MicroRNAs as Prognostic Biomarkers for Atrial Fibrillation Recurrence After Catheter Ablation: Current Evidence and Future Directions

Atrial fibrillation (AF) is the most common cardiac arrhythmia encountered in clinical practice and is associated with significant morbidity and mortality. Even though catheter ablation has emerged as an available and effective treatment for AF, recurrence remains a significant challenge. This revie...

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Main Authors: Emmanouil P. Vardas, Evangelos Oikonomou, Panos E. Vardas, Dimitris Tousoulis
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/1/32
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author Emmanouil P. Vardas
Evangelos Oikonomou
Panos E. Vardas
Dimitris Tousoulis
author_facet Emmanouil P. Vardas
Evangelos Oikonomou
Panos E. Vardas
Dimitris Tousoulis
author_sort Emmanouil P. Vardas
collection DOAJ
description Atrial fibrillation (AF) is the most common cardiac arrhythmia encountered in clinical practice and is associated with significant morbidity and mortality. Even though catheter ablation has emerged as an available and effective treatment for AF, recurrence remains a significant challenge. This review presents the existing evidence on the prognostic role of microRNAs (miRNAs) in the prediction of AF recurrence after catheter ablation. We examined studies investigating the association between miRNA expression and post-ablation AF recurrence. Multiple miRNAs have been highlighted as potential biomarkers, which are involved in pathophysiological processes such as atrial remodeling, fibrosis, and inflammation. Despite some promising results, there has been significant heterogeneity across the studies. In this review, we demonstrate the potential miRNAs that can be routinely used as biomarkers of AF recurrence, and we identify areas that require further research to validate their clinical utility.
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series Biomedicines
spelling doaj-art-aa06ce4ebb7d4c6a97ffab55224d8b102025-01-24T13:23:47ZengMDPI AGBiomedicines2227-90592024-12-011313210.3390/biomedicines13010032MicroRNAs as Prognostic Biomarkers for Atrial Fibrillation Recurrence After Catheter Ablation: Current Evidence and Future DirectionsEmmanouil P. Vardas0Evangelos Oikonomou1Panos E. Vardas2Dimitris Tousoulis31st Cardiology Department, General Hospital of Athens “Hippokration”, University of Athens Medical School, 11528 Athens, Greece3rd Cardiology Department, Sotiria Regional Hospital for Chest Diseases, University of Athens Medical School, 11527 Athens, GreeceBiomedical Research Foundation Academy of Athens, Heart Sector, Hygeia Hospitals Group, Attica, 15123 Athens, Greece1st Cardiology Department, General Hospital of Athens “Hippokration”, University of Athens Medical School, 11528 Athens, GreeceAtrial fibrillation (AF) is the most common cardiac arrhythmia encountered in clinical practice and is associated with significant morbidity and mortality. Even though catheter ablation has emerged as an available and effective treatment for AF, recurrence remains a significant challenge. This review presents the existing evidence on the prognostic role of microRNAs (miRNAs) in the prediction of AF recurrence after catheter ablation. We examined studies investigating the association between miRNA expression and post-ablation AF recurrence. Multiple miRNAs have been highlighted as potential biomarkers, which are involved in pathophysiological processes such as atrial remodeling, fibrosis, and inflammation. Despite some promising results, there has been significant heterogeneity across the studies. In this review, we demonstrate the potential miRNAs that can be routinely used as biomarkers of AF recurrence, and we identify areas that require further research to validate their clinical utility.https://www.mdpi.com/2227-9059/13/1/32atrial fibrillationfibrosisinflammationelectrical remodelingmicroRNArecurrence
spellingShingle Emmanouil P. Vardas
Evangelos Oikonomou
Panos E. Vardas
Dimitris Tousoulis
MicroRNAs as Prognostic Biomarkers for Atrial Fibrillation Recurrence After Catheter Ablation: Current Evidence and Future Directions
Biomedicines
atrial fibrillation
fibrosis
inflammation
electrical remodeling
microRNA
recurrence
title MicroRNAs as Prognostic Biomarkers for Atrial Fibrillation Recurrence After Catheter Ablation: Current Evidence and Future Directions
title_full MicroRNAs as Prognostic Biomarkers for Atrial Fibrillation Recurrence After Catheter Ablation: Current Evidence and Future Directions
title_fullStr MicroRNAs as Prognostic Biomarkers for Atrial Fibrillation Recurrence After Catheter Ablation: Current Evidence and Future Directions
title_full_unstemmed MicroRNAs as Prognostic Biomarkers for Atrial Fibrillation Recurrence After Catheter Ablation: Current Evidence and Future Directions
title_short MicroRNAs as Prognostic Biomarkers for Atrial Fibrillation Recurrence After Catheter Ablation: Current Evidence and Future Directions
title_sort micrornas as prognostic biomarkers for atrial fibrillation recurrence after catheter ablation current evidence and future directions
topic atrial fibrillation
fibrosis
inflammation
electrical remodeling
microRNA
recurrence
url https://www.mdpi.com/2227-9059/13/1/32
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