Evidence map›Paper›PMID 32522907›Full record

ArticleJournal of atherosclerosis and thrombosis2021

Serum High-Sensitivity C-Reactive Protein Levels and the Risk of Atrial Fibrillation in Japanese Population: the Circulatory Risk in Communities Study.

Mari Tanaka, Hironori Imano, Yasuhiko Kubota, Kazumasa Yamagishi, Mitsumasa Umesawa, Isao Muraki, Renzhe Cui, Mina Hayama-Terada, Yuji Shimizu, Takeo Okada and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% 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.

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

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

  1. Pooled it
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  3. Article
  4. Article
  5. Review
  6. Article
  7. The Role of Biochemical Cardiac Markers in Atrial Fibrillation.The Journal of innovations in cardiac rhythm management · 2023
    Review
  8. Review
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  11. Review
  12. Article
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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

18 authors at 8 institutions in 3 countries.

Mari TanakaPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine.
Hironori ImanoPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine.
Yasuhiko KubotaOsaka Center for Cancer and Cardiovascular Disease Prevention.
Kazumasa YamagishiOsaka Center for Cancer and Cardiovascular Disease Prevention.
Mitsumasa UmesawaOsaka Center for Cancer and Cardiovascular Disease Prevention.
Isao MurakiPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine.
Renzhe CuiPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine.
Mina Hayama-TeradaOsaka Center for Cancer and Cardiovascular Disease Prevention.
Yuji ShimizuOsaka Center for Cancer and Cardiovascular Disease Prevention.
Takeo OkadaOsaka Center for Cancer and Cardiovascular Disease Prevention.
Tetsuya OhiraDepartment of Epidemiology, School of Medicine, Fukushima Medical University.
Tomoko SankaiDepartment of Public Health and Nursing, Faculty of Medicine, University of Tsukuba.
Takeshi TanigawaDepartment of Public Health, Juntendo University Graduate School of Medicine.
Shinichi SatoChiba Prefectural Institute of Public Health.
Akihiko KitamuraPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine.
Masahiko KiyamaOsaka Center for Cancer and Cardiovascular Disease Prevention.
Hiroyasu IsoPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine.
and the CIRCS Investigators
Osaka Medical Center for Cancer and Cardiovascular Diseases · JPOsaka University · JPHealth Services Research & Development · USChiba Prefectural Institute of Public Health · JPFukushima Medical University · JPJuntendo University · JPPublic Health Department · INUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to investigate the association between the serum high-sensitivity C-reactive protein (hs-CRP) levels and incident atrial fibrillation risk in the general Japanese population, who have lower hs-CRP levels than the Western population, and assess whether the association is modified by sex, overweight, hypertension, and smoking status.

methodsWe conducted a prospective study in 6517 Japanese men and women aged 40-79 years without atrial fibrillation at baseline and enrolled in the Circulatory Risk in Communities Study (2002-2008). The hs-CRP levels were measured using the latex particle-enhanced immunonephelometric assay. Atrial fibrillation was identified using standard 12-lead electrocardiograms and information on physician-diagnosed atrial fibrillation history from the follow-up surveys. We used a Cox proportional hazard regression stratified by community.

resultsDuring a median follow-up of 11 years, 127 new cases of atrial fibrillation (74 and 53 cases among men and women, respectively) were found. Compared to the lowest quintile of hs-CRP levels, the multivariable hazard ratios (95% confidence intervals) were 2.54 (1.17-5.50), 2.28 (1.06-4.93), 2.92 (1.37-6.23), and 2.77 (1.30-5.91) for the second, third, fourth, and fifth (highest) quintiles, respectively. There was no significant effect modification by sex, overweight, hypertension, and smoking status (P for interaction >0.05).

conclusionsElevated hs-CRP levels were significantly associated with increased risk of atrial fibrillation in the Japanese population. The association of hs-CRP levels with incident atrial fibrillation did not vary according to sex, overweight, hypertension status, or smoking status.

Indexed as

Atrial FibrillationElectrocardiographyHypertensionOverweightAgedC-Reactive ProteinFemaleHeart Disease Risk FactorsHumansJapanMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk AssessmentSmokingC-Reactive ProteinAtrial fibrillationCohort studyC-reactive proteinRisk factor

Identifiers

PMID32522907
PMCPMC7957035
OpenAlexW3033755942

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.