Evidence map›Paper›PMID 41065927›Full record

Observational studyThe international journal of cardiovascular imaging2025

Association between epicardial adipose tissue and transfusion-dependent β-thalassemia.

Michele Malagù, Federico Marchini, Filomena Longo, Marco Zuin, Giovanni Orazio, Andrea Capanni, Maria Letizia Berloni, Federica Frascaro, Elisabetta Tonet, Alberto Cossu and 5 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in The international journal of cardiovascular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05508932 (Atrial Fibrillation in Beta-Thalassemia), which is not on this map. Not yet cited in PubMed.

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

NCT05508932 recruitingnot on this map

Atrial Fibrillation in Beta-Thalassemia

TypeobservationalSponsorUniversity Hospital of FerraraRan2022 to 2032Enrolled350ConditionsAtrial Fibrillation, Thalassemia
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Michele MalagùCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy. mlgmhl1@unife.it.
Federico MarchiniCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy.
Filomena LongoDay Hospital Thalassemia and Hemoglobinopathies, Azienda Ospedaliero- Universitaria di Ferrara, Ferrara, Italy.
Marco ZuinCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy.
Giovanni OrazioCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy.
Andrea CapanniCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy.
Maria Letizia BerloniCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy.
Federica FrascaroCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy.
Elisabetta TonetCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy.
Alberto CossuRadiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Ferrara, Italy.
Martina CulcasiDay Hospital Thalassemia and Hemoglobinopathies, Azienda Ospedaliero- Universitaria di Ferrara, Ferrara, Italy.
Beatrice BonsiDay Hospital Thalassemia and Hemoglobinopathies, Azienda Ospedaliero- Universitaria di Ferrara, Ferrara, Italy.
Cristina BallaCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy.
Francesco VitaliCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy.
Matteo BertiniCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, Via Aldo Moro 8, Ferrara, 44124, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpicardial adipose tissue (EAT) is a fat depot with secretive and neuromodulative properties, involved in the pathogenesis of cardiovascular diseases. Transfusion-dependent β-thalassemia (TDβT) is an inherited disorder characterized by chronic anemia and at risk for the development of several comorbidities. Patients with TDβT have a higher incidence of cardiovascular diseases compared to the general population.

methodsThe aim of this study was to evaluate EAT thickness in a cohort of patients with TDβT (study group), compared to age- and sex-balanced patients with no TDβT (control group). Secondary endpoint included evaluation of differences in the regional distribution of EAT between patients with or without cardiovascular disease (NCT05508932).

resultsOverall, 272 patients were enrolled, of whom 136 in study group and 136 in control group. EAT thickness was significantly higher in the study group at left atrium, left atrioventricular groove and right atrioventricular groove compared to control group (4.2 vs. 3.0, 12.2 vs. 10.0 and 13.0 vs. 11.0 mm, respectively, p < 0.05 for all). Multivariable analysis confirmed an independent association between EAT and TDβT. The regional distribution of EAT showed significant differences between patients with or without atrial fibrillation, diabetes mellitus, stroke or heart failure.

conclusionsPatients with TDβT have higher values of EAT compared to controls with no TDβT.

Indexed as

Adipose TissueAdipositybeta-ThalassemiaBlood TransfusionEchocardiographyPericardiumAdultCase-Control StudiesEpicardial Adipose TissueFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedMultivariate AnalysisPredictive Value of TestsArrhythmiaAtrial fibrillationCardiacEpicardial fatHemoglobinopathyMagnetic resonance

Identifiers

PMID41065927
PMCPMC12628453

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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.