Evidence map›Paper›PMID 38873860›Full record

Observational studyClinical cardiology2024

The relationship between ambulatory arterial stiffness index and incident atrial fibrillation.

Christopher J Boos, Aung Hein, Tom Wardill, Sadaf Diamondali, Su Wai, Peter O'Kane, Ahmed Khattab

Abstract readObservational Study
In one paragraph

Observational study in Clinical cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Christopher J BoosDepartment of Cardiology, University Hospitals Dorset, Dorset, UK.ORCID http://orcid.org/0000-0002-3381-5068
Aung HeinFaculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK.
Tom WardillFaculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK.ORCID http://orcid.org/0000-0002-9934-3593
Sadaf DiamondaliFaculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK.
Su WaiDepartment of Cardiology, University Hospitals Dorset, Dorset, UK.
Peter O'KaneDepartment of Cardiology, University Hospitals Dorset, Dorset, UK.
Ahmed KhattabFaculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK.ORCID http://orcid.org/0000-0003-2541-4544

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ambulatory arterial stiffness index (AASI) is an indirect measure of blood pressure variability and arterial stiffness which are atrial fibrillation (AF) risk factors. The relationship between AASI and AF development has not been previously investigated and was the primary aim of this study.

methodsThis was an observational cohort study of adults (aged 18-85 years) in sinus rhythm, who underwent 24-h ambulatory blood pressure monitoring (ABPM) for the diagnosis of hypertension or its control.

resultsEight hundred and twenty-one patients (49% men) aged 58.7 ± 15.3 years were followed up for a median of 4.0 years (3317 patient-years). In total, 75 patients (9.1%) developed ≥1 AF episode during follow-up. The mean AASI was 0.46 ± 0.17 (median 0.46). AASI values (0.52 ± 0.16 vs. 0.45 ± 0.17; p < .001) and the proportion of AASI values above the median (65.3% vs. 48.4%; p = .005) were greater among the patients who developed AF versus those that did not respectively. AASI significantly correlated with age (r = .49; 95% confidence interval: 0.44-0.54: p < .001). On Kaplan-Meier analysis, higher baseline AASI by median, tertiles, and quartiles were all significantly associated with AF development (X

conclusionsAASI is an independent predictor of AF development. However, this relationship becomes insignificant after adjustment for age which is higher correlated with AASI.

Indexed as

Atrial FibrillationBlood Pressure Monitoring, AmbulatoryVascular StiffnessAdolescentAdultAgedAged, 80 and overBlood PressureFemaleFollow-Up StudiesHumansHypertensionIncidenceMaleMiddle AgedPredictive Value of TestsAASIambulatory arterial stiffness indexambulatory blood pressureatrial fibrillation

Identifiers

PMID38873860
PMCPMC11177039

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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.