ArticleObesity (Silver Spring, Md.)2016
Atrial electrocardiography in obesity and hypertension: Clinical insights from the Polish-Norwegian Study (PONS).
Article in Obesity (Silver Spring, Md.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Assessment of Hypertension Using Clinical Electrocardiogram Features: A First-Ever Review.Frontiers in medicine · 2020Pooled it
- Impact of Obesity on Atrial Electrophysiological Substrate.Journal of cardiovascular development and disease · 2023Review
- Artificial Intelligence-Enabled Electrocardiography Predicts Left Ventricular Dysfunction and Future Cardiovascular Outcomes: A Retrospective Analysis.Journal of personalized medicine · 2022Article
- The relationship between demographic features, anthropometric parameters, sleep duration, and physical activity with ECG parameters in Fasa Persian cohort study.BMC cardiovascular disorders · 2021Article
- Electrocardiographic QRS duration is influenced by body mass index and sex.International journal of cardiology. Heart & vasculature · 2021Article
- Neural networks applied to 12-lead electrocardiograms predict body mass index, visceral adiposity and concurrent cardiometabolic ill-health.Cardiovascular digital health journal · 2021Article
- Obesity and hypertension contribute to prolong QRS complex duration among middle-aged adults.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2019Article
- Body mass index related electrocardiographic findings in healthy young individuals with a normal body mass index.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2019Article
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3 authors at 3 institutions in 2 countries.
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Abstract
objectiveObesity and hypertension often coexist and represent risk factors for atrial fibrillation. This study hypothesized that their single and joint effects on atrial remodeling would be reflected in the PR interval and P-wave durations on electrocardiogram (ECG).
methodsThis cross-sectional analysis of a community-based study included 11,308 men and women age 45-64. Atrial indices were obtained from digital standard 12-lead resting ECG. Analyses were adjusted for traditional cardiovascular risk factors.
resultsBoth ECG indices displayed a progressive increase across anthropometric indices. Each 5-unit increment in body mass index (BMI) increased P-wave duration by 1.9 ms (95% CI 1.5-2.2) and PR interval by 2.4 ms (95% CI 1.9-3.0), with similar trends for central obesity, even among those without obesity by BMI. Both ECG indices displayed graded increases across levels of blood pressure control, including prehypertension. A joint effect of overweight and hypertension on both ECG indices was detected. P-wave duration or PR interval among people with obesity was not additionally increased by hypertension.
conclusionsP-wave indices increase in general and central obesity. Hypertension exerts an incremental effect in people with overweight but not in people with obesity. The study furthered the understanding of atrial remodeling in the setting of major atrial fibrillation risk factors.
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