Evidence map›Paper›PMID 41893378›Full record

ArticleJACC. Case reports2026

Association of Antimitochondrial Antibody With Right Atrial Low Voltage and Sick Sinus Syndrome.

Kazuki Shimojo, Itsuro Morishima, Yasuhiro Morita, Yasunori Kanzaki, Naoki Watanabe, Naoki Yoshioka, Naoki Shibata, Yoshihito Arao

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. 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.

Kazuki ShimojoDepartment of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan.
Itsuro MorishimaDepartment of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan. Electronic address: morishima-i@muc.biglobe.ne.jp.
Yasuhiro MoritaDepartment of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan.
Yasunori KanzakiDepartment of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan.
Naoki WatanabeDepartment of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan.
Naoki YoshiokaDepartment of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan.
Naoki ShibataDepartment of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan.
Yoshihito AraoDepartment of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntimitochondrial antibodies (AMAs), well known as markers of primary biliary cholangitis, are increasingly recognized in cardiac disease. Their potential association with right atrial (RA) abnormalities and sick sinus syndrome (SSS) remains unclear. CASE SUMMARY: We report three AMA-positive patients with atrial arrhythmia and RA involvement. Two patients demonstrated extensive RA low voltage on electroanatomic mapping, and one patient showed impaired atrial sensing and pacing consistent with SSS. Left ventricular involvement was variable. One patient developed myositis, indicating systemic autoimmune manifestations. DISCUSSION: These cases suggest a potential link between AMA positivity, RA low voltage, and SSS, even in the absence of left ventricular dysfunction. AMA may confer selective RA vulnerability through mitochondrial or immune-mediated pathways, highlighting the need for further investigation.

Indexed as

antimitochondrial antibodycardiomyopathylow voltageright atriumsick sinus syndrome

Identifiers

PMID41893378
PMCPMC13154093

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.