Evidence map›Paper›PMID 18342226›Full record

ArticleJournal of the American College of Cardiology2008

Prolonged signal-averaged P-wave duration as an intermediate phenotype for familial atrial fibrillation.

Dawood Darbar, Amanda Hardy, Jonathan L Haines, Dan M Roden

Abstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Discovery ofBiology · 2023
    Article
  2. Article
  3. Observational
  4. Review
  5. Assessing Atrial Fibrillation Substrates by P Wave Analysis: A Comprehensive Review.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2020
    Review
  6. The Genetic Puzzle of Familial Atrial Fibrillation.Frontiers in cardiovascular medicine · 2020
    Review
  7. Atrial Fibrillation andCardiac electrophysiology clinics · 2014
    Article
  8. Article
  9. Number of P-wave fragmentations on P-SAECG correlates with infiltrated atrial fat.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2014
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Dawood DarbarDepartment of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee 37323-6602, USA. dawood.darbar@vanderbilt.edu
Amanda Hardy
Jonathan L Haines
Dan M Roden

Funding

PHARMACOGENOMICS OF ARRHYTHMIA THERAPYU01HL065962 · NHLBI · VANDERBILT UNIVERSITY · PI RODEN, DAN M · 2001 to 2009
$24.8M
The Genetic Basis of Atrial FibrillationK23HL075266 · NHLBI · VANDERBILT UNIVERSITY · PI DARBAR, DAWOOD · 2005 to 2009
$745k
NHLBI NIH HHS HL075266NHLBI NIH HHS K23 HL075266NHLBI NIH HHS U01 HL065962NHLBI NIH HHS UO1 HL65962
6 · The paper itself

Abstract

objectivesThis study sought to perform a genome-wide linkage analysis in a large atrial fibrillation (AF) kindred using AF and abnormally prolonged signal-averaged (SA) P-wave duration as the phenotype.

backgroundAlthough inherited forms of AF exist, phenotypic complexity has limited efforts to ascertain mutation carriers and thus identify causal genes. The identification of intermediate or endophenotypes may accelerate this effort.

methodsA genome-wide linkage analysis was performed in a 4-generation AF kindred of 27 individuals, 8 with AF documented by electrocardiogram. The analysis was performed using AF as the phenotype, and repeated using an abnormally prolonged SA P-wave duration as the phenotype.

resultsLinkage analysis and fine mapping generated a maximum multipoint logarithm of the odds (LOD) score of 3.0 at chromosome 5p15 between markers D5S406 and D5S635. Importantly, 8 heterozygous carriers had a prolonged SA P-wave (203 +/- 21 ms) compared with 17 noncarriers (116 +/- 12 ms, p < 0.00001). Using prolonged SA P-wave (conventionally defined as >155 ms) as an endophenotype, a maximum LOD score of 3.6 was obtained in the same region of chromosome 5p15, a span of 5.75 centi-Morgans.

conclusionsIn a large AF kindred, we have identified a novel AF locus on chromosome 5p15 and shown that affected individuals with AF and mutation carriers can be identified by a prolonged SA P-wave duration. Importantly, identification of an endophenotype in this kindred not only aided ascertainment of additional family members but also increased the LOD score, providing increased support for linkage at this locus. Identification of the causal gene, mapped to chromosome 5p15, will advance our understanding of the molecular basis of AF.

Indexed as

ElectrocardiographyGenetic Predisposition to DiseaseAdolescentAdultAgedAtrial FibrillationChildChromosome MappingFemaleGenetic LinkageHeart Conduction SystemHumansMaleMiddle AgedPedigreePhenotype

Identifiers

PMID18342226
PMCPMC2279191

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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 OpenQuestion graph.