Atrial Fibrillation Detection and Management in Hypertension

Gawałko, Monika; Linz, Dominik

doi:10.1161/hypertensionaha.122.19459

Cited by 12 publications

(8 citation statements)

References 72 publications

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“…[ 22 ] Hypertension enhanced the renin angiotensin aldosterone system and the ensuing cardiac remodeling, which may influence the development of atrial fibrillation postoperatively. [ 23 ] Interestingly, Pu et al [ 24 ] found that an elevated preoperative BNP level was a significant risk factor for POAF.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for the development of postoperative atrial fibrillation after esophagectomy for esophageal cancer

He,

Wu,

Yang

et al. 2023

Medicine

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Postoperative atrial fibrillation (POAF) is one of the most complications after esophagectomy. Thus, our study was conducted to explore risk factors that are associated with POAF following esophagectomy. In the current study, we retrospectively evaluated 511 patients with esophageal cancer who underwent esophagectomy at our center between May 2018 and December 2020. The incidence of POAF and clinical variables were collected and analyzed. POAF occurred in 62 (12.13%) of 511 patients. Increasing age (P = .004) and lower preoperative albumin level (P = .028) was significantly associated with POAF. The length of stay was significantly increased in patients with POAF when compared to patients without POAF (P = .003). Multivariate analysis suggested that age (odds ratio [OR] = 1.049, 95% confidence interval [CI] = 1.008–1.093, P = .020), hypertension (OR = 2.207, 95% CI = 1.221–3.987, P = .009), respiratory complications (OR = 2.015, 95% CI = 1.130–3.591, P = .018) and Ivor Lewis approach (OR = 3.001, 95% CI = 1.032–8.723, P = .044) were independent risk factors for POAF following esophagectomy. Increasing age, preoperative hypertension, respiratory complications and Ivor Lewis approach are independent risk factors for POAF after esophagectomy. POAF is associated with prolonged length of stay. This study suggests that older patients, patients with hypertension or patients underwent Ivor Lewis approach should be monitored more closely during the postoperative period.

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Section: Discussionmentioning

confidence: 99%

Risk factors for the development of postoperative atrial fibrillation after esophagectomy for esophageal cancer

He,

Wu,

Yang

et al. 2023

Medicine

View full text Add to dashboard Cite

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“…of Minnesota Code) or myocardial diseases; ECG with QRS > 130 ms, EF < 45%. Hypertension initiates ventricular and atrial changes that are known risk factors for developing atrial fibrillation (AF), 13 and over 70% of patients with AF have hypertension. We investigated the influence of AF on ventricular S/SR in the normotensive and hypertensive populations.…”

Section: Methodsmentioning

confidence: 99%

Influence of hypertension on systolic and diastolic left ventricular function including segmental strain and strain rate

et al. 2023

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Background Left ventricular (LV) systolic and diastolic functions are important cardiovascular risk predictors in patients with hypertension. However, data on segmental, layer‐specific strain, and diastolic strain rates in these patients are limited. The aim of this study was to investigate segmental two‐dimensional strain rate imaging (SRI)‐derived parameters to characterize LV systolic and diastolic function in hypertensive individuals compared with that in normotensive individuals. Methods The study sample comprised 1194 participants from the population‐based Know Your Heart study in Arkhangelsk and Novosibirsk, Russia, and 1013 individuals from the Seventh Tromsø Study in Norway. The study population was divided into four subgroups: (A) healthy individuals with normal blood pressure (BP), (B) individuals on antihypertensive medication with normal BP, (C) individuals with systolic BP 140–159 mmHg and/or diastolic BP > 90 mm HG, and (D) individuals with systolic BP ≥160 mmHg. In addition to conventional echocardiographic parameters, global and segmental layer‐specific strains and strain rates in early diastole and atrial contraction (SR E, SR A) were extracted. The strain and SR (S/SR) analysis included only segments without strain curve artifacts. Results With increasing BP, the systolic and diastolic global and segmental S/SR gradually decreased. SR E, a marker of impaired relaxation, showed the most distinctive differences between the groups. In normotensive controls and the three hypertension groups, all segmental parameters displayed apico‐basal gradients, with the lowest S/SR in the basal septal and highest in apical segments. Only SR A did not differ between the segmental groups but increased gradually with increasing BP. End‐systolic strain showed incremental epi‐towards endocardial gradients, irrespective of the study group. Conclusion Arterial hypertension reduces global and segmental systolic and diastolic left ventricular S/SR parameters. Impaired relaxation determined by SR E is the dominant factor of diastolic dysfunction, whereas end‐diastolic compliance (by SR A) does not seem to be influenced by different degrees of hypertension. Segmental strain, SR E and SR A provide new insights into the LV cardio mechanics in hypertensive hearts.

