Evidence map›Paper›PMID 35323617›Full record

ArticleJournal of cardiovascular development and disease2022

Coronary Artery Disease and Atrial Fibrillation: A Bidirectional Mendelian Randomization Study.

Tao Yan, Shijie Zhu, Changming Xie, Miao Zhu, Fan Weng, Chunsheng Wang, Changfa Guo

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 28 citations in OpenAlex.

  1. Impact of Atrial Fibrillation on Hospital Outcomes in NSTEMI Patients: A Retrospective Cohort Study.Journal of community hospital internal medicine perspectives · 2026
    Article
  2. Cardiovascular health and risks of atrial fibrillation and its prognosis.American journal of preventive cardiology · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. 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

7 authors at 4 institutions in 1 country.

Tao YanDepartment of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Shijie ZhuDepartment of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Changming XieDepartment of Cardiovascular, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen 518033, China.
Miao ZhuDepartment of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Fan WengDepartment of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Chunsheng WangDepartment of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Changfa GuoDepartment of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Zhongshan Hospital · CNFudan University · CNEighth Affiliated Hospital of Sun Yat-sen UniversitySun Yat-sen University · CN

Funding

General Program of the National Natural Science Foundation of China 81770408National Key Research and Development Program of China 2018YFC1311204
6 · The paper itself

Abstract

Background: Several works of observational clinical research indicate that coronary artery disease (CAD) and atrial fibrillation (AF) aggravate each other. However, it is unknown whether these associations reveal independent causal processes. Objective: The present study aimed to evaluate causal associations between CAD and AF using two-sample Mendelian randomization (TSMR) analysis. Methods: Summary-level Genome-wide association study (GWAS) data for CAD were obtained from the CARDIoGRAMplusC4D consortium, including 60,801 patients and 123,504 controls. General data for AF were acquired from the largest meta-analysis, comprising of 60,620 patients with AF and 970,216 non-cases. After data harmonization, three different methods—inverse-variance weighted (IVW), MR-Egger, and weighted-median—were applied for TSMR analysis. Results: The calculated ORs (95% CIs) for AF using IVW, MR-Egger, and weighted-median analysis were 1.11 (1.05, 1.17; p-value < 0.001), 1.14 (1.00, 1.29; p-value = 0.049), and 1.13 (1.08, 1.19; p-value < 0.001), respectively; for CAD, the results were 1.01 (0.97, 1.04; p-value = 0.76), 0.95 (0.89, 1.02; p-value = 0.15), and 1.00 (0.95, 1.05; p-value = 0.97). Conclusion: This comprehensive TSMR analysis provides evidence that patients with CAD are associated with an increased risk of AF. However, no causal association was found between patients with AF and the risk of CAD. These findings benefit clinical decision-making. Early heart-rhythm monitoring should be performed in patients with CAD. The prevention and treatment of AF complications such as thrombosis may be essential to reduce the incidence of CAD in AF patients.

Indexed as

atrial fibrillationcoronary artery diseasegeneticsMendelian randomization

Identifiers

PMID35323617
PMCPMC8949548
OpenAlexW4214667919

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.