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Atrial fibrillation and early vascular aging: clinical implications, methodology issues and open questions—a review from the VascAgeNet COST Action

dc.contributor.authorPUCCI, Giacomo
dc.contributor.authorGrillo, Andrea
dc.contributor.authorDALAKLEIDI, KALLIOPI
dc.contributor.authorFraenkel, Emil
dc.contributor.authorGkaliagkousi, Eugenia
dc.contributor.authorGolemati, Spyretta
dc.contributor.authorGuala, Andrea
dc.contributor.authorHametner, Bernhard
dc.contributor.authorLAZARIDIS, ANTONIOS
dc.contributor.authorMayer, Christopher
dc.contributor.authorMozos, Ioana
dc.contributor.authorPereira, Telmo
dc.contributor.authorVeerasingam, Dave
dc.contributor.authorTerentes-Printzios, Dimitrios
dc.contributor.authorAgnoletti, Davide
dc.date.accessioned2024-02-21T15:42:02Z
dc.date.available2024-02-21T15:42:02Z
dc.date.issued2024-02-20
dc.description.abstractAtrial fibrillation (AF), the most common cardiac arrhythmia, is associated with adverse CV outcomes. Vascular aging (VA), which is defined as the progressive deterioration of arterial function and structure over a lifetime, is an independent predictor of both AF development and CV events. A timing identification and treatment of early VA has therefore the potential to reduce the risk of AF incidence and related CV events. A network of scientists and clinicians from the COST Action VascAgeNet identified five clinically and methodologically relevant questions regarding the relationship between AF and VA and conducted a narrative review of the literature to find potential answers. These are: (1) Are VA biomarkers associated with AF? (2) Does early VA predict AF occurrence better than chronological aging? (3) Is early VA a risk enhancer for the occurrence of CV events in AF patients? (4) Are devices measuring VA suitable to perform subclinical AF detection? (5) Does atrial-fibrillation-related rhythm irregularity have a negative impact on the measurement of vascular age? Results showed that VA is a powerful and independent predictor of AF incidence, however, its role as risk modifier for the occurrence of CV events in patients with AF is debatable. Limited and inconclusive data exist regarding the reliability of VA measurement in the presence of rhythm irregularities associated with AF. To date, no device is equipped with tools capable of detecting AF during VA measurements. This represents a missed opportunity to effectively perform CV prevention in people at high risk. Further advances are needed to fill knowledge gaps in this field.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPucci, G.; Grillo, A.; Dalakleidi, K.; Fraenkel, E.; Gkaliagkousi, E.; Golemati, S.; Guala, A.; Hametner, B.; Lazaridis, A.; Mayer, C.C.; et al. Atrial Fibrillation and Early Vascular Aging: Clinical Implications, Methodology Issues and Open Questions—A Review from the VascAgeNet COST Action. J. Clin. Med. 2024, 13, 1207. https:// doi.org/10.3390/jcm13051207pt_PT
dc.identifier.doihttps:// doi.org/10.3390/jcm13051207pt_PT
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/10400.26/49968
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectVascular agingpt_PT
dc.subjectAtrial fibrillationpt_PT
dc.subjectArteriosclerosispt_PT
dc.subjectCardiovascular diseasept_PT
dc.subjectEndothelial dysfunctionpt_PT
dc.subjectArterial stiffnesspt_PT
dc.subjectPulse wave velocitypt_PT
dc.subjectFlow mediated dilationpt_PT
dc.subjectEnvelhecimento vascularpt_PT
dc.subjectFibrilhação atrialpt_PT
dc.subjectArteriosclerosept_PT
dc.subjectDoença cardiovascularpt_PT
dc.subjectDisfunção endotelialpt_PT
dc.subjectRigidez vascularpt_PT
dc.subjectVelocidade da onda de pulsopt_PT
dc.subjectDilatação mediada por fluxopt_PT
dc.titleAtrial fibrillation and early vascular aging: clinical implications, methodology issues and open questions—a review from the VascAgeNet COST Actionpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBaselpt_PT
oaire.citation.titleJournal of Clinical Medicinept_PT
oaire.citation.volume13pt_PT
person.familyNamePUCCI
person.familyNameGrillo
person.familyNameDALAKLEIDI
person.familyNameFraenkel
person.familyNameGkaliagkousi
person.familyNameGolemati
person.familyNameGuala
person.familyNameHametner
person.familyNameLAZARIDIS
person.familyNameMozos
person.familyNamePereira
person.familyNameVeerasingam
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person.givenNameGiacomo
person.givenNameAndrea
person.givenNameKALLIOPI
person.givenNameEmil
person.givenNameEugenia
person.givenNameSpyretta
person.givenNameAndrea
person.givenNameBernhard
person.givenNameANTONIOS
person.givenNameIoana
person.givenNameTelmo
person.givenNameDave
person.givenNameDimitrios
person.givenNameDavide
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rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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