Evidence map›Paper›PMID 34014121›Full record

Trial reportJournal of the American Heart Association2021

Arrhythmia Risk During the 2016 US Presidential Election: The Cost of Stressful Politics.

Lindsey Rosman, Elena Salmoirago-Blotcher, Rafat Mahmood, Hannan Yang, Quefeng Li, Anthony J Mazzella, Jeffrey Lawrence Klein, Joseph Bumgarner, Anil Gehi

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Review
  3. Variability in Pacemaker Battery Estimates and Performance.Pacing and clinical electrophysiology : PACE · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
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

9 authors at 2 institutions in 1 country.

Lindsey RosmanDivision of Cardiology Department of Medicine University of North Carolina at Chapel Hill NC.
Elena Salmoirago-BlotcherCenters for Behavioral and Preventive Medicine The Miriam Hospital Providence RI.
Rafat MahmoodDepartment of Medicine University of North Carolina at Chapel Hill NC.
Hannan YangDepartment of Biostatistics University of North Carolina at Chapel Hill NC.
Quefeng LiDepartment of Biostatistics University of North Carolina at Chapel Hill NC.
Anthony J MazzellaDivision of Cardiology Department of Medicine University of North Carolina at Chapel Hill NC.
Jeffrey Lawrence KleinDivision of Cardiology Department of Medicine University of North Carolina at Chapel Hill NC.
Joseph BumgarnerRex HospitalUniversity of North Carolina at Chapel Hill Health Raleigh NC.
Anil GehiDivision of Cardiology Department of Medicine University of North Carolina at Chapel Hill NC.
University of North Carolina at Chapel Hill · USBrown University · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
Stress and resilience in women with Takotsubo syndrome: Admin SupplementR01HL149672 · NHLBI · MIRIAM HOSPITAL · PI SALMOIRAGO-BLOTCHER, ELENA · 2020 to 2024
$2.9M
Gender Differences in Physical Activity Among Patients with Implantable Cardioverter Defibrillators (ICDs)K23HL141644 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROSMAN, LINDSEY · 2019 to 2023
$910k
Exploring the role of mindfulness training in the promotion of medication adherence in heart failure outpatientsR21HL140492 · NHLBI · MIRIAM HOSPITAL · PI SALMOIRAGO-BLOTCHER, ELENA · 2018 to 2019
$426k
NCATS NIH HHS UL1 TR002489NHLBI NIH HHS K23 HL141644NHLBI NIH HHS R01 HL149672NHLBI NIH HHS R21 HL140492
6 · The paper itself

Abstract

Background Anger and extreme stress can trigger potentially fatal cardiovascular events in susceptible people. Political elections, such as the 2016 US presidential election, are significant stressors. Whether they can trigger cardiac arrhythmias is unknown. Methods and Results In this retrospective case-crossover study, we linked cardiac device data, electronic health records, and historic voter registration records from 2436 patients with implanted cardiac devices. The incidence of arrhythmias during the election was compared with a control period with Poisson regression. We also tested for effect modification by demographics, comorbidities, political affiliation, and whether an individual's political affiliation was concordant with county-level election results. Overall, 2592 arrhythmic events occurred in 655 patients during the hazard period compared with 1533 events in 472 patients during the control period. There was a significant increase in the incidence of composite outcomes for any arrhythmia (incidence rate ratio [IRR], 1.77 [95% CI, 1.42-2.21]), supraventricular arrhythmia (IRR, 1.82 [95% CI, 1.36-2.43]), and ventricular arrhythmia (IRR, 1.60 [95% CI, 1.22-2.10]) during the election relative to the control period. There was also an increase in specific types of arrhythmia, including atrial fibrillation (IRR, 1.50 [95% CI, 1.06-2.11]), supraventricular tachycardia (IRR, 3.7 [95% CI, 2.2-6.2]), nonsustained ventricular tachycardia (IRR, 1.7 [95% CI, 1.3-2.2]), and daily atrial fibrillation burden (

Indexed as

PoliticsAgedArrhythmias, CardiacCosts and Cost AnalysisCross-Over StudiesFemaleFollow-Up StudiesHumansIncidenceMaleRetrospective StudiesRisk FactorsStress, PsychologicalTime FactorsUnited Statesarrhythmiaimplantable cardioverter‐defibrillatormental stresspacemakertriggers

Identifiers

PMID34014121
PMCPMC8483504
OpenAlexW3161076338

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.