Evidence map›Paper›PMID 34016038›Full record

ArticleBMC cardiovascular disorders2021

Association of arterial stiffness with incident atrial fibrillation: a cohort study.

Zakaria Almuwaqqat, J 'Neka S Claxton, Faye L Norby, Pamela L Lutsey, Jingkai Wei, Elsayed Z Soliman, Lin Y Chen, Kunihiro Matsushita, Gerardo Heiss, Alvaro Alonso

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Clinical research progress in pulse wave velocity in the assessment of vascular aging.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Review
  5. Review
  6. 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

10 authors at 7 institutions in 1 country.

Zakaria AlmuwaqqatDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA. zalmuwa@emory.edu.
J 'Neka S ClaxtonDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Faye L NorbyDivision of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Pamela L LutseyDivision of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Jingkai WeiDepartment of Epidemiology and Biostatistics, George Washington University, Washington, D.C, USA.
Elsayed Z SolimanEpidemiological Cardiology Research Center, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Lin Y ChenDivision of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Kunihiro MatsushitaDepartment of Epidemiology and the Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Bloomberg School of Public Health and the Division of General Internal Medicine, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Gerardo HeissDepartment of Epidemiology, Gilling's School Public Health, University of North Carolina, Chapel Hill, NC, USA.
Alvaro AlonsoDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Emory University · USUniversity of Minnesota · USGeorge Washington University · USJohns Hopkins University · USUniversity of Minnesota Medical Center · USUniversity of North Carolina at Chapel Hill · USWake Forest University · US

Funding

Mentoring in patient-oriented atrial fibrillation and cardiovascular researchK24HL148521 · NHLBI · EMORY UNIVERSITY · PI ALONSO, ALVARO · 2019 to 2023
$593k
American Heart Association-American Stroke Association 16EIA26410001NHLBI NIH HHS K24 HL148521
6 · The paper itself

Abstract

backgroundStiff arteries increase left ventricular (LV) end-systolic workload, leading over time to left atrial and ventricular remodeling, and providing the substrate for atrial fibrillation (AF) development. We investigated if carotid femoral pulse wave velocity (cfPWV), a measure of central arterial stiffness, is associated with incident AF.

methodsIn 2011-2013, cfPWV was measured in 3882 participants of the Atherosclerosis Risk in Communities Cohort Study (ARIC) without prevalent AF. Participants were followed through 2017 for the incidence of AF. Individuals were categorized in cfPWV quartiles based on visit measurements. Multivariable Cox regression models were used to evaluate the association of cfPWV with incident AF.

resultsMean age was 75 years (SD 5), 60% were female and 20% were African American. Over a median follow-up of 5.5 years we identified 331 incident cases of AF. cfPWV demonstrated U-shaped associations with AF risk. In models adjusted for age, race, center, sex, education levels, and hemodynamic and clinical factors, hazard ratios (HR) of AF for participants in the first, third and fourth quartiles were 1.49 (95% CI 1.06, 2.10), 1.59 (1.14, 2.10), and 1.56(1.10, 2.19), respectively, compared to those in the second quartile.

conclusionAmong community-dwelling older adults, low and high central arterial stiffness is associated with AF risk.

Indexed as

Vascular StiffnessAgedAged, 80 and overAtrial FibrillationAtrial Function, LeftAtrial RemodelingCarotid-Femoral Pulse Wave VelocityFemaleHumansIncidenceMalePredictive Value of TestsProspective StudiesRisk AssessmentRisk FactorsUnited StatesArterial stiffnessAtrial fibrillationHypertension

Identifiers

PMID34016038
PMCPMC8139144
OpenAlexW3163950042

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.