Diabetes mellitus significantly increases the risk of developing cardiac arrhythmias, particularly atrial fibrillation, through mechanisms involving autonomic dysfunction, structural remodeling, and oxidative stress.
The prevalence of diabetes is rapidly increasing and closely associated with cardiovascular morbidity and mortality. While the major cardiovascular complication associated with diabetes is coronary artery disease, it is becoming increasingly apparent that diabetes impacts the electrical conduction system in the heart, resulting in atrial fibrillation, and ventricular arrhythmias. The relationship between diabetes and arrhythmias is complex and multifactorial including autonomic dysfunction, atrial and ventricular remodeling and molecular alterations. This review will provide a comprehensive overview of the link between diabetes and arrhythmias with insight into the common molecular mechanisms, structural alterations and therapeutic outcomes.
Laurel A. Grisanti (2018) conducted a review in Diabetes and Arrhythmias. Diabetes mellitus significantly increases the risk of developing cardiac arrhythmias, particularly atrial fibrillation, through mechanisms involving autonomic dysfunction, structural remodeling, and oxidative stress.