ArticleHeart rhythm O22026
Circulating metabolomic profile and its association with atrial fibrillation and systemic inflammation.
Article in Heart rhythm O2, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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14 authors.
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Abstract
Background: Atrial fibrillation (AF) is a prevalent arrhythmia associated with chronic inflammation and metabolic dysregulation. Metabolic and inflammatory pathways may influence atrial electrophysiology and structural remodeling, contributing to AF onset and persistence, yet key circulating signatures remain poorly defined. Objective: The purpose of this study was to characterize systemic inflammatory markers and circulating metabolomic profiles in patients with paroxysmal and persistent AF compared with non-AF controls. Methods: In this prospective study, 101 patients were enrolled (mean age 59.9 ± 14.7 years; 73/101 [72%] male), including 41 with paroxysmal AF, 30 with persistent AF, and 30 controls. Fasting plasma samples were analyzed using targeted gas chromatography-mass spectrometry to quantify 156 metabolites and multiplex flow cytometry to profile 13 inflammatory cytokines. Results: Interleukin-18 (IL-18) concentrations were significantly elevated in patients with AF compared with controls ( Conclusion: This study identifies distinct metabolic and inflammatory signatures in AF, with IL-18 and specific energy-related metabolites emerging as potential markers of disease phenotype. These hypothesis-generating findings warrant validation in larger cohorts.
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