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“…[11][12][13] Basic research has delved into the pathological mechanisms, molecular markers, and genetic basis of these diseases. [14][15][16] Clinical research has explored diagnostic methods, therapeutic interventions, and prognostic markers associated with hypertension and atrial fibrillation. [17][18][19] Meanwhile, translational research has led to the development of prevention strategies, treatment guidelines, and patient education initiatives.…”

Section: Introductionmentioning

confidence: 99%

Development and trends in research on hypertension and atrial fibrillation: A bibliometric analysis from 2003 to 2022

Tang,

Zhou,

Liu

et al. 2024

Medicine

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Background: This study aimed to comprehensively analyze research related to hypertension and atrial fibrillation, 2 common cardiovascular diseases with significant global public health implications, using bibliometric methods from 2003 to 2022. Methods: From the Web of Science Core Collection database, literature on the theme of hypertension and atrial fibrillation was retrieved. Subsequently, comprehensive bibliometric analyses were conducted across multiple dimensions utilizing software tools such as VOSviewer, Citespace, Pajek, Scimago Graphica, and ClusterProfiler. These analyses encompassed examinations of the literature according to country/region, institution, authors, journals, citation relationships, and keywords. Results: It revealed an increasing interest and shifting focus in research over the years. The analysis covered 7936 relevant publications, demonstrating a gradual rise in research activity regarding hypertension combined with atrial fibrillation over the past 2 decades, with a stable growth trend in research outcomes. Geographically, Europe and the Americas, particularly the United States, have shown the most active research in this field, while China has also gained importance in recent years. Regarding institutional contributions, internationally renowned institutions such as the University of Birmingham and the Mayo Clinic have emerged as core forces in this research direction. Additionally, Professor Lip Gregory, with his prolific research output, has stood out among numerous scholars. The American Journal of Cardiology has become a primary platform for publishing research related to hypertension and atrial fibrillation, highlighting its central role in advancing knowledge dissemination in this field. The research focus has shifted from exploring the pathophysiological mechanisms to investigating the treatment of complications and risk factors associated with hypertension and atrial fibrillation. Future research will focus on in-depth exploration of genetic and molecular mechanisms, causal relationship exploration through Mendelian randomization studies, and the application of machine learning techniques in prediction and treatment, aiming to promote the development of precision medicine for cardiovascular diseases. Conclusion: In conclusion, this study provides a comprehensive overview of the developmental trajectory of research on hypertension and atrial fibrillation, presenting novel insights into trends and future research directions, thus offering information support and guidance for research in this crucial field of cardiovascular medicine.

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Atrial Fibrillation Detection and Management in Hypertension

Cited by 12 publications

References 72 publications

Risk factors for the development of postoperative atrial fibrillation after esophagectomy for esophageal cancer

Risk factors for the development of postoperative atrial fibrillation after esophagectomy for esophageal cancer

Influence of hypertension on systolic and diastolic left ventricular function including segmental strain and strain rate

Development and trends in research on hypertension and atrial fibrillation: A bibliometric analysis from 2003 to 2022

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