Triggers for Atrial Fibrillation: The Role of Anxiety

Atrial fibrillation (AF) is the most widely recognized arrhythmia. Systemic arterial hypertension, diabetes, obesity, heart failure, and valvular heart diseases are major risk factors for the onset and progression of AF. Various studies have emphasized the augmented anxiety rate among AF patients du...

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Main Authors: Paolo Severino, Marco Valerio Mariani, Annalisa Maraone, Agostino Piro, Andrea Ceccacci, Lorenzo Tarsitani, Viviana Maestrini, Massimo Mancone, Carlo Lavalle, Massimo Pasquini, Francesco Fedele
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2019/1208505
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author Paolo Severino
Marco Valerio Mariani
Annalisa Maraone
Agostino Piro
Andrea Ceccacci
Lorenzo Tarsitani
Viviana Maestrini
Massimo Mancone
Carlo Lavalle
Massimo Pasquini
Francesco Fedele
author_facet Paolo Severino
Marco Valerio Mariani
Annalisa Maraone
Agostino Piro
Andrea Ceccacci
Lorenzo Tarsitani
Viviana Maestrini
Massimo Mancone
Carlo Lavalle
Massimo Pasquini
Francesco Fedele
author_sort Paolo Severino
collection DOAJ
description Atrial fibrillation (AF) is the most widely recognized arrhythmia. Systemic arterial hypertension, diabetes, obesity, heart failure, and valvular heart diseases are major risk factors for the onset and progression of AF. Various studies have emphasized the augmented anxiety rate among AF patients due to the poor quality of life; however, little information is known about the possibility of triggering atrial fibrillation by anxiety. The present review sought to underline the possible pathophysiological association between AF and anxiety disorders and suggests that anxiety can be an independent risk factor for AF, acting as a trigger, creating an arrhythmogenic substrate, and modulating the autonomic nervous system. The awareness of the role of anxiety disorders as a risk factor for AF may lead to the development of new clinical strategies for the management of AF.
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institution Kabale University
issn 2090-8016
2090-0597
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Cardiology Research and Practice
spelling doaj-art-0d75289c05c64ac2a5321ef42fa44e732025-02-03T05:59:11ZengWileyCardiology Research and Practice2090-80162090-05972019-01-01201910.1155/2019/12085051208505Triggers for Atrial Fibrillation: The Role of AnxietyPaolo Severino0Marco Valerio Mariani1Annalisa Maraone2Agostino Piro3Andrea Ceccacci4Lorenzo Tarsitani5Viviana Maestrini6Massimo Mancone7Carlo Lavalle8Massimo Pasquini9Francesco Fedele10Department of Cardiovascular, Respiratory, Anesthesiology, Nephrology and Geriatric Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Cardiovascular, Respiratory, Anesthesiology, Nephrology and Geriatric Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Human Neurosciences, Sapienza University of Rome, Rome, ItalyDepartment of Cardiovascular, Respiratory, Anesthesiology, Nephrology and Geriatric Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Cardiovascular, Respiratory, Anesthesiology, Nephrology and Geriatric Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Neurosciences and Mental Health, Umberto I Policlinic, Rome, ItalyDepartment of Cardiovascular, Respiratory, Anesthesiology, Nephrology and Geriatric Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Cardiovascular, Respiratory, Anesthesiology, Nephrology and Geriatric Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Cardiovascular, Respiratory, Anesthesiology, Nephrology and Geriatric Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Human Neurosciences, Sapienza University of Rome, Rome, ItalyDepartment of Cardiovascular, Respiratory, Anesthesiology, Nephrology and Geriatric Sciences, Sapienza University of Rome, Rome, ItalyAtrial fibrillation (AF) is the most widely recognized arrhythmia. Systemic arterial hypertension, diabetes, obesity, heart failure, and valvular heart diseases are major risk factors for the onset and progression of AF. Various studies have emphasized the augmented anxiety rate among AF patients due to the poor quality of life; however, little information is known about the possibility of triggering atrial fibrillation by anxiety. The present review sought to underline the possible pathophysiological association between AF and anxiety disorders and suggests that anxiety can be an independent risk factor for AF, acting as a trigger, creating an arrhythmogenic substrate, and modulating the autonomic nervous system. The awareness of the role of anxiety disorders as a risk factor for AF may lead to the development of new clinical strategies for the management of AF.http://dx.doi.org/10.1155/2019/1208505
spellingShingle Paolo Severino
Marco Valerio Mariani
Annalisa Maraone
Agostino Piro
Andrea Ceccacci
Lorenzo Tarsitani
Viviana Maestrini
Massimo Mancone
Carlo Lavalle
Massimo Pasquini
Francesco Fedele
Triggers for Atrial Fibrillation: The Role of Anxiety
Cardiology Research and Practice
title Triggers for Atrial Fibrillation: The Role of Anxiety
title_full Triggers for Atrial Fibrillation: The Role of Anxiety
title_fullStr Triggers for Atrial Fibrillation: The Role of Anxiety
title_full_unstemmed Triggers for Atrial Fibrillation: The Role of Anxiety
title_short Triggers for Atrial Fibrillation: The Role of Anxiety
title_sort triggers for atrial fibrillation the role of anxiety
url http://dx.doi.org/10.1155/2019/1208505
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