Atrial fibrillation

Atrial fibrillation (AF) is the most common sustained arrhythmia, inherently associated with an increased risk of stroke.

Current status

 

Atrial fibrillation (AF) is the most common sustained arrhythmia, inherently associated with an increased risk of stroke. This risk can be effectively reduced with appropriate long-term oral anticoagulation therapy. However, the diagnostic process is quite challenging. Continuous ECG monitoring is the most efficient diagnostic method today, but is often impractical due to its high cost, limited availability, and inconvenience for the patient.

 

Our solution


Our approach is to identify a new, simple, cost-effective, and accurate diagnostic tool for AF detection – a biomarker detectable in peripheral blood.

 

Research goals

 

  • To identify plasmatic biomarker with sufficient sensitivity and specificity for atrial fibrillation.
  • To increase the effectivity of AF screening by defining the optimal method for ECG monitoring.
  • To analyze the ability of plasma apelin as a biomarker to detect AF in clinical practice in patients after embolic stroke of undetermined source (ESUS), who will be monitored by 14-day ECG Holter monitor or implantable loop recorder (ILR). 

 

Results

 

Our results suggest great potential of apelin as a diagnostic biomarker for AF and have been published in reputable science journals.

Besides apelin, several other biomarkers including AGEs, esRAGE and miRNAs also show great promise for AF detection.

 

Apelin in Prediction of Atrial fibrillation in patients after an embolic stroke of unknown source (APAF ESUS) is a multicenter, observational, cohort study designed to examine the ability of plasma apelin to detect AF in patients after an embolic stroke of undetermined source (ESUS).

 

Following encouraging results of AFISBIO I, an extension of the study was launched: Atrial Fibrillation Onset in Relationship to Plasma Biomarkers - AFISBIO II.

Protocol design was optimized to allow more participants to be enrolled and new markers tested, such as miRNAs. Extension phase includes patients without history of AF, but with high risk for ischemic stroke and AF.

 

Atrial Fibrillation in relationship to Sleep quality and plasma Biomarkers (AFISBIO) is a multicenter study aimed to clarify the relationship between various circulating substances in blood and AF.

 

Results

2021

Journal of Interventional Cardiac Electrophysiology

Advanced glycation end products predict long-term outcome of catheter ablation in paroxysmal atrial fibrillation

2021

Bratislava Medical Journal

Concentration of apelin inversely correlates with atrial fibrillation burden

2021

Frontiers in Cardiovascular Medicine

Association Between Apelin and Atrial Fibrillation in Patients With High Risk of Ischemic Stroke

2020

International Journal of Molecular Sciences

Molecular Mechanisms, Diagnostic Aspects and Therapeutic Opportunities of Micro Ribonucleic Acids in Atrial Fibrillation (2020)

2016

Global Heart

Association of Apelin and Atrial Fibrillation in Patients Undergoing Catheter Ablation (2016)