Key result
Breast cancer and treatments are linked to higher AFib risk via inflammation and oxidative stress.
Understanding the shared mechanisms and treatment-induced risks of atrial fibrillation in breast cancer patients is essential for interdisciplinary cardio-oncology management.
May warrant closer AF monitoring in breast cancer patients; leaves open prospective trials to guide cardio-oncology strategies.
Cancer and cardiovascular diseases are leading causes of death worldwide. Among them, breast cancer is one of the most common malignancies in women, while atrial fibrillation is one of the most extensively studied arrhythmias, with significant public health implications. As the global population ages and advancements in cancer treatments continue, the survival rates of breast cancer patients have significantly improved, leading to an increasing coexistence of breast cancer and atrial fibrillation. However, the mechanisms underlying this coexistence remain insufficiently studied, and there is no consensus on the optimal treatment strategies for these patients. This review consolidates existing research to systematically explore the epidemiological characteristics, risk factors, and pathophysiological mechanisms of both breast cancer and atrial fibrillation. It focuses on the unique signaling pathways associated with different molecular subtypes of breast cancer and their potential impact on the mechanisms of atrial fibrillation. Additionally, the relationship between atrial fibrillation treatment medications and breast cancer is discussed. These insights not only provide essential evidence for the precise prevention and management of atrial fibrillation in breast cancer patients but also lay a solid theoretical foundation for interdisciplinary clinical management practices.
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Guo et al. (2024) conducted a review in Breast cancer and atrial fibrillation. Breast cancer and its treatments, including chemotherapy and targeted therapies, are associated with an increased risk of atrial fibrillation through shared mechanisms like inflammation and oxidative stress.
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