Evidence map›Paper›PMID 41964637›Full record

ArticleJACC. Asia2026

Association Between Complete Right Bundle Branch Block and Vascular Endothelial Function.

Aya Mizobuchi, Tatsuya Maruhashi, Yusuke Saito, Takayuki Yamaji, Takahiro Harada, Farina Mohamad Yusoff, Shinji Kishimoto, Masato Kajikawa, Ayumu Nakashima, Yukihito Higashi

Abstract read
In one paragraph

Article in JACC. Asia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Aya MizobuchiDepartment of Regeneration and Medicine, Division of Radiation Medical Science Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Tatsuya MaruhashiDepartment of Regeneration and Medicine, Division of Radiation Medical Science Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Yusuke SaitoDepartment of Regeneration and Medicine, Division of Radiation Medical Science Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Takayuki YamajiDepartment of Regeneration and Medicine, Division of Radiation Medical Science Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan; Center for Radiation Disaster Medical Science, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Takahiro HaradaDepartment of Regeneration and Medicine, Division of Radiation Medical Science Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Farina Mohamad YusoffDepartment of Regeneration and Medicine, Division of Radiation Medical Science Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Shinji KishimotoDepartment of Regeneration and Medicine, Division of Radiation Medical Science Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Masato KajikawaDivision of Regeneration and Medicine, Medical Center for Translational and Clinical Research, Hiroshima University Hospital, Hiroshima, Japan.
Ayumu NakashimaDepartment of Nephrology, Graduate School of Medicine, University of Yamanashi, Yamanashi, Japan.
Yukihito HigashiDepartment of Regeneration and Medicine, Division of Radiation Medical Science Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan; Division of Regeneration and Medicine, Medical Center for Translational and Clinical Research, Hiroshima University Hospital, Hiroshima, Japan. Electronic address: yhigashi@hiroshima-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplete right bundle branch block (CRBBB) is a common electrocardiographic finding even in healthy people and generally has a good prognosis. However, recent studies have shown that CRBBB is related to arteriosclerosis and cardiovascular risk.

objectivesThis study aimed to assess the association between CRBBB and vascular function.

methodsThis study included a total of 2,313 individuals. After applying the exclusion criteria, 1,308 individuals were included in the final analysis. We evaluated the endothelial function assessed by flow-mediated vasodilation and vascular smooth muscle function assessed by nitroglycerine-induced vasodilation in 55 individuals with CRBBB (34 men; mean age: 62.6 ± 16.6 years) and 1,253 individuals with normal QRS duration (527 men; mean age: 66.6 ± 14.0 years).

resultsFlow-mediated vasodilation was significantly lower in patients with CRBBB than that in those with normal QRS duration (3.2% [1.6%-4.7%] vs 4.6% [2.6%-6.7%]; P < 0.001). In the multivariable analysis, CRBBB was significantly associated with endothelial dysfunction (OR: 1.84; 95% CI: 1.01-3.36; P = 0.047). Although nitroglycerine-induced vasodilation was significantly lower in individuals with CRBBB than in those with normal QRS duration (11.5% [7.9%-14.9%] vs 13.1% [9.6%-17.3%] P = 0.024), no significant association was observed between CRBBB and vascular smooth muscle dysfunction based on the multivariable analysis (OR: 1.09; 95% CI: 0.53-2.22; P = 0.816).

conclusionsCRBBB was shown to be associated with endothelial dysfunction. These findings suggest that CRBBB should not be regarded as a benign electrocardiography finding from a vascular function standpoint (A study of clinical usefulness of vascular function; UMIN000039512).

Indexed as

complete right bundle branch blockflow-mediated vasodilationnitroglycerine-induced vasodilationvascular function

Identifiers

PMID41964637
PMCPMC13350101

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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.