Atrial myopathy

Copyright © 2024 Elsevier Inc. All rights reserved..

This paper delves into the progressive concept of atrial myopathy, shedding light on its development and its impact on atrial characteristics. It extensively explores the intricate connections between atrial myopathy, atrial fibrillation (AF), and strokes. Researchers have sought additional contributors to AF-related strokes due to the absence of a clear timing correlation between paroxysmal AF episodes and strokes in patients with cardiac implantable electronic devices. Through various animal models and human investigations, a close interrelation among aging, inflammation, oxidative stress, and stretching mechanisms has been identified. These mechanisms contribute to fibrosis, alterations in electrical properties, autonomic remodeling, and a heightened pro-thrombotic state. These interconnected factors establish a detrimental cycle, exacerbating atrial myopathy and elevating the risk of sustained AF and strokes. By emphasizing the significance of atrial myopathy and the risk of strokes that are distinct from AF, the paper also discusses methods for identifying patients with atrial myopathy. Moreover, it proposes an approach to incorporate the concept of atrial myopathy into clinical practice to guide anticoagulation decisions in individuals with AF.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

Current problems in cardiology - 49(2024), 3 vom: 15. Feb., Seite 102381

Sprache:

Englisch

Beteiligte Personen:

Gondal, Muhammad Umer Riaz [VerfasserIn]
Mehmood, Raja Sadam [VerfasserIn]
Khan, Rahmeen Pervaiz [VerfasserIn]
Malik, Jahanzeb [VerfasserIn]

Links:

Volltext

Themen:

Anticoagulation
Atrial fibrillation
Atrial myopathy
Inflammation
Journal Article
Review
Stroke

Anmerkungen:

Date Completed 14.02.2024

Date Revised 14.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cpcardiol.2024.102381

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366816993