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January 10, 2026Reviews in Cardiovascular MedicineOpen Access

SGLT2i and GLP-1RA may help prevent AF onset by targeting metabolic alterations.

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Why the study?

Current therapeutic strategies often fail to prevent or durably control AF, prompting interest in targeting atrial metabolic remodeling and mitochondrial stress.

Design

Review

Key result

Targeting metabolic alterations, particularly with SGLT2 inhibitors and GLP-1 receptor agonists, may help prevent the onset of atrial fibrillation.

Authors

KGKonstantinos null GrigoriouPKPaschalis null KarakasisPTPanagiotis null Theofilis

Discussion

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Overview

May support metabolic-targeted AF prevention in diabetes/obesity; leaves open confirmation in prospective RCTs.

Key Points

  • The central aim is to understand how metabolic remodeling and mitochondrial stress contribute to atrial fibrillation.
  • Comprehensive analysis of mechanisms linking metabolic changes and atrial fibrillation.
  • Evaluation of therapeutic strategies including SGLT2 inhibitors and GLP-1 receptor agonists.
  • Integration of multi-omics data for understanding metabolic diversity in atrial fibrillation.
  • Assessment of next-generation imaging for detecting pathologic substrates.
  • Atrial metabolic remodeling and mitochondrial stress facilitate the onset of atrial fibrillation.
  • Targeted therapies may restore metabolic homeostasis and mitigate arrhythmia effects.
  • Emerging approaches enhance the customization of treatments based on individual metabolic profiles.

Cite This Study

Grigoriou et al. (2025) studied this question. Targeting metabolic alterations, particularly with SGLT2 inhibitors and GLP-1 receptor agonists, may help prevent the onset of atrial fibrillation.

synapsesocial.com/papers/6963224191e05aa366cb8d9ehttps://doi.org/10.31083/rcm44688
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Metabolic Considerations in Atrial Fibrillation ― Mechanistic Insights and Therapeutic Opportunities ―2017 · 92 citations
  2. 2Atrial fibrillation and metabolic syndrome: an updated review of mechanisms, risk factors, and therapeutic strategies2026
  3. 3Atrial Fibrillation in Diabetes: Pathogenesis and Targeted Rhythm Control Strategies2025 · 9 citations
  4. 4Mitochondrial Dysfunction in Atrial Fibrillation: The Need for a Strong Pharmacological Approach2024 · 12 citations
  5. 5Metabolic and Inflammatory Mechanisms Driving Atrial Fibrillation2025