Glycemic control and atrial fibrillation: an intricate relationship, yet under investigation.
Atrial fibrillation
Comorbidity
Diabetes mellitus
Glycated hemoglobin
HbA1c
Journal
Cardiovascular diabetology
ISSN: 1475-2840
Titre abrégé: Cardiovasc Diabetol
Pays: England
ID NLM: 101147637
Informations de publication
Date de publication:
14 03 2022
14 03 2022
Historique:
received:
14
02
2022
accepted:
25
02
2022
entrez:
15
3
2022
pubmed:
16
3
2022
medline:
7
5
2022
Statut:
epublish
Résumé
Atrial fibrillation (AF) and diabetes mellitus (DM) constitute two major closely inter-related chronic cardiovascular disorders whose concurrent prevalence rates are steadily increasing. Although, the pathogenic mechanisms behind the AF and DM comorbidity are still vague, it is now clear that DM precipitates AF occurrence. DM also affects the clinical course of established AF; it is associated with significant increase in the incidence of stroke, AF recurrence, and cardiovascular mortality. The impact of DM on AF management and prognosis has been adequately investigated. However, evidence on the relative impact of glycemic control using glycated hemoglobin levels is scarce. This review assesses up-to-date literature on the association between DM and AF. It also highlights the usefulness of glycated hemoglobin measurement for the prediction of AF and AF-related adverse events. Additionally, this review evaluates current anti-hyperglycemic treatment in the context of AF, and discusses AF-related decision-making in comorbid DM. Finally, it quotes significant remaining questions and sets some future strategies with the potential to effectively deal with this prevalent comorbidity.
Identifiants
pubmed: 35287684
doi: 10.1186/s12933-022-01473-0
pii: 10.1186/s12933-022-01473-0
pmc: PMC8922816
doi:
Substances chimiques
Glycated Hemoglobin A
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
39Informations de copyright
© 2022. The Author(s).
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