Atrial fibrillation and gastroesophageal reflux disease: From the cardiologist perspective

World Journal of Gastroenterology : WJG
Mariana Floria, Vasile Liviu Drug

Abstract

We have read with interest the paper by Roman C. and colleagues discussing the relationship between gastroesophageal reflux disease and atrial fibrillation. The review is presenting the available evidence for the common pathogenic mechanisms. However, from a cardiologist perspective, some available data were not highlighted in the review, cardiovascular involvement in gastroesophageal reflux is less assessed. Hypertension, obesity or diabetes mellitus are substrate for left atrial remodeling that initiate and sustained atrial fibrillation development. One of the pathophysiologic mechanisms in atrial fibrillation is the presence of a trigger. Gastroesophageal reflux could be only a trigger for this arrhythmia. We believe that atrial fibrillation should be considered as possible extraesophageal syndrome in the gastroesophageal reflux classification.

References

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Jul 30, 2014·World Journal of Gastroenterology : WJG·Crina RomanDan L Dumitrascu

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Citations

Aug 29, 2019·Arquivos De Gastroenterologia·Schlioma ZaterkaDecio Chinzon
Jun 2, 2018·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Cristina M UrituBogdan I Tamba

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