Evidence map›Paper›PMID 36801832›Full record

ArticleHeart (British Cardiac Society)2023

Inflammatory proteomics profiling for prediction of incident atrial fibrillation.

Christin S Börschel, Alfredo Ortega-Alonso, Aki S Havulinna, Pekka Jousilahti, Marko Salmi, Sirpa Jalkanen, Salomaa Veikko, Teemu Niiranen, Renate B Schnabel

Open access · hybridAbstract read
In one paragraph

Article in Heart (British Cardiac Society), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Heterogeneity in valvular heart disease: differential predictive performance of CAR.International journal of surgery (London, England) · 2026
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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

9 authors at 4 institutions in 2 countries.

Christin S BörschelDepartment of Cardiology, University Heart and Vascular Centre Hamburg-Eppendorf, Hamburg, Germany ch.boerschel@uke.de.ORCID 0000-0001-9920-0229
Alfredo Ortega-AlonsoDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.
Aki S HavulinnaDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.
Pekka JousilahtiDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.
Marko SalmiMediCity Research Laboratory, Institute of Biomedicine and InFLAMES flagship, Turku, Finland.
Sirpa JalkanenMediCity Research Laboratory, Institute of Biomedicine and InFLAMES flagship, Turku, Finland.
Salomaa VeikkoDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.
Teemu NiiranenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.
Renate B SchnabelDepartment of Cardiology, University Heart and Vascular Centre Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-7170-9509
Finnish Institute for Health and Welfare · FIUniversität Hamburg · DEUniversity of Helsinki · FIUniversity of Turku · FI

Funding

Medical Research Council 80983Medical Research Council G0601463
6 · The paper itself

Abstract

objectiveAtrial fibrillation (AF) has emerged as a common condition in older adults. Cardiovascular risk factors only explain about 50% of AF cases. Inflammatory biomarkers may help close this gap as inflammation can alter atrial electrophysiology and structure. This study aimed to determine a cytokine biomarker profile for this condition in the community using a proteomics approach.

methodsThis study uses cytokine proteomics in participants of the Finnish population-based FINRISK cohort studies 1997/2002. Risk models for 46 cytokines were developed to predict incident AF using Cox regressions. Furthermore, the association of participants' C reactive protein (CRP) and N-terminal pro B-type natriuretic peptide (NT-proBNP) concentrations with incident AF was examined.

resultsIn 10 744 participants (mean age of 50.9 years, 51.3% women), 1246 cases of incident AF were observed (40.5% women). The main analyses, adjusted for participants' sex and age, suggested that higher concentrations of macrophage inflammatory protein-1β (HR=1.11; 95% CI 1.04, 1.17), hepatocyte growth factor (HR=1.12; 95% CI 1.05, 1.19), CRP (HR=1.17; 95% CI 1.10, 1.24) and NT-proBNP (HR=1.58; 95% CI 1.45, 1.71) were associated with increased risk of incident AF. In further clinical variable-adjusted models, only NT-proBNP remained statistically significant.

conclusionOur study confirmed NT-proBNP as a strong predictor for AF. Observed associations of circulating inflammatory cytokines were primarily explained by clinical risk factors and did not improve risk prediction. The potential mechanistic role of inflammatory cytokines measured in a proteomics approach remains to be further elucidated.

Indexed as

Atrial FibrillationAgedBiomarkersC-Reactive ProteinCytokinesFemaleHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsProteomicsRisk FactorsBiomarkersC-Reactive ProteinCytokinesNatriuretic Peptide, BrainPeptide Fragmentsatrial fibrillationbiomarkersepidemiologyinflammation

Identifiers

PMID36801832
PMCPMC10314054
OpenAlexW4321200421

What OpenQuestion holds

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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.