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May 19, 2026Journal of the American College of Cardiology868 citations

Inflammation in Atrial Fibrillation

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YGYutao GuoGLGregory Y.H. LipSAStavros Apostolakis

Key Result

Inflammation is linked to the initiation and perpetuation of atrial fibrillation and its prothrombotic state through mechanisms like endothelial damage and increased platelet activation.

Key Points

  • This review aims to update the understanding of inflammation's role in atrial fibrillation and its clinical implications.
  • Review of existing literature on inflammation and atrial fibrillation.
  • Evaluation of various inflammatory markers associated with atrial fibrillation.
  • Analysis of proposed mechanisms linking inflammation to prothrombotic states in atrial fibrillation.
  • Inflammatory markers like C-reactive protein and interleukins have strong associations with atrial fibrillation.
  • Mechanisms include endothelial damage and increased platelet activation, contributing to thrombosis.
  • Knowledge of inflammatory markers can improve understanding of clinical presentations and outcomes in atrial fibrillation patients.

Structured PICO

P
Population
Patients with atrial fibrillation

This review highlights the plausible mechanisms linking inflammation to the initiation, perpetuation, and prothrombotic complications of atrial fibrillation.

Abstract

Atrial fibrillation (AF) is associated with increased risk for stroke and systemic embolism. There is plausible evidence linking inflammation to the initiation and perpetuation of AF and AF-related thrombosis. Various inflammatory markers (C-reactive protein, tumor necrosis factor-α, interleukin-2, interleukin-6, and interleukin-8) have been associated with AF. Proposed mechanisms linking inflammation and the prothrombotic AF state include endothelial activation/damage, production of tissue factor from monocytes, increased platelet activation, and increased expression of fibrinogen. The present review aims to provide an update on the association of inflammation and AF, including the impact of inflammatory markers on clinical presentation and outcome of AF patients.

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Cite This Study

Guo et al. (2012) conducted a review in Atrial Fibrillation. Inflammation was evaluated. Inflammation is linked to the initiation and perpetuation of atrial fibrillation and its prothrombotic state through mechanisms like endothelial damage and increased platelet activation.

synapsesocial.com/papers/6a0c2b06aff5732a0d7306f5https://doi.org/10.1016/j.jacc.2012.04.063
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