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Triggers for Atrial Fibrillation: The Role of Anxiety. Cardiol Res Pract 2019;2019:1208505

Date

03/25/2019

Pubmed ID

30906592

Pubmed Central ID

PMC6398072

DOI

10.1155/2019/1208505

Abstract

Atrial fibrillation (AF) is the most widely recognized arrhythmia. Systemic arterial hypertension, diabetes, obesity, heart failure, and valvular heart diseases are major risk factors for the onset and progression of AF. Various studies have emphasized the augmented anxiety rate among AF patients due to the poor quality of life; however, little information is known about the possibility of triggering atrial fibrillation by anxiety. The present review sought to underline the possible pathophysiological association between AF and anxiety disorders and suggests that anxiety can be an independent risk factor for AF, acting as a trigger, creating an arrhythmogenic substrate, and modulating the autonomic nervous system. The awareness of the role of anxiety disorders as a risk factor for AF may lead to the development of new clinical strategies for the management of AF.

Author List

Severino P, Mariani MV, Maraone A, Piro A, Ceccacci A, Tarsitani L, Maestrini V, Mancone M, Lavalle C, Pasquini M, Fedele F

Author

Marcelo C. Pasquini MD, MS Professor in the Medicine department at Medical College of Wisconsin




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