» Articles » PMID: 27900409

Perspectives and Challenges of Antioxidant Therapy for Atrial Fibrillation

Abstract

Atrial fibrillation (AF) is the most common sustained arrhythmia associated with significant morbidity and mortality. The mechanisms underlying the pathogenesis of AF are poorly understood, although electrophysiological remodeling has been described as an important initiating step. There is growing evidence that oxidative stress is involved in the pathogenesis of AF. Many known triggers of oxidative stress, such as age, diabetes, smoking, and inflammation, are linked with an increased risk of arrhythmia. Numerous preclinical studies and clinical trials reported the importance of antioxidant therapy in the prevention of AF, using vitamins C and E, polyunsaturated fatty acids, statins, or nitric oxide donors. The aim of our work is to give a current overview and analysis of opportunities, challenges, and benefits of antioxidant therapy in AF.

Citing Articles

Multimodality Imaging in Patients with Hypertrophic Cardiomyopathy and Atrial Fibrillation.

Chung H, Choi E Diagnostics (Basel). 2023; 13(19).

PMID: 37835790 PMC: 10572439. DOI: 10.3390/diagnostics13193049.


Accuracy of attenuation coefficient measurement (ACM) for real-time ultrasound hepatic steatometry: Comparison of simulator/phantom data with magnetic resonance imaging proton density fat fraction (MRI-PDFF).

Kobyliak N, Dynnyk O, Savytska M, Solodovnyk O, Zakomornyi O, Omelchenko O Heliyon. 2023; 9(10):e20642.

PMID: 37818006 PMC: 10560839. DOI: 10.1016/j.heliyon.2023.e20642.


Resveratrol Effects on the Reproductive System in Ovariectomized Rats: Deciphering Possible Mechanisms.

Zaychenko G, Stryga O, Sinitsyna O, Doroshenko A, Sulaieva O, Falalyeyeva T Molecules. 2022; 27(15).

PMID: 35956866 PMC: 9370311. DOI: 10.3390/molecules27154916.


Antioxidants in Arrhythmia Treatment-Still a Controversy? A Review of Selected Clinical and Laboratory Research.

Szyller J, Jagielski D, Bil-Lula I Antioxidants (Basel). 2022; 11(6).

PMID: 35740006 PMC: 9220256. DOI: 10.3390/antiox11061109.


Association Between Atrial Fibrillation and the Risk of Cardiovascular Mortality Among Elderly Adults With Ischemic Stroke in Northeast China: A Community-Based Prospective Study.

Xia Z, Dang W, Jiang Y, Liu S, Yue L, Jia F Front Aging Neurosci. 2022; 14:836425.

PMID: 35360217 PMC: 8961322. DOI: 10.3389/fnagi.2022.836425.


References
1.
Kubatka P, Stollarova N, Skarda J, Zihlavnikova K, Kajo K, Kapinova A . Preventive effects of fluvastatin in rat mammary carcinogenesis. Eur J Cancer Prev. 2012; 22(4):352-7. DOI: 10.1097/CEJ.0b013e32835b385d. View

2.
Amar D, Zhang H, Heerdt P, Park B, Fleisher M, Thaler H . Statin use is associated with a reduction in atrial fibrillation after noncardiac thoracic surgery independent of C-reactive protein. Chest. 2005; 128(5):3421-7. DOI: 10.1378/chest.128.5.3421. View

3.
Vest J, Wehrens X, Reiken S, Lehnart S, Dobrev D, Chandra P . Defective cardiac ryanodine receptor regulation during atrial fibrillation. Circulation. 2005; 111(16):2025-32. DOI: 10.1161/01.CIR.0000162461.67140.4C. View

4.
Planavila A, Laguna J, Vazquez-Carrera M . Atorvastatin improves peroxisome proliferator-activated receptor signaling in cardiac hypertrophy by preventing nuclear factor-kappa B activation. Biochim Biophys Acta. 2005; 1687(1-3):76-83. DOI: 10.1016/j.bbalip.2004.11.004. View

5.
Kannel W, Wolf P, Benjamin E, Levy D . Prevalence, incidence, prognosis, and predisposing conditions for atrial fibrillation: population-based estimates. Am J Cardiol. 1998; 82(8A):2N-9N. DOI: 10.1016/s0002-9149(98)00583-9. View