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Published on: July 20, 2022
Lipid Profile and Atrial Fibrillation: Is There Any Link?
Qi Jiang1, Ling Yang1, Ming-Long Chen2
1Department of Cardiology, The Third Affiliated Hospital of Soochow University, 213003 Changzhou, Jiangsu, China.
Insights
Dyslipidemia, or abnormal blood lipids, is linked to atrial fibrillation (AF). This review explores how lipid disorders may contribute to AF development through various biological mechanisms.
Area of Science:
- Cardiology
- Biochemistry
- Genetics
Background:
- Atrial fibrillation (AF) is a common arrhythmia.
- Dyslipidemia is a known risk factor for atherosclerotic cardiovascular disease (ASCVD).
- Emerging evidence suggests a link between lipid disorders and AF prevalence.
Purpose of the Study:
- To summarize current evidence on the relationship between dyslipidemia and incident AF.
- To explore potential lipid-related mechanisms involved in AF development.
- To enhance understanding of the dyslipidemia-AF connection for future research.
Main Methods:
- Literature review of studies investigating lipid profiles and AF.
- Analysis of proposed molecular and cellular mechanisms.
- Synthesis of existing data on dyslipidemia and cardiac arrhythmias.
Main Results:
- Previous studies show associations between AF and altered levels of LDL-cholesterol, total cholesterol, HDL-cholesterol, and Lp(a).
- Potential mechanisms include effects on cell membrane properties, LDL receptor function, and reverse cholesterol transport.
- Inflammation, apoptosis, and autophagy are implicated in lipid-induced AF pathogenesis.
Conclusions:
- Dyslipidemia may play a significant role in the development of atrial fibrillation.
- Understanding these lipid-related mechanisms is crucial for future research and potential therapeutic strategies.
- Further investigation into the complex interplay between lipids and AF is warranted.
Abstract:
Atrial fibrillation (AF) is the most common type of symptomatic arrhythmias, which was induced by multiple causes and dyslipidemia is a well-known causal factor for the atherosclerotic cardiovascular disease (ASCVD). Interestingly, emerging data has suggested that lipid disorder may be also associated with AF. Several previous studies have shown a link of the prevalence of AF with decreased concentration of low-density lipoproteins (LDL)-cholesterol, total cholesterol (TC), high-density lipoproteins (HDL)-cholesterol, and elevated lipoprotein(a) [Lp(a)]. In this manuscript, we try to summarize the current evidence regarding the relation of dyslipidemia to the incident AF, present the potential lipid-related mechanisms of AF development, which is involved in cell membrane properties, LDL-receptors reduction, reverse cholesterol transport, adiposity-induced inflammation, apoptosis, and autophagy. Such information may boost our understandings concerning the lipid disorder and AF, which may help future exploration in the link of dyslipidemia and AF.
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