Is arterial stiffness a contributing factor to atrial fibrillation in patients with hypertension? A preliminary investigation | Zendy

James A. Reiffel | Zendy

Open Access

Is arterial stiffness a contributing factor to atrial fibrillation in patients with hypertension? A preliminary investigation

Author(s) -

James A. Reiffel

Publication year - 2004

Publication title -

american journal of hypertension

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.009

H-Index - 136

eISSN - 1941-7225

pISSN - 0895-7061

DOI - 10.1016/j.amjhyper.2003.10.004

Subject(s) - medicine , atrial fibrillation , arterial stiffness , cardiology , blood pressure

Atrial fibrillation (AF) is the most common tachyarrhythmia encountered by clinicians. When AF occurs in patients with structural disorders, hypertension is most common. Hypertension may provoke or enable AF to occur through several mechanisms. One could be the resultant effects of increased afterload on the left ventricle and consequent changes in the left atrium. The latter could be the direct linear effect of elevated diastolic atrial pressure and its proximate effect on atrial electrophysiology. Alternatively, it may be a more indirect and complex relationship involving chronic morphologic, electrophysiologic, and secretory consequences in the atrium consequent to a chronically reduced left ventricular (LV) compliance.

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