A Relationship Between Atrial Fibrillation and Dizziness

Background: Vertigo and dizziness have been observed in patients with atrial fibrillation (AF), yet their role as possible early manifestations of AF remains insufficiently understood. Methods: A systematic review of five relevant studies, comprising a total of 2102 patients, was conducted to evaluate the relationship between vestibular symptoms and AF. Results: Dizziness and vertigo were frequently reported, particularly in acute presentations, although they were rarely considered primary symptoms. Evidence suggests a potential correlation between vestibular manifestations and AF, with vertigo possibly acting as an autonomic or inflammatory trigger in selected cases. Conclusions: The findings highlight the clinical relevance of including vertigo and dizziness in the routine assessment of patients with AF. Proper recognition of these symptoms may reduce underdiagnosis, improve treatment adherence, and prevent complications associated with misattribution of vertigo to non-cardiac causes.