Review Article

Antioxidant Vitamins in the Prevention of Atrial Fibrillation: What Is the Evidence?

Table 1

Summary of experimental evidence for antioxidant vitamins in AF prevention.

StudyModelSettingIntervention/groupsResultsRelevance to AF

Carnes et al. 2001 [15]Instrumented dogs—atrial electrodesExternal ATPAscorbic acid versus controlAttenuated shortening of ERPPrevention

Shiroshita Takeshita et al. 2004 [28]Dogs—atrial electrodesExternal ATPcontrol versus simvastatin versus vitamin C versus vitamin C & EVitamin C/E had no effectNo effect

Lin YK et al. 2010 [41]Isolated rabbit PVs and LA tissuesIn vitro hydrogen peroxide oxidation treatmentAscorbic acid versus controlReduced PV spontaneous activity and abolished burst PV firingPrevention

ATP: atrial tachypacing; ERP: effective refractory period; LA: left atrium; PV: pulmonary vein.