Vnitr Lek 2025, 71(1):40-44 | DOI: 10.36290/vnl.2025.007
Humoral biomarkers and atrial fibrillation
- I. interná klinika UPJŠ LF a UNLP, Košice
Atrial fibrillation (AF) is the most common arrhythmia in clinical practice, contributing to increased morbidity and mortality. Humoral biomarkers, such as natriuretic peptides, troponin, aldosterone, cortisol, copeptin, and apelin, are gaining importance in the diagnosis, prognosis, and management of AF. Elevated levels of these biomarkers indicate not only myocardial dysfunction and atrial remodeling but also inflammatory and procoagulant states that influence the progression and complications of AF. Monitoring biomarker levels provides deeper insight into the pathophysiological mechanisms of AF and can aid in identifying patients at higher risk of complications, such as thromboembolic events or disease progression. Integrating biomarkers into clinical practice can significantly improve risk stratification, facilitate a more personalized approach to AF treatment, and contribute to more effective disease monitoring. Evidence linking biomarkers with AF is promising; however, further studies are needed to confirm their clinical utility in standard care for patients with this serious condition.
Keywords: aldosterone, apelin, atrial fibrillation, copeptin, cortisol, natriuretic peptides, troponin.
Accepted: February 6, 2025; Published: February 18, 2025 Show citation
References
- Zhou Y, Lin D, Wu S, et al. Dysnatremia is associated with increased risk of all-cause mortality within 365 days post-discharge in patients with atrial fibrillation without heart failure: A prospective cohort study. Front Cardiovasc Med. 2022;9:963103.
Go to original source...
Go to PubMed...
- Cortés M, Arbucci R, Lambardi F, et al. High-Sensitivity Troponin T For The Risk Assessment Of Patients With Acute Atrial Fibrillation. Curr Probl Cardiol. 2022;47(11):101079.
Go to original source...
Go to PubMed...
- Li X, Peng S, Wu X, et al. C-reactive protein and atrial fibrillation: Insights from epidemiological and Mendelian randomization studies. Nutr Metab Cardiovasc Dis. 2022;32(6):1519-1527.
Go to original source...
Go to PubMed...
- Zhou P, Waresi M, Zhao Y, et al. Increased serum interleukin-6 level as a predictive biomarker for atrial fibrillation: A systematic review and meta-analysis. Rev Port Cardiol (Engl Ed). 2020;39(12):723-728.
Go to original source...
Go to PubMed...
- Quesada A, López-Valero L, Marcaida-Benito G, et al. Prognostic value of troponin I in atrial fibrillation. Prog Cardiovasc Dis. 2021;67:80-88.
Go to original source...
Go to PubMed...
- Kornej J, Zeynalova S, Büttner P, et al. Differentiation of atrial fibrillation progression phenotypes using Troponin T. Int J Cardiol. 2019;297:61-65.
Go to original source...
Go to PubMed...
- Zhao X, Li H, Liu C, Ren Y, Sun C. NT Pro-BNP can be used as a risk predictor of clinical atrial fibrillation with or without left atrial enlargement. Clin Cardiol. 2022;45(1):68-74.
Go to original source...
Go to PubMed...
- Inohara T, Kim S, Pieper K, et al. B-type natriuretic peptide, disease progression and clinical outcomes in atrial fibrillation. Heart. 2019;105(5):370-377.
- Matsuda Y, Masuda M, Asai M, et al. High Brain Natriuretic Peptide Level Predicts The Prevalence Of Low-Voltage Areas And Poor Rhythm Outcome In Patients Undergoing Atrial Fibrillation Ablation. J Atr Fibrillation. 2020;13(3):2279.
Go to original source...
Go to PubMed...
- Palà E, Pagola J, Juega J, et al. B-type natriuretic peptide over N-terminal pro-brain natriuretic peptide to predict incident atrial fibrillation after cryptogenic stroke. Eur J Neurol. 2021;28(2):540-547.
Go to original source...
Go to PubMed...
- Mahadevan A, Garikipati S, Vanani S, et al. Meta-analysis of renin angiotensin aldosterone modulators mitigating Atrial Fibrillation risk in hypertensive patients. Am J Med Sci. 2024; S0002-9629(24)01351-X.
Go to original source...
Go to PubMed...
- Menichelli D, Poli D, Antonucci E, et al. Renin-angiotensin-aldosterone system inhibitors and mortality risk in elderly patients with atrial fibrillation. Insights from the nationwide START registry. Eur J Intern Med. 2024;119:84-92.
Go to original source...
Go to PubMed...
- Larsson SC, Lee WH, Burgess S, Allara E. Plasma Cortisol and Risk of Atrial Fibrillation: A Mendelian Randomization Study. J Clin Endocrinol Metab. 2021;106(7):e2521-e2526.
Go to original source...
Go to PubMed...
- Di Dalmazi G, Vicennati V, Pizzi C, et al. Prevalence and Incidence of Atrial Fibrillation in a Large Cohort of Adrenal Incidentalomas: A Long-Term Study. J Clin Endocrinol Metab. 2020;105(8):dgaa270.
Go to original source...
Go to PubMed...
- Avci II, Sahin I, Gungor B, et al. Higher Copeptin Levels are Associated with the Risk of Atrial Fibrillation in Patients with Rheumatic Mitral Stenosis. Acta Cardiol Sin. 2021;37(4):412-419.
- Arbault-Biton C, Chenevier-Gobeaux C, Legallois D, et al. Multiple biomarkers measurement to estimate the duration of atrial fibrillation. Ann Clin Biochem. 2021;58(2):102-107.
Go to original source...
Go to PubMed...
- Cavusoglu Y, Kaya H, Eraslan S, Yilmaz MB. Hyponatremia is associated with occurrence of atrial fibrillation in outpatients with heart failure and reduced ejection fraction. Hellenic J Cardiol. 2019;60(2):117-121.
Go to original source...
Go to PubMed...
- Kaya H, Cavusoglu Y. Arginine vasopressin and difficult triangle of heart failure, atrial fibrillation, and hyponatremia. Hellenic J Cardiol. 2020;61(4):296.
Go to original source...
Go to PubMed...
- Bohm A, Urban L, Tothova L, et al. Concentration of apelin inversely correlates with atrial fibrillation burden. Bratisl Lek Listy. 2021;122(3):165-171.
Go to original source...
Go to PubMed...
- Bohm A, Snopek P, Tothova L, et al. Association Between Apelin and Atrial Fibrillation in Patients With High Risk of Ischemic Stroke. Front Cardiovasc Med. 2021;8:742601.
Go to original source...
Go to PubMed...