Evidence map›Paper›PMID 28344420›Full record

ArticleActa Cardiologica Sinica2017

Insomnia and the Risk of Atrial Fibrillation: A Population-Based Cohort Study.

Hsiu-Hao Lee, Yueh-Chung Chen, Jien-Jiun Chen, Shih-Hsiang Lo, Yue-Liang Guo, Hsiao-Yun Hu

Abstract read
In one paragraph

Article in Acta Cardiologica Sinica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Associations between insomnia and cardiovascular diseases: a meta-review and meta-analysis of observational and Mendelian randomization studies.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Pooled it
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  7. Neuropsychiatry of atrial fibrillation: dementia and beyond.Frontiers in cardiovascular medicine · 2025
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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

6 authors.

Hsiu-Hao LeeInstitution of Occupational Medicine and Industrial Hygiene, National Taiwan University College of Public Health; ; Department of Internal Medicine, Taipei City Hospital, Zhongxing Branch.
Yueh-Chung ChenGraduate Institute of Medical Sciences, National Defense Medical Center; ; Division of Cardiology, Department of Internal Medicine, Taipei City Hospital, Renai Branch, Taipei.
Jien-Jiun ChenCardiovascular Center, National Taiwan University Hospital, Yun-Lin Branch, Douliou.
Shih-Hsiang LoDepartment of Internal Medicine, Taipei City Hospital, Zhongxing Branch.
Yue-Liang GuoInstitution of Occupational Medicine and Industrial Hygiene, National Taiwan University College of Public Health.
Hsiao-Yun HuDepartment of Education and Research, Taipei City Hospital; ; Department of Public Health, Institute of Public Health, National Yang Ming University, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough advancements in the treatment of atrial fibrillation have improved patient prognosis for this persistent condition, interest in atrial fibrillation development is growing. Of note is the fact that additional attention is being focused on the accompanying effect of insomnia. The aim of the study was to investigate the effects of insomnia on the risk of atrial fibrillation development.

methodsThis was a nationwide population-based retrospective cohort study using data from the Taiwan National health Insurance Research Database. We analyzed 64,421 insomnia cases and 128,842 matched controls without insomnia from January 1, 2000, to December 31, 2010. A Cox regression model was used to estimate the adjusted hazard ratios (HRs) and 95% confidence intervals (CI) for atrial fibrillation development.

resultsDuring the follow-up period, the incidence of atrial fibrillation development was significantly higher in the insomnia cases than in the comparison cohort (2.6% vs. 2.3%, p < 0.001). Insomnia was associated with an increased risk of atrial fibrillation (HR = 1.08, 95% CI: 1.01-1.14). Males, those > 65 years of age, and patients with peripheral artery disease who have insomnia had a higher rate of atrial fibrillation development.

conclusionsThe findings of this nationwide analysis support the hypothesis that insomnia is associated with a significant risk of atrial fibrillation development.

Indexed as

Atrial fibrillationCohort studyInsomnia

Identifiers

PMID28344420
PMCPMC5364158

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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.