Evidence map›Paper›PMID 37282653›Full record

Trial reportCurrent medicinal chemistry2025

Association of Body Mass Index and Abdominal Obesity with Incidence of Atrial Fibrillation in Heart Failure with Preserved Ejection Fraction.

Xinyi Huang, Xiao Liu, Yuan Jiang, Zhengyu Cao, Maoxiong Wu, Zhiteng Chen, Runlu Sun, Peng Yu, Jianyong Ma, Wengen Zhu and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Current medicinal chemistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00094302 (Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 18% 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.

NCT00094302 phase3completednot on this map

Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist (TOPCAT)

TypeinterventionalSponsorCarelon ResearchRan2006 to 2013Enrolled3,445ConditionsCardiovascular Diseases, Heart Diseases, Heart Failure, CongestiveArmsSpironolactone, Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

14 authors at 2 institutions in 2 countries.

Xinyi HuangDepartment of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Xiao LiuDepartment of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Yuan JiangDepartment of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Zhengyu CaoDepartment of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Maoxiong WuDepartment of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Zhiteng ChenDepartment of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Runlu SunDepartment of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Peng YuDepartment of Endocrine, the Second Affiliated Hospital of Nanchang University, Jiangxi, China.
Jianyong MaDepartment of Pharmacology and Systems Physiology, University of Cincinnati College of Medicine, Cincinnati, United States.
Wengen ZhuDepartment of Cardiology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yangxin ChenDepartment of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Guifu WuDepartment of Cardiology, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China.
Yuling ZhangDepartment of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Jingfeng WangDepartment of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Sun Yat-sen University · CNNanchang University · CN

Funding

Guangzhou Science and Technology Plan Project 202102010218National High Technology Research and Development Program of Guangzhou 20180304001, 2019GZR110406004, 201704020044National Natural Science Foundation of China 82070237, 81870170, 81970200, 81770229, 82100347Natural Science Foundation of Guangdong 2021A1515012359Natural Science Foundation of Guangdong Province 2019A15-15011682Science and Technology Project of Guangdong Province 2021A0505030021
6 · The paper itself

Abstract

introductionThe association between obesity and atrial fibrillation (AF) incidence in heart failure with preserved ejection fraction (HFpEF) patients is currently unclear. Our analyses and results are based on the whole Treatment of Preserved Cardiac Function Heart Failure with an Aldosterone Antagonist (TOPCAT) trial (placebo and spironolactone).

methodsA total of 2138 subjects without baseline AF were included in the trial. Kaplan-Meier (K-M) curves and Cox regression with hazard ratios (HRs) and confidence intervals (CIs) were used to assess the incidence of AF with obesity.

resultsOf 2138 HFpEF patients without baseline AF, 1165 were obese (body mass index [BMI]≥ 30 kg/m

conclusionObesity and abdominal obesity increase the incidence of AF in HFpEF patients. Further studies need to determine whether there is a difference in AF in response to spironolactone across obese HFpEF pheno groups. CLINICAL

trial registrationURL: https://clinicaltrials.gov. Unique identifier: NCT00094302. Registered on October 15, 2004.

Indexed as

Atrial FibrillationBody Mass IndexHeart FailureObesity, AbdominalAgedFemaleHumansIncidenceMaleMiddle AgedMineralocorticoid Receptor AntagonistsSpironolactoneStroke VolumeMineralocorticoid Receptor AntagonistsSpironolactoneabdominal obesityatrial fibrillation (AF)heart failure with preserved ejection fraction (HFpEF)Obesityobesity paradoxspironolactone.

Identifiers

PMID37282653
OpenAlexW4379598532

What Socratic holds

Textmetadata
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.