Dysglycemia and arrhythmias
Journal article
Sun, Dong-Kun, Zhang, Nan, Liu, Ying, Qiu, Jiu-Chun, Tse, Gary, Li, Guang-Ping, Roever, Leonardo and Liu, Tong 2023. Dysglycemia and arrhythmias. World Journal of Diabetes. 14 (8), pp. 1163-1177. https://doi.org/10.4239/wjd.v14.i8.1163
Authors | Sun, Dong-Kun, Zhang, Nan, Liu, Ying, Qiu, Jiu-Chun, Tse, Gary, Li, Guang-Ping, Roever, Leonardo and Liu, Tong |
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Abstract | Disorders in glucose metabolism can be divided into three separate but interrelated domains, namely hyperglycemia, hypoglycemia, and glycemic variability. Intensive glycemic control in patients with diabetes might increase the risk of hypoglycemic incidents and glucose fluctuations. These three dysglycemic states occur not only amongst patients with diabetes, but are frequently present in other clinical settings, such as during critically ill. A growing body of evidence has focused on the relationships between these dysglycemic domains with cardiac arrhythmias, including supraventricular arrhythmias (primarily atrial fibrillation), ventricular arrhythmias (malignant ventricular arrhythmias and QT interval prolongation), and bradyarrhythmias (bradycardia and heart block). Different mechanisms by which these dysglycemic states might provoke cardiac arr-hythmias have been identified in experimental studies. A customized glycemic control strategy to minimize the risk of hyperglycemia, hypoglycemia and glucose variability is of the utmost importance in order to mitigate the risk of cardiac arrhythmias. |
Keywords | Cardiac arrhythmia; Hyperglycemia; Hypoglycemia; Glucose variability; Dysglycemia |
Year | 2023 |
Journal | World Journal of Diabetes |
Journal citation | 14 (8), pp. 1163-1177 |
Publisher | Baishideng Publishing Group |
ISSN | 1948-9358 |
Digital Object Identifier (DOI) | https://doi.org/10.4239/wjd.v14.i8.1163 |
Official URL | https://www.wjgnet.com/1948-9358/full/v14/i8/1163.htm |
Publication dates | |
Online | 15 Aug 2023 |
Publication process dates | |
Accepted | 05 Jul 2023 |
Deposited | 12 Sep 2023 |
Publisher's version | License File Access Level Open |
Output status | Published |
Permalink -
https://repository.canterbury.ac.uk/item/95v09/dysglycemia-and-arrhythmias
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