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Atrial fibrillation: The endocrine connection
Sanjay Kalra1, Kamal Kishor2, Deepak Khandelwal3
1Department of Endocrinology, Bharti Hospital, Karnal, India.
Insights
Atrial fibrillation (AF), a common heart rhythm disorder, increases risks of stroke and heart failure. Early detection and management, particularly by considering endocrine and metabolic links, can prevent serious complications.
Area of Science:
- Cardiology
- Endocrinology
- Internal Medicine
Background:
- Atrial fibrillation (AF) is the most prevalent cardiac arrhythmia.
- AF diagnosis is linked to increased hospitalization, stroke, heart failure, and mortality risks.
- Timely diagnosis and treatment of AF are crucial for preventing severe complications.
Purpose of the Study:
- To review the association between endocrine and metabolic diseases and atrial fibrillation.
- To encourage proactive roles for physicians and endocrinologists in AF detection and management.
Main Methods:
- Literature review focusing on endocrine and metabolic disorders associated with AF.
- Analysis of clinical implications for AF detection and management.
Main Results:
- A wide range of endocrine and metabolic diseases are associated with AF.
- Physicians need heightened clinical suspicion and targeted screening for AF.
Conclusions:
- Endocrine and metabolic diseases represent a significant, often overlooked, factor in AF.
- Collaboration between cardiologists and endocrinologists is vital for improving AF patient outcomes through early detection and comprehensive management.
Abstract:
Atrial fibrillation (AF) is the most commonly encountered arrhythmia in cardiology practice. A diagnosis of AF implies a greater need for hospitalization, a higher risk of stroke and heart failure, and earlier mortality. These complications can be avoided if AF is diagnosed and treated in a timely manner. To achieve this, physicians need to maintain a high index of clinical suspicion, practice cardiovigilance, and screen for AF in appropriate clinical settings. This review describes the vast spectrum of endocrine and metabolic disease that are associated with AF. Through this perspective, it encourages physicians and endocrinologists to play an active role in AF detection, referral and long term management.
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