Evidence map›Paper›PMID 35260686›Full record

ArticleScientific reports2022

Higher heart rate variability as a predictor of atrial fibrillation in patients with hypertension.

San Ha Kim, Kyoung Ree Lim, Jeong-Hun Seo, Dong Ryeol Ryu, Bong-Ki Lee, Byung-Ryul Cho, Kwang Jin Chun

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07591935 (Artificial Intelligence and Mindfulness Meditation), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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.

NCT07591935 nacompletednot on this mapstarted 2024, after this paper: background citation

Artificial Intelligence and Mindfulness Meditation: Innovative Methods to Reduce Stress Amongst Medical School Students

TypeinterventionalSponsorSaint James School of MedicineRan2024 to 2024Enrolled20ConditionsStressArmsMindfulness-Based Stress Reduction Course, Apollo Neuro Wearable
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Review
  2. Atrial cardiomyopathy as a multidomain disease: longitudinal evidence for autonomic remodelling.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 · 2026
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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

7 authors.

San Ha Kim *Division of Cardiology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, 156, Baekryung-ro, Chuncheon, Gangwon-do, 24289, South Korea.
Kyoung Ree Lim *Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Seoul, South Korea.
Jeong-Hun SeoDivision of Cardiology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, 156, Baekryung-ro, Chuncheon, Gangwon-do, 24289, South Korea.
Dong Ryeol RyuDivision of Cardiology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, 156, Baekryung-ro, Chuncheon, Gangwon-do, 24289, South Korea.
Bong-Ki LeeDivision of Cardiology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, 156, Baekryung-ro, Chuncheon, Gangwon-do, 24289, South Korea.
Byung-Ryul ChoDivision of Cardiology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, 156, Baekryung-ro, Chuncheon, Gangwon-do, 24289, South Korea.
Kwang Jin ChunDivision of Cardiology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, 156, Baekryung-ro, Chuncheon, Gangwon-do, 24289, South Korea. imchunn@naver.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The autonomic nervous system (ANS) plays an important role in the initiation and maintenance of atrial fibrillation (AF). However, the meaning of higher heart rate variability (HRV) in predicting AF remains unclear. Among 2100 patients in the Holter registry, a total of 782 hypertensive patients were included in this study. Baseline HRV was measured by time domain and frequency domain methods using 24-h Holter monitoring. The primary outcome was the development of AF. During an average follow-up of 1.1 years, 44 patients developed AF. Higher HRV parameters including high-frequency (P < 0.001), the square root of the mean squared differences of successive NN intervals (P < 0.001), and the percentage of NN intervals that are more than 50 ms different from the previous interval (P < 0.001) were associated with the occurrence of AF in univariate analysis. Premature atrial contractions burden, lower baseline heart rate, age, hemodialysis, coronary artery disease, and chronic heart failure were also associated with AF. In Cox regression analysis, higher HRV (representing excessive autonomic fluctuation) was an independent risk factor for AF. Excessive autonomic fluctuation represented by higher HRV in patients with hypertension was associated with an increased risk of AF.

Indexed as

Atrial FibrillationHypertensionAutonomic Nervous SystemElectrocardiography, AmbulatoryHeart RateHumans

Identifiers

PMID35260686
PMCPMC8904557

What Socratic holds

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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 Socratic graph.