Evidence map›Paper›PMID 31779860›Full record

SynthesisIndian heart journal

Orthostatic hypotension is associated with new-onset atrial fibrillation: Systemic review and meta-analysis.

Narut Prasitlumkum, Jakrin Kewcharoen, Natthapon Angsubhakorn, Pakawat Chongsathidkiet, Pattara Rattanawong

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 33% of its field
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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
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

5 authors at 3 institutions in 2 countries.

Narut PrasitlumkumUniversity of Hawaii Internal Medicine Residency Program, Honolulu, HI, USA. Electronic address: narutpra@hawaii.edu.
Jakrin KewcharoenUniversity of Hawaii Internal Medicine Residency Program, Honolulu, HI, USA.
Natthapon AngsubhakornDepartment of Medicine, University of Minnesota, Minneapolis, MN, USA.
Pakawat ChongsathidkietDepartment of Pathology, Duke University Medical Center, Durham, NC, USA.
Pattara RattanawongUniversity of Hawaii Internal Medicine Residency Program, Honolulu, HI, USA; Department of Internal Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
University of Hawaii System · USDuke Medical Center · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOrthostatic hypotension (OH) is common among elderly patients. Its presence may herald severe underlying comorbidities and be associated with a higher risk of mortality. Interestingly, recent studies suggest that OH is associated with new-onset atrial fibrillation (AF). However, a systematic review and meta-analysis of the literature has not been performed. We assessed the association between AF and OH through a systematic review of the literature and a meta-analysis.

methodsWe comprehensively searched the databases of MEDLINE and EMBASE from inception to November 2018. Published prospective or retrospective cohort studies that compared new-onset AF between male patients with and without OH were included. Data from each study were combined using the random-effects, generic inverse-variance method of DerSimonian and Laird to calculate risk ratios and 95% confidence intervals.

resultsFour studies from October 2010 to March 2018 were included in the meta-analysis involving 76,963 subjects (of which 3318 were diagnosed with OH). The presence of OH was associated with new-onset AF (pooled risk ratio 1.48; 95% confidence interval [1.21, 1.81], p?< 0.001; I2 = 69.4%). In hypertensive patients, analysis revealed an association between OH and the occurrence of new-onset AF (OR 1.46; 95% CI [1.27, 1.68], p < 0.001 with I2 = 0).

conclusionsOH was associated with new-onset AF up to 1.5-fold compared with those subjects without OH. The interplay between OH and AF is likely bidirectional.

Indexed as

AgedAtrial FibrillationHumansHypotension, OrthostaticRisk FactorsAtrial fibrillationOrthostatic hypotension

Identifiers

PMID31779860
PMCPMC6890958
OpenAlexW2968262731

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.