had altered LA structure and function parameters, with a larger maximum indexed LA volume, reduced LA emptying fraction and/or LA reservoir strain, compared to healthy controls and noncardioembolic stroke patients. Conversely, CS‐ESUS patients had a smaller left atrium with better function, compared to cardioembolic stroke patients and CS‐ESUS patients who subsequently developed atrial fibrillation. Conclusions LA volume and function are altered in CS‐ESUS patients compared to healthy controls and other stroke aetiologies. An underlying atrial myopathy in a subset of CS‐ESUS patients may be involved in both thrombogenesis and dysrhythmia (specifically AF). While LA functional assessment is not currently recommended following stroke, it may offer an opportunity for recurrent stroke risk stratification.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1111/eci.14175
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/eci.14175
- OA Status
- hybrid
- Cited By
- 4
- References
- 59
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391513991
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4391513991Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/eci.14175Digital Object Identifier
- Title
-
Altered left atrial metrics in patients with cryptogenic stroke: A systematic review and meta‐analysisWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-02-02Full publication date if available
- Authors
-
Amy Clark, Aaisha Ferkh, Jamie I. Vandenberg, James Elhindi, Liza ThomasList of authors in order
- Landing page
-
https://doi.org/10.1111/eci.14175Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/eci.14175Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/eci.14175Direct OA link when available
- Concepts
-
Medicine, Atrial fibrillation, Internal medicine, Cardiology, Meta-analysis, Stroke (engine), Subgroup analysis, Premature atrial contraction, Myopathy, Transthoracic echocardiogram, Embolic stroke, Ejection fraction, Ischemic stroke, Heart failure, Ischemia, Engineering, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4Per-year citation counts (last 5 years)
- References (count)
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59Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.patients | 52, 92, 117, 140, 173, 186, 189, 204, 222 |
| abstract_inverted_index.searched | 74 |
| abstract_inverted_index.subgroup | 119 |
| abstract_inverted_index.weighted | 135 |
| abstract_inverted_index.CS‐ESUS | 91, 116, 131, 139, 172, 188, 203, 221 |
| abstract_inverted_index.currently | 239 |
| abstract_inverted_index.developed | 192 |
| abstract_inverted_index.following | 241 |
| abstract_inverted_index.function, | 181 |
| abstract_inverted_index.included. | 104 |
| abstract_inverted_index.patients, | 26 |
| abstract_inverted_index.patients. | 132, 170 |
| abstract_inverted_index.performed | 99, 110 |
| abstract_inverted_index.published | 77 |
| abstract_inverted_index.recurrent | 249 |
| abstract_inverted_index.reservoir | 161 |
| abstract_inverted_index.structure | 144 |
| abstract_inverted_index.suggested | 30 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.CS‐ESUS. | 39, 54 |
| abstract_inverted_index.Individual | 105 |
| abstract_inverted_index.assessment | 236 |
| abstract_inverted_index.comparator | 122 |
| abstract_inverted_index.functional | 235 |
| abstract_inverted_index.literature | 58 |
| abstract_inverted_index.performed. | 63 |
| abstract_inverted_index.predispose | 37 |
| abstract_inverted_index.proportion | 23 |
| abstract_inverted_index.systematic | 57 |
| abstract_inverted_index.underlying | 214 |
| abstract_inverted_index.Conclusions | 195 |
| abstract_inverted_index.Conversely, | 171 |
| abstract_inverted_index.alterations | 42 |
| abstract_inverted_index.cryptogenic | 8 |
| abstract_inverted_index.differences | 137 |
| abstract_inverted_index.dysrhythmia | 230 |
| abstract_inverted_index.opportunity | 247 |
| abstract_inverted_index.parameters, | 147 |
| abstract_inverted_index.recommended | 240 |
| abstract_inverted_index.significant | 22 |
| abstract_inverted_index.(CS‐ESUS). | 14 |
| abstract_inverted_index.aetiologies. | 212 |
| abstract_inverted_index.fibrillation | 17 |
| abstract_inverted_index.investigated | 41 |
| abstract_inverted_index.measurements | 98, 113 |
| abstract_inverted_index.subsequently | 191 |
| abstract_inverted_index.undetermined | 12 |
| abstract_inverted_index.(specifically | 231 |
| abstract_inverted_index.cardioembolic | 184 |
| abstract_inverted_index.fibrillation. | 194 |
| abstract_inverted_index.observational | 87 |
| abstract_inverted_index.transthoracic | 101 |
| abstract_inverted_index.echocardiogram | 102 |
| abstract_inverted_index.stroke/embolic | 9 |
| abstract_inverted_index.thrombogenesis | 228 |
| abstract_inverted_index.meta‐analyses | 108 |
| abstract_inverted_index.meta‐analysis | 61 |
| abstract_inverted_index.stratification. | 252 |
| abstract_inverted_index.noncardioembolic | 168 |
| abstract_inverted_index.echocardiographic | 44 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 97 |
| corresponding_author_ids | https://openalex.org/A5032578857 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 5 |
| corresponding_institution_ids | https://openalex.org/I129604602, https://openalex.org/I2803024705, https://openalex.org/I31746571 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.5199999809265137 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.87038833 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |