Evidence mapPaperPMID 41334756Full record

ArticleJournal of the American Heart Association2025

Association of Epicardial Adipose Tissue With Bradyarrhythmias: A Matched Case-Control Study.

Yuanqi Yang, Didi Zhu, Jing Wang, Yang Pu, Ningyue Zhang, Yuyu Yao, Hui Jin, Long Chen

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

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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

8 authors.

Yuanqi YangDepartment of Cardiology, Zhongda Hospital School of Medicine, Southeast University Nanjing Jiangsu China.ORCID 0009-0007-1353-3526
Didi ZhuDepartment of Cardiology, Zhongda Hospital Southeast University Nanjing Jiangsu China.ORCID 0000-0001-9069-0348
Jing WangDepartment of Cardiology, Zhongda Hospital School of Medicine, Southeast University Nanjing Jiangsu China.
Yang PuDepartment of Cardiology, Zhongda Hospital School of Medicine, Southeast University Nanjing Jiangsu China.ORCID 0009-0003-3514-5496
Ningyue ZhangDepartment of Cardiology, Zhongda Hospital School of Medicine, Southeast University Nanjing Jiangsu China.ORCID 0009-0009-5539-0820
Yuyu YaoDepartment of Cardiology, Zhongda Hospital Southeast University Nanjing Jiangsu China.ORCID 0000-0001-7841-288X
Hui JinDepartment of Epidemiology and Health Statistics School of Public Health, Southeast University Nanjing China.ORCID 0000-0003-0071-9755
Long ChenDepartment of Cardiology, Zhongda Hospital Southeast University Nanjing Jiangsu China.ORCID 0000-0003-4894-6658

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpicardial adipose tissue (EAT) is implicated in exerting potential proarrhythmic effects. The relationship between EAT and tachyarrhythmias is well documented. However, the connection between EAT and bradyarrhythmias has not been comprehensively explored. This study aimed to investigate the association between EAT and bradyarrhythmias.

methodsWe retrospectively quantified the volume and density of EAT using chest computed tomography scans from patients with bradyarrhythmias and case-matched controls. Measurements were obtained through manual pericardial contour tracing with a standardized Hounsfield unit threshold of -200 to -50 Hounsfield units.

resultsA total of 652 patients were included, comprising 326 patients with bradyarrhythmias (age 74.00 [interquartile range, 64.00-81.00] years, 46.01% female) and 326 matched controls (age 72.50 [interquartile range, 63.00-80.00] years, 46.01% female). Compared with the matched control group, the bradyarrhythmia group had a significantly greater volume (119.13 [interquartile range, 87.30-151.68] cm

conclusionsPatients with bradyarrhythmia demonstrated significantly higher EAT volumes compared with matched controls, with a progressive increase observed across advancing grades of AVB. This dose-dependent relationship between EAT burden and conduction system impairment underscores its potential role as a modifiable influencing factor in arrhythmogenesis. Further investigations are warranted to determine whether targeted EAT reduction could mitigate conduction abnormalities. REGISTRATION: URL: https://www.chictr.org.cn; Unique Identifier: ChiCTR2400088446.

Indexed as

Adipose TissueBradycardiaPericardiumAgedAged, 80 and overCase-Control StudiesEpicardial Adipose TissueFemaleHumansMaleMiddle AgedRetrospective StudiesTomography, X-Ray Computedatrioventricular blockbradyarrhythmiascomputed tomographyepicardial adipose tissuesinus node dysfunction

Identifiers

PMID41334756
PMCPMC12826939

What Socratic holds

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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.