{
    "abstract": "Depression and anxiety show a bidirectional relationship with atrial fibrillation (AF). Antidepressant use is associated with a reduction in the incidence of AF. However, no studies have examined the relationship between antidepressant use and AF burden (time in AF). This retrospective cohort study examined cardiac implantable device-detected AF episodes and their relationship with antidepressant use, among other treatment factors.\nConsecutive patients from the Western Health Cardiology Department attending pacemaker checks between 2015 and 2021 were included. Patients with permanent AF were excluded, yielding 285 patients with no or paroxysmal AF, with a total of 772 patient encounters. Generalized estimating equations were used to model two processes: binary AF (present/absent) and the number of days in AF for patients with AF.\nEach yearly increase with age was associated with an increase in the odds of developing AF (OR 1.03 [1.00-1.05], \nOlder age, female gender and digoxin are associated with a higher odds of developing incident AF. Sotalol, heart failure beta blockers and serotonin-based antidepressants are associated with reduced AF burden. Further prospective study into the effects of antidepressants on atrial arrhythmias is warranted.",
    "authors": [
        {
            "affiliation": "Department of Cardiology Western Health St Albans Victoria Australia.\nDepartment of Cardiology Royal Melbourne Hospital Melbourne Victoria Australia.",
            "firstname": "Youlin",
            "initials": "Y",
            "lastname": "Koh"
        },
        {
            "affiliation": "Department of Cardiology Western Health St Albans Victoria Australia.",
            "firstname": "Cecilia",
            "initials": "C",
            "lastname": "Kwok"
        },
        {
            "affiliation": "Department of Cardiology Western Health St Albans Victoria Australia.\nDepartment of Cardiology Alfred Health Melbourne Victoria Australia.",
            "firstname": "Aleksandr",
            "initials": "A",
            "lastname": "Voskoboinik"
        },
        {
            "affiliation": "Department of Cardiology Royal Melbourne Hospital Melbourne Victoria Australia.",
            "firstname": "Jonathan M",
            "initials": "JM",
            "lastname": "Kalman"
        },
        {
            "affiliation": "Department of Cardiology Western Health St Albans Victoria Australia.\nDepartment of Cardiology Royal Melbourne Hospital Melbourne Victoria Australia.",
            "firstname": "Michael",
            "initials": "M",
            "lastname": "Wong"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2023 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of Japanese Heart Rhythm Society.",
    "doi": "10.1002/joa3.12948",
    "journal": "Journal of arrhythmia",
    "keywords": [
        "antidepressant",
        "atrial fibrillation",
        "cardiac implantable electronic devices",
        "pacemaker",
        "selective serotonin reuptake inhibitors"
    ],
    "methods": null,
    "publication_date": "2023-12-04",
    "pubmed_id": "38045466\n24469433\n22429764\n30563392\n31759687\n23107841\n34021575\n17980224\n23253703\n30371197\n26004818\n31622521\n25642154\n32716709\n30516110\n34777820\n33913486\n26419625\n20802247\n30452291\n25427727\n23217437\n26310988\n17982017\n33413942\n31560809\n16765127\n25158141\n14514026\n22936860",
    "results": "Each yearly increase with age was associated with an increase in the odds of developing AF (OR 1.03 [1.00-1.05], ",
    "title": "Serotonin antidepressants and atrial fibrillation burden from cardiac implantable electronic devices.",
    "xml": "<Element 'PubmedArticle' at 0x7885031beca0>"
}