Atrial fibrillation in patients with diabetes: molecular mechanisms and therapeutic perspectives

被引:44
作者
De Sensi, Francesco [1 ]
De Potter, Tom [2 ]
Cresti, Alberto [3 ]
Severi, Silva [3 ]
Breithardt, Guenter [4 ]
机构
[1] Misericordia Hosp, Dept Cardiol, Arrhythmia Unit, Grosseto, Italy
[2] Onze Lieve Vrouw Hosp, Dept Cardiol, Arrhythmia Unit, Aalst, Belgium
[3] Misericordia Hosp, Dept Cardiol, Grosseto, Italy
[4] Univ Hosp, Dept Cardiovasc Med, Munster, Germany
关键词
Atrial fibrillation (AF); diabetes mellitus (DM); anticoagulants; catheter ablation;
D O I
10.3978/j.issn.2223-3652.2015.06.03
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Atrial fibrillation (AF) remains the most frequent sustained cardiac arrhythmia worldwide and its incidence increases with ageing, cardiovascular risk factors and comorbidities. Prevalence of diabetes mellitus (DM) is growing fast and is assuming pandemic proportions mostly due to overnutrition and sedentary habits. Experimental and clinical evidences suggest that DM and AF are strongly interconnected. The present review addresses in detail new molecular pathways implicated in the etiology of AF and their relevance for mechanism-based therapeutic strategies in this setting. Advances in risk stratification, drug therapy (i. e., novel anticoagulants) and catheter ablation are also described.
引用
收藏
页码:364 / 373
页数:10
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