Evidence map›Paper›PMID 36386377›Full record

ArticleFrontiers in cardiovascular medicine2022

Epicardial adipose tissue is associated with left atrial volume and fibrosis in patients with atrial fibrillation.

Yaacoub Chahine, Bahareh Askari-Atapour, Kirsten T Kwan, Carter A Anderson, Fima Macheret, Tanzina Afroze, Savannah F Bifulco, Matthew D Cham, Karen Ordovas, Patrick M Boyle and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.8field-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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  10. Relationships between three-dimensional fibrosis distribution, atrial adiposity, and voltage abnormalities associated with persistent atrial fibrillation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
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  19. From bits to bedside: entering the age of digital twins in cardiac electrophysiology.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Review
  20. Atrial fibrillation substrate and impaired left atrial function: a cardiac MRI study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    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

11 authors at 1 institution in 1 country.

Yaacoub ChahineDivision of Cardiology, University of Washington, Seattle, WA, United States.
Bahareh Askari-AtapourDivision of Cardiology, University of Washington, Seattle, WA, United States.
Kirsten T KwanDepartment of Bioengineering, University of Washington, Seattle, WA, United States.
Carter A AndersonDepartment of Bioengineering, University of Washington, Seattle, WA, United States.
Fima MacheretDivision of Cardiology, University of Washington, Seattle, WA, United States.
Tanzina AfrozeDivision of Cardiology, University of Washington, Seattle, WA, United States.
Savannah F BifulcoDepartment of Bioengineering, University of Washington, Seattle, WA, United States.
Matthew D ChamDepartment of Radiology, University of Washington, Seattle, WA, United States.
Karen OrdovasDepartment of Radiology, University of Washington, Seattle, WA, United States.
Patrick M BoyleDepartment of Bioengineering, University of Washington, Seattle, WA, United States.
Nazem AkoumDivision of Cardiology, University of Washington, Seattle, WA, United States.
University of Washington · US

Funding

Mechanistic Relationships Between Fibrosis, Fibrillation, and Stroke: Multi-Scale, Multi-Physics SimulationsR01HL158667 · NHLBI · UNIVERSITY OF WASHINGTON · PI Patrick M Boyle · 2022 to 2026
$3.1M
NHLBI NIH HHS R01 HL158667
6 · The paper itself

Abstract

Background: Obesity is a risk factor for atrial fibrillation (AF) and strongly influences the response to treatment. Atrial fibrosis shows similar associations. Epicardial adipose tissue (EAT) may be a link between these associations. We sought to assess whether EAT is associated with body mass index (BMI), left atrial (LA) fibrosis and volume. Methods: LA fibrosis and EAT were assessed using late gadolinium enhancement, and Dixon MRI sequences, respectively. We derived 3D models incorporating fibrosis and EAT, then measured the distance of fibrotic and non-fibrotic areas to the nearest EAT to assess spatial colocalization. Results: One hundred and three AF patients (64% paroxysmal, 27% female) were analyzed. LA volume index was 54.9 (41.2, 69.7) mL/m Conclusion: LA EAT is associated with obesity (BMI) as well as LA volume and fibrosis. Regions of LA EAT did not colocalize with fibrotic areas, suggesting a systemic or paracrine mechanism rather than EAT infiltration of fibrotic areas.

Indexed as

atrial fibrillationcardiac magnetic resonance imagingDixon sequenceepicardial adipose tissuefibrosislate gadolinium enhancement (LGE) MRI

Identifiers

PMID36386377
PMCPMC9664066
OpenAlexW4307756529

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.