Evidence map›Paper›PMID 40314359›Full record

ArticleJournal of the American Heart Association2025

Atrial Fibrillation, Venous Thromboembolism, and Risk of Pulmonary Hypertension: A Swedish Nationwide Register Study.

Clara Hjalmarsson, Martin Lindgren, Niklas Bergh, Björn Hornestam, J G Smith, Martin Adiels, Annika Rosengren

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. 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. Review
  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

7 authors.

Clara HjalmarssonDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.ORCID 0000-0002-2395-8989
Martin LindgrenDepartment of Molecular and Clinical Medicine, Institute of Medicine at Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.ORCID 0000-0001-8567-0422
Niklas BerghDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.ORCID 0000-0002-7440-2366
Björn HornestamDepartment of Molecular and Clinical Medicine, Institute of Medicine at Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.
J G SmithDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Martin AdielsDepartment of Molecular and Clinical Medicine, Institute of Medicine at Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.ORCID 0000-0002-3667-589X
Annika RosengrenDepartment of Molecular and Clinical Medicine, Institute of Medicine at Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.ORCID 0000-0002-5409-6605

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is suggested to be associated with venous thromboembolism (VTE) and might thereby play a role in the development of chronic thromboembolic pulmonary hypertension (PH). By elevating left-sided filling pressure and promoting atrial myopathy, AF may also play a role in the development of postcapillary PH. We aimed to investigate the association between AF, with or without incident VTE, and the occurrence of PH.

methodsA total of 521 988 patients diagnosed with AF between 1987 and 2013, without a previous diagnosis of VTE or PH, were identified from the Swedish National Patient Register and matched for age, sex, and county with 1 017 277 population controls without AF, VTE, or PH.

resultsThe mean age of the patients with AF was 71.1 (SD ±10.1) years and 42.8% were women. During a median follow-up period of 11 (interquartile range 5.1-17) years, 4454 (0.9%) patients with AF, and 1855 (0.2%) controls were diagnosed with PH, hazard ratio 4.7 (4.4-5.0). The AF group had a significantly higher comorbidity burden at baseline, with a mean CHA

conclusionsAF was associated with a markedly increased risk of developing incident PH, and this risk was further increased by incident VTE.

Indexed as

Atrial FibrillationHypertension, PulmonaryVenous ThromboembolismAgedAged, 80 and overFemaleHumansIncidenceMaleMiddle AgedRegistriesRisk AssessmentRisk FactorsSwedenatrial fibrillationpulmonary hypertensionvenous thromboembolism

Identifiers

PMID40314359
PMCPMC12184232

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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.