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以及心房颤动:对它们相互关系的见解。

and Atrial Fibrillation: Insights into Their Inter-Relationship.

作者信息

Feng Weiting, Liu Qiming, Zhou Shenghua, Chen Mingxian, Xiao Yichao

机构信息

Department of Cardiovascular Medicine, Second Xiangya Hospital, Central South University, 410011 Changsha, Hunan, China.

Department of Cardiovascular Medicine, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 510120 Guangzhou, Guangdong, China.

出版信息

Rev Cardiovasc Med. 2025 Apr 18;26(4):26911. doi: 10.31083/RCM26911. eCollection 2025 Apr.

Abstract

() infection and atrial fibrillation (AF) are prevalent global health concerns that significantly impact societal and economic well-being. This study explored the potential associations between infection and the incidence and progression of AF. Emerging research suggests that may influence AF through various pathways, including systemic inflammation, metabolic disturbances, immune responses, and changes in the gut microbiota. These pathways provide a novel perspective on the etiology of AF, suggesting that chronic infection could exacerbate or even initiate the arrhythmic events typical of AF. Current evidence, while preliminary, points to significant correlations, particularly through changes in markers such as C-reactive protein (CRP) and lipid metabolism, which are heightened in individuals with active infection. However, the exact mechanisms and causal nature of this relationship remain elusive, with studies showing conflicting results. This inconsistency underscores the need for more comprehensive and rigorously designed clinical and experimental research to elucidate fully the interactions between infection and AF. Understanding these connections is crucial for developing innovative treatments and management strategies targeting microbial influences in AF patients. Future research should focus on defining the role of eradication in the clinical management of AF assessing its impact on disease progression and patient outcomes.

摘要

()感染和心房颤动(AF)是全球普遍关注的健康问题,对社会和经济福祉产生重大影响。本研究探讨了()感染与AF的发生率和进展之间的潜在关联。新出现的研究表明,()可能通过多种途径影响AF,包括全身炎症、代谢紊乱、免疫反应和肠道微生物群的变化。这些途径为AF的病因提供了新的视角,表明慢性()感染可能会加剧甚至引发AF典型的心律失常事件。目前的证据虽然初步,但指出了显著的相关性,特别是通过C反应蛋白(CRP)和脂质代谢等标志物的变化,这些标志物在活动性()感染个体中升高。然而,这种关系的确切机制和因果性质仍然难以捉摸,研究结果相互矛盾。这种不一致凸显了需要进行更全面、设计更严谨的临床和实验研究,以充分阐明()感染与AF之间的相互作用。了解这些联系对于开发针对AF患者微生物影响的创新治疗方法和管理策略至关重要。未来的研究应侧重于确定()根除在AF临床管理中的作用,评估其对疾病进展和患者结局的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7c/12059773/d84dcc2f7a99/2153-8174-26-4-26911-g1.jpg

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