Evidence mapPaperPMID 36940225Full record

SynthesisAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2023

Association of gut microbiome dysbiosis with the progression of atrial fibrillation: A systematic review.

Sarim Rashid, Tayyiba Ahmed Noor, Hamayle Saeed, Asma Sabir Ali, Govinda Meheshwari, Asad Mehmood, Laveeza Fatima, Syed Muhammad Jawad Zaidi, Jahanzeb Malik, Amin Mehmoodi and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Association of gut microbiome dysbiosis with the progression of atrial fibrillation: A systematic review.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023
    Pooled it
  3. Review
  4. Review
  5. Review
  6. Review
  7. 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

11 authors at 8 institutions in 5 countries.

Sarim RashidDepartment of General Surgery, Eash Lancashire NHS Hospital, Burnley, UK.
Tayyiba Ahmed NoorDepartment of Medicine, Allama Iqbal Medical College, Lahore, Pakistan.
Hamayle SaeedDepartment of Medicine, Fatima Memorial Hospital, Lahore, Pakistan.
Asma Sabir AliDepartment of Dermatology, KRL Hospital, Islamabad, Pakistan.
Govinda MeheshwariDepartment of Medicine, Jinnah Postgraduate Medical Center, Karachi, Pakistan.
Asad MehmoodDepartment of Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan.
Laveeza FatimaDepartment of Medicine, Allama Iqbal Medical College, Lahore, Pakistan.
Syed Muhammad Jawad ZaidiDepartment of Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan.
Jahanzeb MalikDepartment of Cardiovascular Research, Cardiovascular Analytics Group, Canterbury, UK.
Amin MehmoodiDepartment of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan.ORCID 0000-0002-9343-4187
Azmat HayatDepartment of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan.
Allama Iqbal Medical College · PKArmed Forces Institute of Pathology · PKRawalpindi Medical University · PKBurnley General Teaching Hospital · GBJinnah Postgraduate Medical Center · PKKabul University · AFMemorial Hospital · USShifa International Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMany clinical and preclinical studies have implicated an association between atrial fibrillation (AF) and its progression to imbalances in the gut microbiome composition. The gut microbiome is a diverse and complex ecosystem containing billions of microorganisms that produce biologically active metabolites influencing the host disease development.

methodsFor this review, a literature search was conducted using digital databases to systematically identify the studies reporting the association of gut microbiota with AF progression.

resultsIn a total of 14 studies, 2479 patients were recruited for the final analysis. More than half (n = 8) of the studies reported alterations in alpha diversity in atrial fibrillation. As for the beta diversity, 10 studies showed significant alterations. Almost all studies that assessed gut microbiota alterations reported major taxa associated with atrial fibrillation. Most studies focused on short-chain fatty acids (SCFAs), whereas three studies evaluated TMAO levels in the blood, which is the breakdown product of dietary l-carnitine, choline, and lecithin. Moreover, an independent cohort study assessed the relationship between phenylacetylglutamine (PAGIn) and AF.

conclusionIntestinal dysbiosis is a modifiable risk factor that might provide newer treatment strategies for AF prevention. Well-designed research and prospective randomized interventional studies are required to target the gut dysbiotic mechanisms and determine the gut dysbiotic-AF relationship.

Indexed as

Atrial FibrillationGastrointestinal MicrobiomeCohort StudiesDysbiosisEcosystemElectrocardiographyHumansProspective Studiesatrial arrhythmiasatrial fibrillationcellular electrophysiologyelectropharmocology

Identifiers

PMID36940225
PMCPMC10335625
OpenAlexW4327900047

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.