Evidence map›Paper›PMID 41983291›Full record

ArticleJournal of the American Heart Association2026

Social Disconnection, Genetic Risk, and the Incidence of Degenerative Valvular Heart Disease: A Population-Based Cohort Study.

Chenghui Cao, Cheng Wei, Wen Gong, Bilian Yu, Zhenfei Fang, Shenghua Zhou, Zhaowei Zhu

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 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. Review
  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

7 authors.

Chenghui Cao *Department of Cardiovascular Medicine, The Second Xiangya Hospital Central South University Changsha Hunan China.ORCID 0009-0004-1577-8920
Cheng Wei *Department of Cardiovascular Medicine, The Second Xiangya Hospital Central South University Changsha Hunan China.ORCID 0000-0003-2783-0840
Wen GongDepartment of Cardiovascular Medicine, The Second Xiangya Hospital Central South University Changsha Hunan China.ORCID 0009-0008-1349-4210
Bilian YuDepartment of Cardiovascular Medicine, The Second Xiangya Hospital Central South University Changsha Hunan China.
Zhenfei FangDepartment of Cardiovascular Medicine, The Second Xiangya Hospital Central South University Changsha Hunan China.
Shenghua ZhouDepartment of Cardiovascular Medicine, The Second Xiangya Hospital Central South University Changsha Hunan China.ORCID 0000-0001-5388-7766
Zhaowei Zhu *Department of Cardiovascular Medicine, The Second Xiangya Hospital Central South University Changsha Hunan China.ORCID 0000-0003-0860-5154

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDegenerative valvular heart disease (VHD) is increasingly recognized as a major public health concern in aging populations. Although traditional cardiovascular risk factors have been extensively investigated, the role of loneliness and social isolation has remained largely overlooked in the context of valvular pathology.

methodsWe conducted a prospective cohort study involving 462 917 participants from the UK Biobank, free of VHDs at baseline. Loneliness and social isolation were assessed using validated questionnaires.

resultsDuring a median follow-up of 13.9 years, 11 003 cases of degenerative VHD were documented. Among them, there were 4280 cases of aortic valve stenosis and 4693 cases of mitral valve regurgitation. In fully adjusted models using no loneliness as reference, the highest loneliness level was associated with significantly increased risks of degenerative VHD (hazard ratio [HR], 1.19 [95% CI, 1.09-1.28]), aortic valve stenosis (HR, 1.21 [95% CI, 1.06-1.37]) and mitral valve regurgitation (HR, 1.23 [95% CI, 1.09-1.39]) (all

conclusionsLoneliness, rather than social isolation, was significantly associated with an increased risk of degenerative VHD. Our findings highlight novel opportunities for nonpharmacological interventions aimed at managing degenerative VHD.

Indexed as

Aortic Valve StenosisHeart Valve DiseasesLonelinessMitral Valve InsufficiencySocial IsolationAgedFemaleGenetic Predisposition to DiseaseHumansIncidenceMaleMiddle AgedProspective StudiesRisk AssessmentRisk FactorsUnited Kingdomaortic valve stenosislonelinessmitral valve regurgitationsocial isolationvalvular heart disease

Identifiers

PMID41983291
PMCPMC13279164

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.