Evidence map›Paper›PMID 39169682›Full record

ReviewClinical cardiology2024

Effect of Obesity on the Use of Antiarrhythmics in Adults With Atrial Fibrillation: A Narrative Review.

Fahad Shaikh, Rochelle Wynne, Ronald L Castelino, Patricia M Davidson, Sally C Inglis, Caleb Ferguson

Abstract readReview
In one paragraph

Review in Clinical cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Obesity and Atrial Fibrillation: A Comprehensive Review.Methodist DeBakey cardiovascular journal · 2025
    Review
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

6 authors.

Fahad ShaikhCentre for Chronic & Complex Care Research, Blacktown Hospital, Western Sydney Local Health District, Blacktown, New South Wales, Australia.ORCID https://orcid.org/0000-0003-4875-5771
Rochelle WynneSchool of Nursing & Midwifery, Centre for Quality & Patient Safety in the Institute for Health Transformation, Deakin University, Burwood, Victoria, Australia.
Ronald L CastelinoFaculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.
Patricia M DavidsonUniversity of Wollongong, Wollongong, New South Wales, Australia.
Sally C InglisImproving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), University of Technology Sydney, Sydney, New South Wales, Australia.
Caleb FergusonCentre for Chronic & Complex Care Research, Blacktown Hospital, Western Sydney Local Health District, Blacktown, New South Wales, Australia.

Funding

F.S. was supported by the Australian Government Research Training Program (RTP) through a University of Wollongong Doctoral Scholarship. S.C.I. received funding through a Heart Foundation Future Leader Fellowship by the Heart Foundation of Australia (Ref: 102821). C.F. received funding through the NHMRC Investigator Grant 2020-2025 (APP1196262).
6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) and obesity coexist in approximately 37.6 million and 650 million people globally, respectively. The anatomical and physiological changes in individuals with obesity may influence the pharmacokinetic properties of drugs.

aimThis review aimed to describe the evidence of the effect of obesity on the pharmacokinetics of antiarrhythmics in people with AF.

methodsThree databases were searched from inception to June 2023. Original studies that addressed the use of antiarrhythmics in adults with AF and concomitant obesity were included.

resultsA total of 4549 de-duplicated articles were screened, and 114 articles underwent full-text review. Ten studies were included in this narrative synthesis: seven cohort studies, two pharmacokinetic studies, and a single case report. Samples ranged from 1 to 371 participants, predominately males (41%-85%), aged 59-75 years, with a body mass index (BMI) of 23-66 kg/m DISCUSSION: Antiarrhythmics are not uniformly affected by obesity. This observation is based on heterogeneous studies of participants with an average BMI and poorly controlled confounding factors such as multimorbidity, concomitant medications, varying routes of administration, and assessment of obesity. Controlled trials with stratification at the time of recruitment for obesity are necessary to determine the significance of these findings.

Indexed as

Anti-Arrhythmia AgentsAtrial FibrillationObesityHumansMiddle AgedAnti-Arrhythmia Agentsantiarrhythmicatrial fibrillationbody mass indexdrug dosageobesityweight

Identifiers

PMID39169682
PMCPMC11339320

What OpenQuestion holds

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Registered trials

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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.