PMID- 37273256 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230919 IS - 1948-9358 (Print) IS - 1948-9358 (Electronic) IS - 1948-9358 (Linking) VI - 14 IP - 5 DP - 2023 May 15 TI - Diabetes mellitus and atrial fibrillation-from pathophysiology to treatment. PG - 512-527 LID - 10.4239/wjd.v14.i5.512 [doi] AB - Type 2 diabetes mellitus (T2DM) is a leading risk factor for cardiovascular complications around the globe and one of the most common medical conditions. Atrial fibrillation (AF) is the most common supraventricular arrhythmia, with a rapidly increasing prevalence. T2DM has been closely associated with the risk of AF development, identified as an independent risk factor. Regarding cardio-vascular complications, both AF and T2DM have been linked with high mortality. The underlying pathophysiology has not been fully determined yet; however, it is multifactorial, including structural, electrical, and autonomic pathways. Novel therapies include pharmaceutical agents in sodium-glucose cotransporter-2 inhibitors, as well as antiarrhythmic strategies, such as cardioversion and ablation. Of interest, glucose-lowering therapies may affect the prevalence of AF. This review presents the current evidence regarding the connection between the two entities, the pathophysiological pathways that link them, and the therapeutic options that exist. CI - (c)The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Leopoulou, Marianna AU - Leopoulou M AD - 1 Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens 11527, Greece. FAU - Theofilis, Panagiotis AU - Theofilis P AD - 1 Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens 11527, Greece. FAU - Kordalis, Athanasios AU - Kordalis A AD - 1 Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens 11527, Greece. FAU - Papageorgiou, Nikolaos AU - Papageorgiou N AD - 1 Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens 11527, Greece. FAU - Sagris, Marios AU - Sagris M AD - 1 Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens 11527, Greece. FAU - Oikonomou, Evangelos AU - Oikonomou E AD - 3 Cardiology Clinic, 'Sotiria' Chest Diseases Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens 11527, Greece. FAU - Tousoulis, Dimitris AU - Tousoulis D AD - 1 Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens 11527, Greece. drtousoulis@hotmail.com. LA - eng PT - Journal Article PT - Review PL - United States TA - World J Diabetes JT - World journal of diabetes JID - 101547524 PMC - PMC10236990 OTO - NOTNLM OT - Atrial fibrillation OT - Diabetes mellitus OT - Pathophysiology OT - Treatment COIS- Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article. EDAT- 2023/06/05 13:04 MHDA- 2023/06/05 13:05 PMCR- 2023/05/15 CRDT- 2023/06/05 11:44 PHST- 2023/01/20 00:00 [received] PHST- 2023/02/21 00:00 [revised] PHST- 2023/04/07 00:00 [accepted] PHST- 2023/06/05 13:05 [medline] PHST- 2023/06/05 13:04 [pubmed] PHST- 2023/06/05 11:44 [entrez] PHST- 2023/05/15 00:00 [pmc-release] AID - 10.4239/wjd.v14.i5.512 [doi] PST - ppublish SO - World J Diabetes. 2023 May 15;14(5):512-527. doi: 10.4239/wjd.v14.i5.512.