Antioxidant Vitamins in the Prevention of Atrial Fibrillation: What Is the Evidence?

Atrial fibrillation (AF) is the most common sustained arrhythmia that is associated with significant morbidity and mortality. Current available therapies remain inadequate in symptom control and secondary prevention and are often associated with significant side effects. The mechanisms underlying th...

Full description

Saved in:
Bibliographic Details
Main Authors: Sonia Rasoli, Nicholaos Kakouros, Leanne Harling, Philemon Gukop, Manish Soni, Thanos Athanasiou, Antonios Kourliouros
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.4061/2011/164078
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832561696939442176
author Sonia Rasoli
Nicholaos Kakouros
Leanne Harling
Philemon Gukop
Manish Soni
Thanos Athanasiou
Antonios Kourliouros
author_facet Sonia Rasoli
Nicholaos Kakouros
Leanne Harling
Philemon Gukop
Manish Soni
Thanos Athanasiou
Antonios Kourliouros
author_sort Sonia Rasoli
collection DOAJ
description Atrial fibrillation (AF) is the most common sustained arrhythmia that is associated with significant morbidity and mortality. Current available therapies remain inadequate in symptom control and secondary prevention and are often associated with significant side effects. The mechanisms underlying the pathogenesis of AF are poorly understood, although electrophysiological remodeling has been described as an important initiating step. Recently, increasing evidence implicates oxidative stress and inflammation in the pathogenesis of AF. We searched the literature for evidence to support the use of antioxidant vitamins C and E in the prevention of AF. These vitamins, through their reactive-oxygen-species- (ROS-) scavenging effect, have shown a role in AF prevention in both animal and small clinical studies. The available evidence, however, is currently insufficient to support recommendations for their use in the wider patient population. Larger-scale clinical studies are required to confirm these preliminary results. Research is also required to further the understanding of the processes involved in the pathogenesis of AF and the role of antioxidant therapies to prevent the arrhythmia.
format Article
id doaj-art-3caa1d1cc751456a894361c2d35aa21e
institution Kabale University
issn 2090-0597
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series Cardiology Research and Practice
spelling doaj-art-3caa1d1cc751456a894361c2d35aa21e2025-02-03T01:24:27ZengWileyCardiology Research and Practice2090-05972011-01-01201110.4061/2011/164078164078Antioxidant Vitamins in the Prevention of Atrial Fibrillation: What Is the Evidence?Sonia Rasoli0Nicholaos Kakouros1Leanne Harling2Philemon Gukop3Manish Soni4Thanos Athanasiou5Antonios Kourliouros6Department of Cardiothoracic Surgery, St George's Hospital, London SW17 0QT, UKDepartment of Cardiology, Johns Hopkins Hospital, Baltimore, MD 21209, USADepartment of Cardiothoracic Surgery, Imperial College Healthcare, London W12 0HS, UKDepartment of Cardiothoracic Surgery, St George's Hospital, London SW17 0QT, UKDepartment of Cardiothoracic Surgery, St George's Hospital, London SW17 0QT, UKDepartment of Cardiothoracic Surgery, Imperial College Healthcare, London W12 0HS, UKDepartment of Cardiac Surgery, St Thomas' Hospital, London SE1 7EH, UKAtrial fibrillation (AF) is the most common sustained arrhythmia that is associated with significant morbidity and mortality. Current available therapies remain inadequate in symptom control and secondary prevention and are often associated with significant side effects. The mechanisms underlying the pathogenesis of AF are poorly understood, although electrophysiological remodeling has been described as an important initiating step. Recently, increasing evidence implicates oxidative stress and inflammation in the pathogenesis of AF. We searched the literature for evidence to support the use of antioxidant vitamins C and E in the prevention of AF. These vitamins, through their reactive-oxygen-species- (ROS-) scavenging effect, have shown a role in AF prevention in both animal and small clinical studies. The available evidence, however, is currently insufficient to support recommendations for their use in the wider patient population. Larger-scale clinical studies are required to confirm these preliminary results. Research is also required to further the understanding of the processes involved in the pathogenesis of AF and the role of antioxidant therapies to prevent the arrhythmia.http://dx.doi.org/10.4061/2011/164078
spellingShingle Sonia Rasoli
Nicholaos Kakouros
Leanne Harling
Philemon Gukop
Manish Soni
Thanos Athanasiou
Antonios Kourliouros
Antioxidant Vitamins in the Prevention of Atrial Fibrillation: What Is the Evidence?
Cardiology Research and Practice
title Antioxidant Vitamins in the Prevention of Atrial Fibrillation: What Is the Evidence?
title_full Antioxidant Vitamins in the Prevention of Atrial Fibrillation: What Is the Evidence?
title_fullStr Antioxidant Vitamins in the Prevention of Atrial Fibrillation: What Is the Evidence?
title_full_unstemmed Antioxidant Vitamins in the Prevention of Atrial Fibrillation: What Is the Evidence?
title_short Antioxidant Vitamins in the Prevention of Atrial Fibrillation: What Is the Evidence?
title_sort antioxidant vitamins in the prevention of atrial fibrillation what is the evidence
url http://dx.doi.org/10.4061/2011/164078
work_keys_str_mv AT soniarasoli antioxidantvitaminsinthepreventionofatrialfibrillationwhatistheevidence
AT nicholaoskakouros antioxidantvitaminsinthepreventionofatrialfibrillationwhatistheevidence
AT leanneharling antioxidantvitaminsinthepreventionofatrialfibrillationwhatistheevidence
AT philemongukop antioxidantvitaminsinthepreventionofatrialfibrillationwhatistheevidence
AT manishsoni antioxidantvitaminsinthepreventionofatrialfibrillationwhatistheevidence
AT thanosathanasiou antioxidantvitaminsinthepreventionofatrialfibrillationwhatistheevidence
AT antonioskourliouros antioxidantvitaminsinthepreventionofatrialfibrillationwhatistheevidence