Evidence map›Paper›PMID 40019498›Full record

Observational studyDiabetologia2025

Cardiac arrhythmia and hypoglycaemia among individuals with and without diabetes receiving haemodialysis (the CADDY study): a Danish multicentre cohort study.

Dea H Kofod, Søren Z Diederichsen, Tobias Bomholt, Mads Ø Andersen, Andreas Andersen, Ebba Mannheimer, Marianne Rix, Ylian S Liem, Kristine Lindhard, Henrik P Hansen and 10 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Diabetologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04841304 (Cardiac Arrhythmia in Patients With End-Stage Renal Disease), which is not on this 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.

NCT04841304 completednot on this map

Cardiac Arrhythmia in Patients With End-Stage Renal Disease

TypeobservationalSponsorRigshospitalet, DenmarkRan2021 to 2026Enrolled70ConditionsEnd Stage Renal Disease on Dialysis, Cardiac Arrhythmia, Diabetes Mellitus, HypoglycemiaArmsLoop recorder (Reveal LINQ, Medtronic), Continuous Glucose Measurement (G6, Dexcom)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

20 authors.

Dea H KofodDepartment of Nephrology and Endocrinology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark. dea.haagensen.kofod.01@regionh.dk.ORCID http://orcid.org/0000-0003-0173-8456
Søren Z DiederichsenDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-9687-0857
Tobias BomholtDepartment of Nephrology and Endocrinology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-0614-4761
Mads Ø AndersenDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-8834-3152
Andreas AndersenClinical Research, Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Herlev, Denmark.ORCID http://orcid.org/0000-0001-8190-5140
Ebba MannheimerDepartment of Nephrology and Endocrinology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0009-0008-1398-3815
Marianne RixDepartment of Nephrology and Endocrinology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-7332-5944
Ylian S LiemDepartment of Nephrology and Endocrinology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0009-0002-5182-9217
Kristine LindhardDepartment of Nephrology, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark.ORCID http://orcid.org/0000-0003-2471-2056
Henrik P HansenDepartment of Nephrology, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark.ORCID http://orcid.org/0000-0002-9106-5381
Casper RydahlDepartment of Nephrology, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark.ORCID http://orcid.org/0000-0002-7126-8691
Morten LindhardtDepartment of Internal Medicine, Copenhagen University Hospital - Holbeak, Holbeak, Denmark.ORCID http://orcid.org/0000-0001-6063-1718
Julie BrøsenDepartment of Endocrinology and Nephrology, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.ORCID http://orcid.org/0000-0001-7361-4407
Kristine SchandorffDepartment of Endocrinology and Nephrology, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.ORCID http://orcid.org/0000-0002-5774-1905
Theis LangeSection of Biostatistics, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-6807-8347
Kirsten NørgaardClinical Research, Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Herlev, Denmark.ORCID http://orcid.org/0000-0003-1620-8271
Thomas P AlmdalDepartment of Nephrology and Endocrinology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-7296-4656
Jesper H SvendsenDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-8466-8515
Bo Feldt-RasmussenDepartment of Nephrology and Endocrinology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-8267-3027
Mads HornumDepartment of Nephrology and Endocrinology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-0123-4007

Funding

Augustinus Fonden 20-1977Johnny Weilebys Fond 10-100067Skibsreder Per Henriksen R og Hustrus Fond 01-10403
6 · The paper itself

Abstract

aims/hypothesisWe aimed to examine arrhythmias and hypoglycaemia among individuals with and without diabetes who are receiving haemodialysis and to investigate the association between arrhythmias and hypoglycaemia, hyperglycaemia and glycaemic variability.

methodsThis prospective multicentre cohort study included 70 participants on maintenance haemodialysis (35 with diabetes and 35 without diabetes). We employed implantable cardiac monitors for continuous heart rhythm monitoring in combination with periodic use of continuous glucose monitoring. Logistic-regression-type linear mixed models were used to examine associations between arrhythmias and glycaemic measures.

resultsDuring 18 months of follow-up, clinically significant arrhythmias (bradyarrhythmia and ventricular tachycardia) were identified in 12 (34%) participants with diabetes and 11 (31%) without diabetes. Atrial fibrillation was detected in 13 (37%) participants with diabetes and 14 (40%) without, while other supraventricular tachycardia was detected in seven (20%) and 11 (31%) participants with and without diabetes, respectively. Hypoglycaemia (sensor glucose <3.9 mmol/l) was observed in 27 (77%) participants with diabetes and 32 (91%) without diabetes. Compared with euglycaemia, hypoglycaemia was associated with an increased rate of arrhythmias among participants without diabetes (incidence rate ratio [IRR] 3.13 [95% CI 1.49, 6.55]), while hyperglycaemia (sensor glucose >10.0 mmol/l) was associated with a decreased rate of arrhythmias among participants with diabetes (IRR 0.58 [95% CI 0.37, 0.92]). Glycaemic variability showed no association with arrhythmias regardless of the presence of diabetes. CONCLUSIONS/

interpretationArrhythmias and hypoglycaemia were common in those undergoing haemodialysis regardless of diabetes status. Our data suggest a temporal relationship between arrhythmias and glucose level in both individuals with and without diabetes.

trial registrationClinicaltrials.gov: NCT04841304.

Indexed as

Arrhythmias, CardiacDiabetes MellitusHypoglycemiaRenal DialysisAgedBlood GlucoseCohort StudiesDenmarkFemaleHumansHyperglycemiaMaleMiddle AgedProspective StudiesBlood GlucoseArrhythmiaEnd-stage kidney diseaseHaemodialysisHypoglycaemiaType 1 diabetesType 2 diabetes

Identifiers

PMID40019498
PMCPMC12069408

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Registered trials

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.