Evidence map›Paper›PMID 39820670›Full record

ArticleEuropean heart journal2025

Long-term pulse pressure trajectories and risk of incident atrial fibrillation: the Tromsø Study.

Ekaterina Sharashova, Eva Gerdts, Jocasta Ball, Renate B Schnabel, Michael Stylidis, Sweta Tiwari, Ellisiv B Mathiesen, Tom Wilsgaard, Maja-Lisa Løchen

Abstract read
In one paragraph

Article in European heart journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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.

Ekaterina SharashovaDepartment of Community Medicine, UiT The Arctic University of Norway, PO Box 6050 Stakkevollan, N-9037 Tromsø, Norway.ORCID 0000-0001-9412-2065
Eva GerdtsDepartment of Clinical Science, University of Bergen, Bergen, Norway.ORCID 0000-0003-4109-2311
Jocasta BallCentre of Cardiovascular Research and Education in Therapeutics, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.ORCID 0000-0002-1512-4255
Renate B SchnabelDepartment of Cardiology, University Heart & Vascular Center Hamburg, Hamburg, Germany.ORCID 0000-0001-7170-9509
Michael StylidisDepartment of Cardiology, University Hospital of North Norway, Postbox 100, 9038 Tromsø, Norway.ORCID 0000-0003-2038-8295
Sweta TiwariDepartment of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.ORCID 0000-0003-2252-3171
Ellisiv B MathiesenDepartment of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.ORCID 0000-0001-8887-6100
Tom WilsgaardDepartment of Community Medicine, UiT The Arctic University of Norway, PO Box 6050 Stakkevollan, N-9037 Tromsø, Norway.ORCID 0000-0002-2709-9472
Maja-Lisa LøchenDepartment of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.ORCID 0000-0002-8532-6573

Funding

Helse Nord RHF
6 · The paper itself

Abstract

BACKGROUND AND

aimsSex-based differences in the association of long-term trends in pulse pressure with future risk of atrial fibrillation (AF) have been explored using data from the population-based Tromsø Study 1986-2016.

methodsWomen (n = 8331) and men (n = 7638) aged ≥20 years who attended at least two of the three Tromsø Study surveys conducted between 1986 and 2001 (the exposure period) were followed up for incident AF throughout 2016 (the follow-up period). Pulse pressure ≥60 mmHg was considered elevated. Group-based trajectory modelling and Cox regression were used for statistical analyses.

resultsThree long-term trajectory groups for pulse pressure were identified: Group 1 had normal pulse pressure throughout the exposure period, Group 2 had normal pulse pressure at the beginning and elevated pulse pressure at the end of the exposure period, and Group 3 had elevated pulse pressure throughout. Over the follow-up period, 568 (6.8%) women and 798 (10.5%) men developed AF. After adjustment for potential confounders at baseline, the long-term trajectory groups for elevated pulse pressure were associated with increased risk of AF in women, but not in men. In women, the adjusted hazard ratios of AF were 1.60 (95% confidence interval: 1.23, 2.09) for trajectory Group 2 and 2.78 (1.93, 4.02) for trajectory Group 3, compared with Group 1.

conclusionsLong-term elevated pulse pressure trajectories were independently associated with increased risk of AF in women, but not in men. Our findings call for further investigations to understand the mechanisms behind these sex-based differences.

Indexed as

Atrial FibrillationBlood PressureHypertensionAdultAgedFemaleHumansIncidenceMaleMiddle AgedNorwayRisk FactorsSex FactorsAtrial fibrillationBlood pressureEpidemiologyIncidencePulse pressureSex differencesTrajectories

Identifiers

PMID39820670
PMCPMC11973555

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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.