Arrhythmia & Electrophysiology Review (Apr 2023)

Gut Microbiota and Atrial Fibrillation: Pathogenesis, Mechanisms and Therapies

  • Ahmed M Al-Kaisey,
  • William Figgett,
  • Joshua Hawson,
  • Fabienne Mackay,
  • Stephen A Joseph,
  • Jonathan M Kalman

DOI
https://doi.org/10.15420/aer.2022.33
Journal volume & issue
Vol. 12

Abstract

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Over the past decade there has been an interest in understanding the role of gut microbiota in the pathogenesis of AF. A number of studies have linked the gut microbiota to the occurrence of traditional AF risk factors such as hypertension and obesity. However, it remains unclear whether gut dysbiosis has a direct effect on arrhythmogenesis in AF. This article describes the current understanding of the effect of gut dysbiosis and associated metabolites on AF. In addition, current therapeutic strategies and future directions are discussed.