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Atrial myopathy
Journal article   Peer reviewed

Atrial myopathy

Muhammad Umer Riaz Gondal, Raja Sadam Mehmood, Rahmeen Pervaiz Khan and Jahanzeb Malik
Current problems in cardiology, v 49(3), 102381
Mar 2024
PMID: 38191102

Abstract

Anticoagulation Atrial fibrillation Atrial myopathy Inflammation Stroke
This paper delves into the progressive concept of atrial myopathy, shedding light on its development and its impact on atrial characteristics. It extensively explores the intricate connections between atrial myopathy, atrial fibrillation (AF), and strokes. Researchers have sought additional contributors to AF-related strokes due to the absence of a clear timing correlation between paroxysmal AF episodes and strokes in patients with cardiac implantable electronic devices. Through various animal models and human investigations, a close interrelation among aging, inflammation, oxidative stress, and stretching mechanisms has been identified. These mechanisms contribute to fibrosis, alterations in electrical properties, autonomic remodeling, and a heightened pro-thrombotic state. These interconnected factors establish a detrimental cycle, exacerbating atrial myopathy and elevating the risk of sustained AF and strokes. By emphasizing the significance of atrial myopathy and the risk of strokes that are distinct from AF, the paper also discusses methods for identifying patients with atrial myopathy. Moreover, it proposes an approach to incorporate the concept of atrial myopathy into clinical practice to guide anticoagulation decisions in individuals with AF.

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Collaboration types
International collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
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