ArticleClinical cardiology2017
Association between insomnia and atrial fibrillation in a Chinese population: A cross-sectional study.
Article in Clinical cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05414864 (Insomnia Prevalence and Treatment Impact on Systemic Hypertension), which is not on this map. Cited by 23 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.
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.
Insomnia Prevalence and Treatment Impact on Systemic Hypertension
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- The Prevalence of Insomnia Disorder in the General Population: A Meta-Analysis.Journal of sleep research · 2025Pooled it
- Effects of Cognitive Behavioral Therapy for Insomnia on Sleep, Symptoms, Stress, and Autonomic Function Among Patients With Heart Failure.Behavioral sleep medicineTrial
- [The role of psychosocial risk factors in the development and course of atrial fibrillation].Herzschrittmachertherapie & Elektrophysiologie · 2026Review
- Insomnia and the Risk of Atrial Fibrillation: A Nationwide, Real-World Cohort Study.Journal of the American Heart Association · 2026Article
- Sleep Disruption and Atrial Fibrillation: Evidence, Mechanisms and Clinical Implications.Circulation research · 2025Review
- Insomnia is related to long-term atrial fibrillation recurrence following radiofrequency ablation.Annals of medicine · 2024Article
- Increased susceptibility to new-onset atrial fibrillation in diabetic women with poor sleep behaviour traits: findings from the prospective cohort study in the UK Biobank.Diabetology & metabolic syndrome · 2024Article
- Insomnia and Early Incident Atrial Fibrillation: A 16-Year Cohort Study of Younger Men and Women Veterans.Journal of the American Heart Association · 2023Article
- Insomnia and Cardiovascular Health: Exploring the Link Between Sleep Disorders and Cardiac Arrhythmias.Current cardiology reports · 2023Review
- Association between insomnia and subclinical atherosclerosis among Chinese steelworkers: a cross-sectional survey.Archives of public health = Archives belges de sante publique · 2022Article
- Sleep duration and atrial fibrillation risk in the context of predictive, preventive, and personalized medicine: the Suita Study and meta-analysis of prospective cohort studies.The EPMA journal · 2022Article
- Genetically Predicted Insomnia in Relation to 14 Cardiovascular Conditions and 17 Cardiometabolic Risk Factors: A Mendelian Randomization Study.Journal of the American Heart Association · 2021Article
- Association of Sleep Duration With Atrial Fibrillation and Heart Failure: A Mendelian Randomization Analysis.Frontiers in genetics · 2021Article
- Association between earthquake experience and depression 37 years after the Tangshan earthquake: a cross-sectional study.BMJ open · 2019Article
- Sleep Duration and Risk of Atrial Fibrillation: a Systematic Review.Journal of atrial fibrillation · 2019Review
- Data on prevalence of atrial fibrillation and its association with stroke in low-, middle-, and high-income regions of China.Data in brief · 2018Article
- Insomnia and Atrial Fibrillation: Risk Assessment.Acta Cardiologica Sinica · 2018Article
- Insomnia and the Risk of Atrial Fibrillation: A Population-Based Cohort Study.Acta Cardiologica Sinica · 2018Article
- Lipid profile and incidence of atrial fibrillation: A prospective cohort study in China.Clinical cardiology · 2018Article
- The association between metabolic syndrome and asymptomatic carotid artery stenosis in menopausal women: a cross-sectional study in a Chinese population.Therapeutics and clinical risk management · 2018Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInsomnia is the most prevalent sleep disorder; however, little research has explored the link between insomnia and atrial fibrillation (AF). HYPOTHESIS: Insomnia is associated with increased risk of AF in a Chinese population.
methodsA total of 8371 Chinese participants (4314 males; mean age, 42.4 ± 13.1 years) were enrolled in this cross-sectional study to investigate the association between insomnia and AF. AF was assessed in a standard supine resting position with a 10-s 12-lead electrocardiograph (ECG) or by self-reported history. Insomnia was assessed using the Athens Insomnia Scale (AIS), and a score of ≥6 was regarded as having insomnia. The association between insomnia and AF was determined by logistic regression analysis.
resultsAmong the 8371 subjects, 1074 (12.8%) had different degrees of insomnia, and AF was observed in 50 subjects (0.60%). After adjusting for potential confounders, individuals with insomnia had moderately increased likelihood of suffering from AF compared with those without insomnia (odds ratio [OR]: 1.92, 95% confidence interval [CI]: 1.00-3.70, P = 0.05). After stratifying data by age, a significant positive association was found in those age <40 years (OR: 6.52, 95% CI: 1.64-25.83, P = 0.01), and a similar trend existed in males after stratifying by sex, although this relationship was not statistically significant (OR: 2.11, 95% CI: 0.92-4.83, P = 0.08).
conclusionsIndividuals with insomnia may have a higher risk of AF in the particular Chinese population assessed in this study. Age (<40 years) is a significant factor in the association between insomnia and AF.
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Registered trials
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.