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Open AccessCase Report

Food-Related Atrial Fibrillation? The Potential Role of Biogenic Amines in “Nutri-Arrhythmias” Genesis

1
Human and Clinical Nutrition Unit, Department of Medical, Oral and Biotechnological Sciences, University G. D’Annunzio, 66100 Chieti, Italy
2
Cardiology Unit, Cardiology Department, San Camillo De Lellis Hospital, 71043 Manfredonia, Italy
3
Sport Medicine Unit, 83100 Avellino, Italy
4
General Surgery Unit, Department of Medical, Oral and Biotechnological Sciences, University G. D’Annunzio, 66100 Chieti, Italy
*
Author to whom correspondence should be addressed.
Received: 21 November 2018 / Revised: 21 December 2018 / Accepted: 24 December 2018 / Published: 26 December 2018
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PDF [1001 KB, uploaded 26 December 2018]
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Abstract

Atrial fibrillation (AF) is the most common type of arrhythmia: a disorganized electrical atrial activity leading to irregular ventricular beats. Its most common risk factors include high blood pressure, congenital and valvular heart diseases, aging, heart failure and coronary heart diseases. Other risk factors include excessive alcohol intake, tobacco smoking, diabetes mellitus and thyrotoxicosis. However, many cases are not associated with any of these risk factors: probably, in these patients, immunological, functional and even dietary mechanisms may be responsible to induce cardiac arrhythmias. Several studies have focused on immunological and neurohumoral mechanisms; however, little information is available about the potential relationship between dietary patterns and atrial fibrillation episodes. This case report describes a potential correlation between biogenic amines in ingested food and recurrent atrial fibrillation onset in a 61-years old man in absence of a remarkable clinical history and of the most common risk factors. The nutritional team instituted a food protocol: a low calories diet and eliminating biogenic amines-rich foods. During the follow-up (16 months), there was a noticeable weight loss and no arrhythmic episodes happened again. This clinical case provides evidence for a possible new relationship between some kinds of food and heart conduction (defining the very novel field of arrhythmogenic foods and of “nutri-arrhythmias”), recognizing biogenic amines-rich foods abuse as the potential trigger and substrate for atrial fibrillation. Therefore, we suggested that clinical history in patients with new onset AF should also include questions concerning the ingestion of histamine-rich foodstuffs (or other amines-rich food) and alcohol consumption: their effects may result to be synergistic in the alteration of cardiac rhythm and may explain the recurrence of an unexplained atrial fibrillation. View Full-Text
Keywords: biogenic amines; vasoactive amines; cardiac arrhythmias; atrial fibrillation; food-related arrhythmias; nutri-arrhythmias biogenic amines; vasoactive amines; cardiac arrhythmias; atrial fibrillation; food-related arrhythmias; nutri-arrhythmias
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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MDPI and ACS Style

Gammone, M.A.; Vicentini, A.; Riccioni, G.; De Girolamo, M.; D’Aulerio, A.; D’Orazio, N. Food-Related Atrial Fibrillation? The Potential Role of Biogenic Amines in “Nutri-Arrhythmias” Genesis. Reports 2019, 2, 1.

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