Hyperuricemia Increases the Risk of Atrial Fibrillation: A Systematic Review and Meta-Analysis

Association between hyperuricemia (HUA) and atrial fibrillation (AF) remains unclear. We reviewed clinical evidence and aimed to determine whether hyperuricemia leads to a high risk of atrial fibrillation. Most studies were identified through databases online. Keywords used in literature search were...

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Main Authors: Zheng Gao, Hekai Shi, Wei Xu, Zhengzhao Guan, Xiuxiu Su, Nuojin Guo, Huijie Ma
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2022/8172639
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author Zheng Gao
Hekai Shi
Wei Xu
Zhengzhao Guan
Xiuxiu Su
Nuojin Guo
Huijie Ma
author_facet Zheng Gao
Hekai Shi
Wei Xu
Zhengzhao Guan
Xiuxiu Su
Nuojin Guo
Huijie Ma
author_sort Zheng Gao
collection DOAJ
description Association between hyperuricemia (HUA) and atrial fibrillation (AF) remains unclear. We reviewed clinical evidence and aimed to determine whether hyperuricemia leads to a high risk of atrial fibrillation. Most studies were identified through databases online. Keywords used in literature search were hyperuricemia, atrial fibrillation, metabolic disorder, endocrine disorder, or uric acid. Three studies were provided by the authors. Literature search was performed without any data or language restriction. Observational studies, including cohort studies and cross-sectional studies, were used. Study type should be clearly defined. Cross-sectional studies should clearly introduce the sources of epidemiological data. Studies were excluded if with too many complications unrelated to AF enrolled. Data were independently extracted by three individuals. Data synthesis was conducted by R version 4.1.2. Prevalence of atrial fibrillation was the main outcome. Results of meta-analysis were presented as risk ratio (RR) for different prevalence of AF between individuals with and without HUA. All data included were obtained after follow-up work is completed. Data from 608,810 participants showed that patients with hyperuricemia were easier to suffer from atrial fibrillation (RR, 2.42; 95% CI, 1.24–3.03). And the meta-regressions suggested growth of linear proportion between the ratio of current drinkers and hyperuricemia (QM = 41.0069, P<0.001). Subgroup analyses demonstrated consistent results in different countries. And design of the observational studies brought heterogeneity, but no uncertainties. Patients with hyperuricemia were easier to suffer from atrial fibrillation. Treatment of hyperuricemia or gout may bring potential benefits for AF patients.
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spelling doaj-art-75ea23941be742f9ab6bdd042abbb5212025-02-03T01:23:39ZengWileyInternational Journal of Endocrinology1687-83452022-01-01202210.1155/2022/8172639Hyperuricemia Increases the Risk of Atrial Fibrillation: A Systematic Review and Meta-AnalysisZheng Gao0Hekai Shi1Wei Xu2Zhengzhao Guan3Xiuxiu Su4Nuojin Guo5Huijie Ma6Department of PhysiologyDepartment of PhysiologyDepartment of PhysiologyRizhao CampusCollege of Physical EducationDepartment of PhysiologyDepartment of PhysiologyAssociation between hyperuricemia (HUA) and atrial fibrillation (AF) remains unclear. We reviewed clinical evidence and aimed to determine whether hyperuricemia leads to a high risk of atrial fibrillation. Most studies were identified through databases online. Keywords used in literature search were hyperuricemia, atrial fibrillation, metabolic disorder, endocrine disorder, or uric acid. Three studies were provided by the authors. Literature search was performed without any data or language restriction. Observational studies, including cohort studies and cross-sectional studies, were used. Study type should be clearly defined. Cross-sectional studies should clearly introduce the sources of epidemiological data. Studies were excluded if with too many complications unrelated to AF enrolled. Data were independently extracted by three individuals. Data synthesis was conducted by R version 4.1.2. Prevalence of atrial fibrillation was the main outcome. Results of meta-analysis were presented as risk ratio (RR) for different prevalence of AF between individuals with and without HUA. All data included were obtained after follow-up work is completed. Data from 608,810 participants showed that patients with hyperuricemia were easier to suffer from atrial fibrillation (RR, 2.42; 95% CI, 1.24–3.03). And the meta-regressions suggested growth of linear proportion between the ratio of current drinkers and hyperuricemia (QM = 41.0069, P<0.001). Subgroup analyses demonstrated consistent results in different countries. And design of the observational studies brought heterogeneity, but no uncertainties. Patients with hyperuricemia were easier to suffer from atrial fibrillation. Treatment of hyperuricemia or gout may bring potential benefits for AF patients.http://dx.doi.org/10.1155/2022/8172639
spellingShingle Zheng Gao
Hekai Shi
Wei Xu
Zhengzhao Guan
Xiuxiu Su
Nuojin Guo
Huijie Ma
Hyperuricemia Increases the Risk of Atrial Fibrillation: A Systematic Review and Meta-Analysis
International Journal of Endocrinology
title Hyperuricemia Increases the Risk of Atrial Fibrillation: A Systematic Review and Meta-Analysis
title_full Hyperuricemia Increases the Risk of Atrial Fibrillation: A Systematic Review and Meta-Analysis
title_fullStr Hyperuricemia Increases the Risk of Atrial Fibrillation: A Systematic Review and Meta-Analysis
title_full_unstemmed Hyperuricemia Increases the Risk of Atrial Fibrillation: A Systematic Review and Meta-Analysis
title_short Hyperuricemia Increases the Risk of Atrial Fibrillation: A Systematic Review and Meta-Analysis
title_sort hyperuricemia increases the risk of atrial fibrillation a systematic review and meta analysis
url http://dx.doi.org/10.1155/2022/8172639
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