Systemic inflammation indicators and risk of incident arrhythmias in 478,524 individuals: evidence from the UK Biobank cohort.

Systemic inflammation indicators and risk of incident arrhythmias in 478,524 individuals: evidence from the UK Biobank cohort.
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478,524 名个体的全身炎症指标和心律失常风险:来自英国生物银行队列的证据。

DOI:
10.1186/s12916-023-02770-5
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发表时间:
2023-02-28
期刊:
影响因子:
9.3
通讯作者:
Wang, Hao
Wang, Hao
中科院分区:
医学1区
文献类型:
--
作者:
Yang, Xiaorong;Zhao, Shaohua;Wang, Shaohua;Cao, Xuelei;Xu, Yue;Yan, Meichen;Pang, Mingmin;Yi, Fan;Wang, Hao

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The role of systemic inflammation in promoting cardiovascular diseases has attracted attention, but its correlation with various arrhythmias remains to be clarified. We aimed to comprehensively assess the association between various indicators of systemic inflammation and atrial fibrillation/flutter (AF), ventricular arrhythmia (VA), and bradyarrhythmia in the UK Biobank cohort. After excluding ineligible participants, a total of 478,524 eligible individuals (46.75% male, aged 40–69 years) were enrolled in the study to assess the association between systemic inflammatory indicators and each type of arrhythmia. After covariates were fully adjusted, CRP levels were found to have an essentially linear positive correlation with the risk of various arrhythmias; neutrophil count, monocyte count, and NLR showed a non-linear positive correlation; and lymphocyte count, SII, PLR, and LMR showed a U-shaped association. VA showed the strongest association with systemic inflammation indicators, and it was followed sequentially by AF and bradyarrhythmia. Multiple systemic inflammatory indicators showed strong associations with the onset of AF, VA, and bradyarrhythmia, of which the latter two have been rarely studied. Active systemic inflammation management might have favorable effects in reducing the arrhythmia burden and further randomized controlled studies are needed. The online version contains supplementary material available at 10.1186/s12916-023-02770-5.
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发表时间: 2018-12-01
期刊: JAMA CARDIOLOGY
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