1. Through the haze: unveiling the link between smoking and atrial fibrillation.
- Author
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Mason, Fleur E. and Voigt, Niels
- Subjects
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ATRIAL fibrillation , *SMOKING statistics , *SMOKING , *HAZE , *ARRHYTHMIA - Abstract
Smoking is a major public health issue and the leading preventable cause of illness and death worldwide. It is known to contribute to the development of cardiac arrhythmias, including atrial fibrillation (AF). The addictive component of cigarettes and e-cigarettes, nicotine, is believed to have proarrhythmic effects. A recent study suggests that chronic nicotine exposure may reduce sympathetic innervation in the heart, potentially contributing to ventricular arrhythmogenesis in smokers. Additionally, smoking has been associated with an increased risk of AF, and nicotine may have direct effects on the atria. The study also found that chronic nicotine exposure increases susceptibility to alternans of action potential duration and calcium transient amplitude, which are risk factors for AF. The protective effect of acute sympathetic nerve stimulation against alternans was lost with chronic nicotine exposure. The article highlights the need for further research on the effects of nicotine on atrial sympathetic innervation and fibrosis, as well as efforts to reduce smoking and its impact on health. [Extracted from the article]
- Published
- 2024
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