Arrhythmias & electrophysiology

Evaluation of the association between circulating IL-1β and other inflammatory cytokines and incident atrial fibrillation in a cohort of postmenopausal women

Am Heart JPublished Prospective cohort study

Main finding · Incident AF per 1 log (pg/mL) increase in baseline IL-1βResult — go to the resultHazard ratio 0.86

Authors' conclusion

In this large cohort of postmenopausal women, there was no significant association between IL-1β and incident AF, although downstream effectors, CRP and IL-6, were associated with incident AF.

Study context

Population
Postmenopausal women from the Women's Health Initiative3,943 developed atrial fibrillation (AF)
Participants
16,729 women
Exposure
Baseline IL-1β and incident AF
Outcome
Incident AF
Follow-up
Average 8.5 years
Methodological detailsWomen's Health Initiative cohort, multivariable-adjusted Cox regression
  • Women's Health Initiative cohort
  • Multivariable-adjusted Cox regression

Main finding

As reported in the abstract

Incident AF per 1 log (pg/mL) increase in baseline IL-1β

Hazard ratio

0.86

P = 0.24

Observational data: associations, not effects.

Further findings

Other inflammatory cytokines (IL-7, IL-8, IL-10, IGF-1, TNF-α) and incident AF

Not significantly associated with incident AF, similar to IL-1β

C-reactive protein (CRP) and IL-6 and incident AF

Significant associations with incident AF

Original publication

Evaluation of the association between circulating IL-1β and other inflammatory cytokines and incident atrial fibrillation in a cohort of postmenopausal women. Am Heart J. Published 13 January 2023. doi:10.1016/j.ahj.2023.01.010

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