Evidence map›Paper›PMID 29534064›Full record

Trial reportPLoS medicine2018

Validation of a genetic risk score for atrial fibrillation: A prospective multicenter cohort study.

Evan D Muse, Nathan E Wineinger, Emily G Spencer, Melissa Peters, Riley Henderson, Yunyue Zhang, Paddy M Barrett, Steven P Rivera, Jay G Wohlgemuth, James J Devlin and 2 more

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PLoS medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01970969 (This Study Will Investigate the Association Between a Set of Single Nucleotide Polymorphisms), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% of its field
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.

NCT01970969 completednot on this map

This Study Will Investigate the Association Between a Set of Single Nucleotide Polymorphisms (SNPs) and Atrial Fibrillation in Patients at High Risk of Developing Atrial Fibrillation. The SNPs Investigated Will Have Been Previously Shown to be Associated With the Atrial Fibrillation.

TypeobservationalSponsorScripps Translational Science InstituteRan2013 to 2017Enrolled928ConditionsPatients With Symptoms of Cardiac Arrhythmia at Risk for Atrial Fibrillation
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Genotype-phenotype associations in atrial fibrillation: meta-analysis.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2019
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Innovative approaches to atrial fibrillation prediction: should polygenic scores and machine learning be implemented in clinical practice?Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Review
  8. Genome and atrial fibrillation.Journal of arrhythmia · 2023
    Review
  9. Review
  10. Review
  11. Review
  12. Risk prediction of atrial fibrillation in the community combining biomarkers and genetics.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2021
    Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

12 authors at 2 institutions in 1 country.

Evan D MuseScripps Translational Science Institute, The Scripps Research Institute, La Jolla, California, United States of America.ORCID 0000-0002-5288-7462
Nathan E WineingerScripps Translational Science Institute, The Scripps Research Institute, La Jolla, California, United States of America.
Emily G SpencerScripps Translational Science Institute, The Scripps Research Institute, La Jolla, California, United States of America.ORCID 0000-0003-2650-4357
Melissa PetersScripps Translational Science Institute, The Scripps Research Institute, La Jolla, California, United States of America.
Riley HendersonScripps Translational Science Institute, The Scripps Research Institute, La Jolla, California, United States of America.
Yunyue ZhangScripps Translational Science Institute, The Scripps Research Institute, La Jolla, California, United States of America.ORCID 0000-0002-9873-6694
Paddy M BarrettScripps Translational Science Institute, The Scripps Research Institute, La Jolla, California, United States of America.
Steven P RiveraQuest Diagnostics, San Juan Capistrano, California, United States of America.
Jay G WohlgemuthQuest Diagnostics, San Juan Capistrano, California, United States of America.
James J DevlinQuest Diagnostics, San Juan Capistrano, California, United States of America.
Dov ShiffmanQuest Diagnostics, San Juan Capistrano, California, United States of America.
Eric J TopolScripps Translational Science Institute, The Scripps Research Institute, La Jolla, California, United States of America.
Scripps Research Institute · USQuest Diagnostics (United States) · US

Funding

Scripps Translational Science InstituteUL1TR001114 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2013 to 2017
$24.0M
Scripps Translational Science InstituteKL2TR001112 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2013 to 2017
$3.0M
NCATS NIH HHS KL2 TR001112NCATS NIH HHS UL1 TR001114
6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is the most commonly encountered arrhythmia and is associated with an elevated risk of stroke. Improving the identification of patients with the highest risk for AF to enable appropriate surveillance and treatment, if necessary, is critical to reducing AF-associated morbidity and mortality. Multiple common single nucleotide polymorphisms (SNPs) are unequivocally associated with the lifetime risk of AF. In the current study we aimed to prospectively validate an AF genetic risk score (GRS) in previously undiagnosed patients at risk for AF. METHODS AND

findingsIndividuals 40 years of age or older with 1 clinical risk factor for AF, presenting with symptoms of AF, or with a first diagnosis of AF, were enrolled for genetic testing and ambulatory cardiac rhythm monitoring with an adhesive patch monitor or a long-term Holter monitor (mean wear time 10 days 21 hours and 13 days 18 hours, respectively). An AF event was the first diagnosis of AF by ECG, patch monitor, or long-term Holter monitor. The AF GRS was determined for each participant based on the weighted contribution of 12 genetic risk loci. Of 904 participants, 85 manifested AF. Their mean age was 66.2 (SD 11.8) years; 38% of participants were male. Participants in the highest quintile of AF GRS were more likely (odds ratio 3.11; 95% CI 1.27-7.58; p = 0.01) to have had an AF event than participants in the lowest quintile after adjusting for age, sex, smoking status, BMI, hypertension, diabetes mellitus, heart failure, and prior myocardial infarction. Study limitations included an ethnically homogenous population, a restricted rhythm monitoring period, and the evolving discovery of SNPs associated with AF.

conclusionsProspective assessment of a GRS for AF identified participants with elevated risk of AF beyond established clinical criteria. Accordingly, a GRS for AF could be incorporated into overall risk assessment to better identify patients at the highest risk of developing AF, although further testing in larger populations is needed to confirm these findings.

trial registrationClinicalTrials.gov NCT01970969.

Indexed as

Atrial FibrillationStrokeAgedAminopeptidasesCaveolin 1Cohort StudiesElectrocardiography, AmbulatoryFemaleGenetic TestingHomeobox Protein PITX2Homeodomain ProteinsHumansMaleMiddle AgedPolymorphism, Single NucleotideProspective StudiesAminopeptidasesAOPEP protein, humanCAV1 protein, humanCaveolin 1Homeobox Protein PITX2Homeodomain ProteinsKCNN3 protein, humanPRRX1 protein, humanSmall-Conductance Calcium-Activated Potassium ChannelsTranscription Factors

Identifiers

PMID29534064
PMCPMC5849279
OpenAlexW2793247691

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.