Oxidative stress and inflammation as central mediators of atrial fibrillation in obesity and diabetes.

Oxidative stress and inflammation as central mediators of atrial fibrillation in obesity and diabetes.
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DOI:
10.1186/s12933-017-0604-9
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发表时间:
2017-09-29
影响因子:
9.3
通讯作者:
Akar FG
Akar FG
中科院分区:
医学1区
文献类型:
--
作者:
Karam BS;Chavez-Moreno A;Koh W;Akar JG;Akar FG

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心房颤动(AF)是人类最常见的持续性心律失常。诱发房颤的危险因素有很多,其中糖尿病是最重要的因素之一。越来越多的人认识到肥胖、糖尿病和房颤是紧密交织在一起的疾病,这激发了人们对揭示它们的机制联系的兴趣。在这篇文章中,我们提供了越来越多的证据将氧化应激和炎症与不良心房结构和电重构联系起来,从而导致糖尿病心脏房颤的发生和维持。然后,我们讨论了几种治疗策略,以改善心房兴奋性通过靶向途径控制氧化应激和炎症。
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in humans. Several risk factors promote AF, among which diabetes mellitus has emerged as one of the most important. The growing recognition that obesity, diabetes and AF are closely intertwined disorders has spurred major interest in uncovering their mechanistic links. In this article we provide an update on the growing evidence linking oxidative stress and inflammation to adverse atrial structural and electrical remodeling that leads to the onset and maintenance of AF in the diabetic heart. We then discuss several therapeutic strategies to improve atrial excitability by targeting pathways that control oxidative stress and inflammation.
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