Analysis of risk factors of atrial fibrillation in endocrinopathies

Atrial fibrillation (AF) is one of the most common forms of cardiac arrhythmia among the population, especially in middle-aged and elderly people. Recently enough data has been accumulated to indicate the difference in the mechanisms of AF occurrence depending on the individual hormonal status, which requires a personalized approach to assessing AF risk factors. The purpose of this article is to analyze the current state of the issue regarding the role of endocrinopathies in the pathogenesis of AF. The authors have presented modern clinical data indicating the influence of endocrine pathology on the risk of AF and its outcomes. It has been shown that diabetes mellitus, obesity and related metabolic syndrome, thyroid dysfunction, sex hormones abnormalities in women are associated with an increased risk of AF, as well as with a high risk of adverse cardiovascular events in the setting of AF. Along with this, the contribution of traditional factors of cardiovascular risk and the importance of their modification to reduce the incidence of AF is shown. The presented analysis shows the importance of taking into account endocrine pathology for the prevention of AF, timely diagnosis and rational therapy of this arrhythmia.