Exercise and Atrial Fibrillation: Some Good News and Some Bad News

Shamloo, Alireza Sepehri; Arya, Arash; Dagres, Nikolas; Hindricks, Gerhard

doi:10.31661/gmj.v7i0.1401

Cited by 6 publications

(2 citation statements)

References 43 publications

(71 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, it may be advantageous for controlling blood sugar, arterial stiffness, sympathetic drive, and the structure of the heart-particularly the left atrium, which is prone to atrophy. Research has indicated that regular engagement in physical activity can lower the frequency of atrial fibrillation (AF) episodes [56]. Itʹs crucial to remember, though, that research points to a possible increased risk of AF in relation to vigorous physical exercise.…”

Section: Physical Activity and Afmentioning

confidence: 99%

Atrial Fibrillation and Lifestyle Modification: Charting New Courses for Cardiovascular Health

Fahimi,

Beikmohammadi,

Rostami

2024

Preprint

View full text Add to dashboard Cite

Atrial fibrillation (AF), a complex cardiac arrhythmia, necessitates a shift in management paradigms, emphasizing an integrative approach that incorporates lifestyle modifications. Investigations into the role of interleukins and inflammatory mediators are underway, exploring their potential as diagnostic markers and predictors of cardiovascular events in AF. Despite the identification of biomarkers related to cardiac remodeling, their predictive ability for post-cardioversion outcomes remains controversial. Computational models are being developed to understand proarrhythmic contributions and identify anti-AF targets. Addressing the rising global incidence of AF, linked to stroke and heart failure, presents a critical health challenge. As risk factors like obesity prevail, AF becomes a pervasive public health concern, expected to double in prevalence over the next 50 years. The impact on mortality and morbidity, especially through hospitalizations, underscores the need for early detection and effective clinical management. Identifying individuals at increased AF risk becomes crucial for screening and prevention strategies. Lifestyle modifications, including weight management and physical activity, emerge as influential factors in AF management, offering the potential to alleviate symptoms and modify disease progression. The paper concludes by emphasizing the need for safer antiarrhythmic therapies based on AF mechanisms, promising improvement in global AF management. The multifaceted nature of AF etiology requires a broader perspective beyond traditional medical interventions, acknowledging the importance of integrated care to address this significant public health challenge.

show abstract

Section: Physical Activity and Afmentioning

confidence: 99%

Atrial Fibrillation and Lifestyle Modification: Charting New Courses for Cardiovascular Health

Fahimi,

Beikmohammadi,

Rostami

2024

Preprint

View full text Add to dashboard Cite

show abstract

“…As the incidence rates of AF continues to rise, it is necessary to identify and treat the relevant potentially modifiable risk factors [6]. Hypertension, obesity, smoking, and alcohol consumption have been already approved as possible modifiable risk factors; however, attempts for finding new ones are continuing [7][8][9]. Re-GMJ.2018;7:e1416 www.gmj.ir [14,15].…”

Section: Introductionmentioning

confidence: 99%

Sleep Disorders and Atrial Fibrillation: Current Situation and Future Directions

Sepehri Shamloo,

Arya,

Dagres

et al. 2018

GMJ

View full text Add to dashboard Cite

Atrial fibrillation (AF) is a growing health problem worldwide. In recent years, there has been a rising interest in the relationship between sleep disorders and AF. Several studies have reported higher prevalence and incidence rates of AF in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS). However, some believe that OSAHS is not a risk factor for AF; but AF, by itself, is regarded as one of the possible triggers for OSAHS. In this study, the related literature investigating the association between OSAHS and AF was reviewed, and then the possible mechanisms of this interplay were discussed. To conclude, recommendations for further research in this field were presented to researchers and some points were highlighted for physicians.[GMJ.2018;7:e1416]

show abstract

Assessment of the relational strength between triggers detected in physiological signals and the occurrence of atrial fibrillation episodes

Pluščiauskaitė,

Sološenko,

Jančiulevičiūtė

et al. 2024

Physiol. Meas.

View full text Add to dashboard Cite

Objective. Despite the growing interest in understanding the role of triggers of paroxysmal atrial fibrillation (AF), solutions beyond questionnaires to identify a broader range of triggers remain lacking. This study aims to investigate the relation between triggers detected in wearable-based physiological signals and the occurrence of AF episodes. Approach. Week-long physiological signals were collected during everyday activities from 35 patients with paroxysmal AF, employing an ECG patch attached to the chest and a photoplethysmogram (PPG)-based wrist-worn device. The signals acquired by the patch were used for detecting potential triggers due to physical exertion, psychophysiological stress, lying on the left side, and sleep disturbances. To assess the relation between detected triggers and the occurrence of AF episodes, a measure of relational strength is employed accounting for pre- and post-trigger AF burden. The usefulness of ECG- and PPG-based AF detectors in determining AF burden and assessing the relational strength is also analyzed. Main results. Physical exertion emerged as the trigger associated with the largest increase in relational strength for the largest number of patients (p < 0.01). On the other hand, no significant difference was observed for psychophysiological stress and sleep disorders. The relational strength of the detected AF exhibits a moderate correlation with the relational strength of annotated AF, with r = 0.66 for ECG-based AF detection and r = 0.62 for PPG-based AF detection. Conclusions. The findings indicate a patient-specific increase in relational strength for all four types of trigger. Significance. The proposed approach has the potential to facilitate the implementation of longitudinal studies and can serve as a less biased alternative to questionnaire-based AF trigger detection.

show abstract

Exercise and Atrial Fibrillation: Some Good News and Some Bad News

Cited by 6 publications

References 43 publications

Atrial Fibrillation and Lifestyle Modification: Charting New Courses for Cardiovascular Health

Atrial Fibrillation and Lifestyle Modification: Charting New Courses for Cardiovascular Health

Sleep Disorders and Atrial Fibrillation: Current Situation and Future Directions

Assessment of the relational strength between triggers detected in physiological signals and the occurrence of atrial fibrillation episodes

Contact Info

Product

Resources

About