MPT: Got Gout? Watch for AFib
Paper here, but pay-walled.
Conclusion.
This population-based study indicates that gout is independently associated with a higher risk of AF at diagnosis and the risk is also higher after the diagnosis.

The MPT quotes: "Currently, there is no explicit explanation for the link between gout and Afib," wrote Zhang and colleagues. "The potential mechanism underlying the increased risk of Afib in gout patients is hyperuricemia. Increasing evidence suggests that uric acid participates in the atrial remodeling process that enhances the risk of Afib."

Fructose is a major player in this, being a huge provoker of uric acid (Johnson: The Fat Switch) and there's no indication that the paper is specifically aware of it. People on standard US or UK diets are getting an overdose of fructose. Readers here are unlikely to be consuming much fructose. I doubt that fructose>uric acid>gout is the only pathway to Afib, but it looks like it's one of them.

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Bob Niland [disclosures] [topics]