TY - JOUR T1 - Corticosteroids and atrial fibrillation: Risks or benefits? AU - Liu T, Li G Y1 - 2006/09/18 N1 - 10.1001/archinte.166.16.1785-b JO - Archives of Internal Medicine SP - 1785 EP - 1786 VL - 166 IS - 16 N2 - We read with great interest the recent case-control study by van der Hooft et al,1 which showed that high-dose corticosteroid therapy increased the risk of developing AF in a population-based cohort, and they also presented some potential mechanisms that may contribute to this association. However, Dernellis and Panaretou2 demonstrated that low-dose glucocorticoid therapy following successful cardioversion of persistent AF could prevent recurrent AF, and this effect correlated with a significant reduction of C-reactive protein levels. Furthermore, another prospective randomized study3 also showed that short-term corticosteroid administration in patients undergoing coronary artery bypass grafting significantly reduced postoperative AF. The protective effects of corticosteroid therapy on AF are possibly explained by anti-inflammatory mechanisms.4- 5 SN - 0003-9926 M3 - doi: 10.1001/archinte.166.16.1785-b UR - http://dx.doi.org/10.1001/archinte.166.16.1785-b ER -