Evidence map›Paper›PMID 32068183›Full record

ArticleHeart rhythm2020

Mechanisms of atrial fibrillation in aged rats with heart failure with preserved ejection fraction.

Thassio Ricardo Ribeiro Mesquita, Rui Zhang, Geoffrey de Couto, Jackelyn Valle, Lizbeth Sanchez, Russell G Rogers, Kevin Holm, Weixin Liu, Eduardo Marbán, Eugenio Cingolani

Open access · greenAbstract read
In one paragraph

Article in Heart rhythm, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 62 citations in OpenAlex.

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  10. Aging and sinus node dysfunction: mechanisms and future directions.Clinical science (London, England : 1979) · 2025
    Review
  11. Sexual dimorphism in animal models of heart failure with preserved ejection fraction.Journal of applied physiology (Bethesda, Md. : 1985) · 2025
    Review
  12. Time's imprint on the left atrium: aging and atrial myopathy.The journal of cardiovascular aging · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Thassio Ricardo Ribeiro MesquitaSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Rui ZhangSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California; Department of Cardiology, Xinhua Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, China.
Geoffrey de CoutoSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Jackelyn ValleSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Lizbeth SanchezSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Russell G RogersSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Kevin HolmSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Weixin LiuSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Eduardo MarbánSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Eugenio CingolaniSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California. Electronic address: eugenio.cingolani@csmc.edu.
Cedars-Sinai Smidt Heart Institute · USCedars-Sinai Medical Center · US

Funding

Exosome-mediated cardioprotection and regenerationR01HL124074 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI MARBAN, EDUARDO · 2014 to 2021
$4.0M
Biological pacemaker from proof-of-concept to clinicR01HL135866 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CINGOLANI, EUGENIO, GOLDHABER, JOSHUA I · 2017 to 2020
$3.2M
Calcium Regulation in Heart Failure with Preserved versus Reduced Ejection FractionR01HL147570 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CINGOLANI, EUGENIO, GOLDHABER, JOSHUA I · 2019 to 2022
$3.0M
NHLBI NIH HHS R01 HL124074NHLBI NIH HHS R01 HL135866NHLBI NIH HHS R01 HL147570
6 · The paper itself

Abstract

backgroundAlthough ∼20% of the elderly population develops atrial fibrillation (AF), little is known about the mechanisms. Heart failure with preserved ejection fraction (HFpEF), which is associated with AF, is more common in aged women than in men.

objectiveThe purpose of this study was to identify potential mechanisms of AF in an age-related HFpEF model.

methodsIn aged female Fischer F344 rats (21- to 24-month-old), which are prone to HFpEF, we induced AF by atrial pacing. Young Fischer F344 female rats (3- to 4-month-old) and age-matched Sprague Dawley female rats (27-month-old) served as controls. Phenotyping included echocardiography to assess left ventricular structure/function; in vivo electrophysiology and ex vivo high-resolution optical mapping to assess AF vulnerability; systemic and atrial inflammatory profiling; atrial histology; and expression of inflammasome signaling proteins.

resultsAged rats developed left ventricular hypertrophy, left atrial enlargement, diastolic dysfunction, and pulmonary congestion, without ejection fraction impairment, thus meeting the criteria for HFpEF. Increased serum inflammatory markers, hypertension, and obesity further characterize aged females. Sinoatrial and atrioventricular node dysfunction was associated with the high inducibility of AF in aged rats. Ex vivo electrical activation mapping revealed abnormal β-adrenergic responsiveness and slowed conduction velocity. Atrial inflammasome signaling was enhanced in aged rats, which may contribute to fibrotic remodeling and high AF susceptibility.

conclusionTogether, our data demonstrate that aging-related atrial remodeling and HFpEF are associated with atrial enlargement, fibrosis, conduction abnormalities, and nodal dysfunction, favoring a substrate conducive to AF.

Indexed as

Atrial RemodelingAnimalsDisease Models, AnimalEchocardiographyFemaleHeart AtriaHeart FailureHeart VentriclesRatsRats, Inbred F344Rats, Sprague-DawleyStroke VolumeVentricular Function, LeftAgingAtrial fibrillationFibrosisHFpEFInflammation

Identifiers

PMID32068183
PMCPMC7802887
OpenAlexW3006654408

What OpenQuestion holds

Textmetadata
LicenceTDM
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.