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Inflammation and C-reactive protein in atrial fibrillation: cause or effect?
Insights
Inflammation may play a role in atrial fibrillation (AF) development and persistence. This review examines the complex relationship between inflammation, C-reactive protein, and AF.
Area of Science:
- Cardiology
- Biomedical Science
Background:
- Atrial fibrillation (AF) presents significant health risks, with poorly understood causes hindering prevention.
- A growing body of evidence links inflammation to AF.
- Existing research presents conflicting theories on whether inflammation causes AF or if AF triggers inflammation.
Purpose of the Study:
- To critically review the scientific literature on the role of inflammation in atrial fibrillation.
- To discuss the clinical significance of C-reactive protein (CRP) in the context of AF.
Main Methods:
- Literature review and critical analysis of existing studies.
- Synthesis of evidence regarding the inflammation-AF connection.
Main Results:
- Studies show correlations between AF and inflammatory markers like C-reactive protein, myocarditis, and pericardiotomy.
- The precise causal relationship between inflammation and AF remains debated.
Conclusions:
- Inflammation is implicated in the pathogenesis of atrial fibrillation.
- Further research is needed to clarify the exact role of inflammation and C-reactive protein in AF for improved prevention and treatment strategies.
Abstract:
Atrial fibrillation is associated with substantial morbidity and mortality rates. The incompletely understood pathogenesis of this cardiac dysrhythmia makes it difficult to improve approaches to primary and secondary prevention. Evidence has accumulated in regard to a relationship between inflammation and atrial fibrillation. Investigators have correlated the dysrhythmia with myocarditis, pericardiotomy, and C-reactive protein levels, suggesting that inflammation causes atrial fibrillation or participates in its onset and continuation. Conversely, other investigators suggest that atrial fibrillation induces an inflammatory response. In this review, we summarize and critically discuss the nature and clinical role of inflammation and C-reactive protein in atrial fibrillation.
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