Evidence map›Paper›PMID 34590877›Full record

SynthesisThe Journal of international medical research2021

Relationship between non-alcoholic fatty liver disease and cardiac arrhythmia: a systematic review and meta-analysis.

Hang Gong, Xianli Liu, Fang Cheng

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Hang GongDivision of Gastroenterology, Zigong First People's Hospital, Zigong, Sichuan Province, China.ORCID https://orcid.org/0000-0001-5985-1254
Xianli LiuDepartment of Ultrasound, Zigong First People's Hospital, Zigong, Sichuan Province, China.
Fang ChengDivision of Gastroenterology, Zigong First People's Hospital, Zigong, Sichuan Province, China.
Zigong First People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe performed a meta-analysis to create a quantitative estimate of the association between non-alcoholic fatty liver disease (NAFLD) and the risk of cardiac arrhythmia (including atrial fibrillation (AF), prolonged QT interval, premature atrial/ventricular contraction [PAC/PVC] and heart block).

methodsA literature review was conducted using PubMed, Embase, Web of Science and the Cochrane Library database to identify observational studies of the link between NAFLD and cardiac arrhythmia. Effect sizes were expressed as odds ratios (ORs) or hazard ratios (HRs) with 95% confidence intervals (CIs). The method of analysis of AF was also analysed separately, according to the effect estimate (OR or HR).

resultsNineteen studies of 7,012,960 individuals were included. NAFLD was independently associated with higher risks of AF (OR 1.71, 95% CI: 1.14-2.57; HR 1.12, 95% CI: 1.11-1.13), prolonged QT interval (OR 2.86, 95% CI: 1.64-4.99), PAC/PVC (OR 2.53, 95% CI: 1.70-3.78) and heart block (OR 2.65, 95% CI: 1.88-3.72). The heterogeneity of the data with respect to AF and prolonged QT was moderate on sensitivity analysis.

conclusionsWe found a significantly higher risk of cardiac arrhythmia in patients with NAFLD, but the observational design of the studies does not permit conclusions regarding causality.

Indexed as

Atrial FibrillationNon-alcoholic Fatty Liver DiseaseHumansOdds RatioProportional Hazards Modelsatrial fibrillationcardiac arrhythmiaheart blockmeta-analysisNon-alcoholic fatty liver diseasepremature ventricular contractionprolonged QT interval

Identifiers

PMID34590877
PMCPMC8489776
OpenAlexW3204511625

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.