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Published on: July 26, 2018
Mechanisms of Chronic Metabolic Stress in Arrhythmias
Blake H Gowen1, Michael V Reyes1, Leroy C Joseph1
1Department of Medicine, College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA.
Insights
High-fat diets and obesity can cause heart arrhythmias, a major cause of cardiovascular death. This review explores the metabolic links, focusing on oxidative stress, and discusses antioxidant therapies for prevention and treatment.
Area of Science:
- Cardiovascular Science
- Metabolic Research
- Pathophysiology
Background:
- Cardiac arrhythmias contribute significantly to global cardiovascular disease mortality.
- Metabolic dysfunction, particularly from obesity and high-fat diets (HFD), is increasingly implicated in arrhythmia development.
- Existing knowledge on the mechanistic links between HFD and arrhythmogenesis remains incomplete, with oxidative stress as a key suspected factor.
Purpose of the Study:
- To investigate the metabolic alterations associated with obesity and HFD.
- To elucidate the role of oxidative stress in diet-induced arrhythmogenesis.
- To discuss potential therapeutic strategies, including antioxidants, for managing diet-related arrhythmias.
Main Methods:
- Literature review focusing on metabolic changes in obesity and HFD.
- Analysis of studies investigating oxidative stress pathways in cardiac arrhythmias.
- Synthesis of current research on therapeutic interventions for diet-induced arrhythmias.
Main Results:
- Obesity and HFD induce significant metabolic changes that predispose to arrhythmias.
- Oxidative stress is a critical mediator linking metabolic disturbances to cardiac electrical instability.
- Antioxidant-based therapies show promise in mitigating HFD-induced arrhythmogenesis.
Conclusions:
- Metabolic dysregulation driven by HFD and obesity is a significant contributor to cardiac arrhythmias.
- Targeting oxidative stress pathways presents a viable therapeutic avenue for preventing and treating these arrhythmias.
- Further research into metabolic interventions is crucial for cardiovascular health.
Abstract:
Cardiac arrhythmias are responsible for many cardiovascular disease-related deaths worldwide. While arrhythmia pathogenesis is complex, there is increasing evidence for metabolic causes. Obesity, diabetes, and chronically consuming high-fat foods significantly increase the likelihood of developing arrhythmias. Although these correlations are well established, mechanistic explanations connecting a high-fat diet (HFD) to arrhythmogenesis are incomplete, although oxidative stress appears to be critical. This review investigates the metabolic changes that occur in obesity and after HFD. Potential therapies to prevent or treat arrhythmias are discussed, including antioxidants.
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