Glucose metabolic dysregulation of diabetes and Its role in atrial fibrillation pathogenesis

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Authors: Y Chen, Min Xu, Ke Wei, Nan Ma
Cited by: 2
References: 117

Abstract

Atrial fibrillation (AF) is the most prevalent persistent arrhythmia in clinical practice, with a complex pathogenesis that remains incompletely understood. Emerging evidence underscores a strong association between diabetes and the occurrence of AF, highlighting a significantly elevated risk among diabetic patients. This increased susceptibility is not solely attributable to chronic hyperglycemia but is also shaped by blood glucose fluctuations and dysregulated glucose metabolism. In this review, we summarize the mechanisms by which hyperglycemia and blood glycemic variability contribute to the onset of AF, and the potential involvement of abnormal glucose metabolism pathways and metabolic disturbances induced by diabetes in the pathogenesis of AF.

Fields of Study & Subjects

Atrial Fibrillation Management and Outcomes Cardiovascular Function and Risk Factors Cardiovascular Disease and Adiposity

Publication details

Journal / source
Frontiers in Cardiovascular Medicine
Publisher
Frontiers Media SA
Volume
12
Pages
1711069–1711069
Publication date
19 February 2026
Language
EN