Evidence map›Paper›PMID 31941463›Full record

ArticleMolecular medicine (Cambridge, Mass.)2020

Exploring the causal pathway from ischemic stroke to atrial fibrillation: a network Mendelian randomization study.

Lei Hou, Mingqing Xu, Yuanyuan Yu, Xiaoru Sun, Xinhui Liu, Lu Liu, Yunxia Li, Tonghui Yuan, Wenchao Li, Hongkai Li and 1 more

Abstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 6 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

34 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Association between DPP6 gene rs10260404 polymorphism and increased risk of sporadic amyotrophic lateral sclerosis (sALS): a meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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  20. Cardiac Troponin I and Risk of Stroke: A Mendelian Randomization Study.International journal of general medicine · 2022
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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

11 authors.

Lei HouHealthcare Big Data Institute of Shandong University, Jinan, 250000, People's Republic of China.
Mingqing XuBio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Shanghai Jiao Tong University, Shanghai, 200030, People's Republic of China.
Yuanyuan YuHealthcare Big Data Institute of Shandong University, Jinan, 250000, People's Republic of China.
Xiaoru SunHealthcare Big Data Institute of Shandong University, Jinan, 250000, People's Republic of China.
Xinhui LiuHealthcare Big Data Institute of Shandong University, Jinan, 250000, People's Republic of China.
Lu LiuHealthcare Big Data Institute of Shandong University, Jinan, 250000, People's Republic of China.
Yunxia LiHealthcare Big Data Institute of Shandong University, Jinan, 250000, People's Republic of China.
Tonghui YuanHealthcare Big Data Institute of Shandong University, Jinan, 250000, People's Republic of China.
Wenchao LiHealthcare Big Data Institute of Shandong University, Jinan, 250000, People's Republic of China.
Hongkai LiHealthcare Big Data Institute of Shandong University, Jinan, 250000, People's Republic of China. 15253114451@163.com.
Fuzhong XueHealthcare Big Data Institute of Shandong University, Jinan, 250000, People's Republic of China. xuefzh@sdu.edu.cn.ORCID 0000-0003-0378-7956

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePrevious studies have found ischemic stroke is associated with atrial fibrillation. However, the causal association between ischemic stroke and atrial fibrillation is not clear. Furthermore, the network relationship among ischemic stroke, atrial fibrillation and its risk factors need further attention. This study aims to examine the potential causal association between ischemic stroke and atrial fibrillation and further to explore potential mediators in the causal pathway from ischemic stroke to atrial fibrillation.

methodsSummary statistics from the ISGC (case = 10,307 and control = 19,326) were used as ischemic stroke genetic instruments, AFGen Consortium data (case = 65,446 and control = 522,744) were used for atrial fibrillation, and other consortia data were used for potential mediators (fasting insulin, white blood cell count, procalcitonin, systolic and diastolic blood pressure, body mass index, waist circumference, and height). Under the framework of network Mendelian randomization, two-sample Mendelian randomization study was performed using summary statistics from several genome-wide association studies. Inverse-variance weighted method was performed to estimate causal effect.

resultsBlood pressure mediates the causal pathways from ischemic stroke to atrial fibrillation. The total odds ratio of ischemic stroke on atrial fibrillation was 1.05 (95% confidence interval [CI], 1.02 to 1.07; P = 1.3 × 10

conclusionsOur study provided a strong evidence that raised blood pressure in stroke patients increases the risk of atrial fibrillation and active acute blood pressure lowering can improve the outcome in ischemic stroke patients.

Indexed as

Disease SusceptibilityAtrial FibrillationBlood PressureDatabases, GeneticFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansIschemic StrokeMaleMendelian Randomization AnalysisModels, TheoreticalPhenotypePolymorphism, Single NucleotideRisk FactorsAtrial fibrillationBidirectional causalityIschemic strokeNetwork Mendelian randomization

Identifiers

PMID31941463
PMCPMC6964084

What OpenQuestion holds

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LicenceCC BY
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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.