Med. praxi. 2019;16(2):90-96 | DOI: 10.36290/med.2019.014

Hypertension and atrial fibrillation: a complex problem requiring one comprehensive solution

doc. MUDr. Robert Holaj, CSc., MBA

Centrum pro hypertenzi, III. interní klinika – klinika endokrinologie a metabolismu VFN a 1. LF UK, Praha

Hypertension has a major impact on the pathogenesis, management, and prognosis of atrial fibrillation. Common consequences of hypertension, such as left ventricular hypertrophy, kidney dysfunction, cardiovascular, and cerebrovascular disorders, are recognized risk factors for AF occurrence and development of its complications. Hypertension is very common in AF patients, and evidence points toward a significant contribution of high blood pressure to AF incidence. Patients with hypertension have 1.7-fold higher risk of developing AF than normotensive individuals, and 1 in 6 cases of AF has been attributed to hypertension. Given the high incidence of AF in hypertension, one may even argue that AF is yet another manifestation of the hypertensive target organ damage.

Keywords: arterial hypertension, atrial fibrillation, new oral anticoagulants, stroke, warfarin

Published: April 15, 2019  Show citation