Evidence map›Paper›PMID 40330589›Full record

ArticleNature and science of sleep2025

Causal Effect of Obstructive Sleep Apnea on Sick Sinus Syndrome: A Bidirectional Mendelian Randomization Study.

Weixiang Chen, Wanqian Pan, Lin Ling, Bin Jiang, Yuzhen Zhang, Xiong Su, Tingbo Jiang, Jia Lin

Abstract read
In one paragraph

Article in Nature and science of sleep, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Weixiang Chen *Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, Peoples Republic of China.ORCID 0000-0002-8253-4115
Wanqian Pan *Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, Peoples Republic of China.
Lin Ling *Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, Peoples Republic of China.
Bin JiangDepartment of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, Peoples Republic of China.
Yuzhen ZhangDepartment of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, Peoples Republic of China.
Xiong SuDepartment of Biochemistry and Molecular Biology, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, Peoples Republic of China.
Tingbo JiangDepartment of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, Peoples Republic of China.ORCID 0000-0003-1821-4245
Jia LinDepartment of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, Peoples Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite previous research establishing a connection between OSA and an increased risk of Bradyarrhythmias, the specific causal link between obstructive sleep apnea (OSA) and sick sinus syndrome (SSS) remains unexplored. This study aims to investigate the potential causal relationship between OSA and the development of SSS. Methods: To evaluate the association between OSA and SSS, we utilized a bidirectional two-sample Mendelian randomization (MR) method. Genetic variant OSA association data were sourced from FinnGens genome-wide association studies, comprising 410,385 individuals, while SSS association data were obtained from deCODE genetics, involving a dataset of 1, 000,187 individuals. Effect estimates were computed through the utilization of inverse-variance weighting (IVW), MR-Egger, weighted median, maximum likelihood techniques, and sensitivity analyses were conducted using the Mendelian Randomization Pleiotropy Residual Sum and Outlier (MR-PRESSO) approaches. Results: Our MR analyses utilizing IVW (fixed effects) revealed a heightened susceptibility to SSS among individuals with genetically predisposed OSA (OR= 1.493; 95% CI, 1.120-1.990; Conclusions: This MR analysis suggests a causal link between genetically predicted OSA and increased SSS risk. While finding no evidence for a causal relationship where SSS influences OSA.

Indexed as

causal associationMendelian randomizationobstructive sleep apneasick sinus syndrome

Identifiers

PMID40330589
PMCPMC12050210

What Socratic holds

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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.