Revisiting the risks of incident atrial fibrillation: a narrative review. Part 2

Panchal, Gaurav; Mahmood, Maria; Lip, Gregory Y.H.

doi:10.33963/kp.14846

Cited by 15 publications

(19 citation statements)

References 27 publications

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“…Additionally, they were asked about specific characteristics known to be associated with AF (age, sex, diabetes, hypertension). Some traditional risk factors were not assessed in the survey and thus were not able to be measured in this study (obesity, alcohol use, smoking) [14,15]. Questions regarding training characteristics were open-ended and did not specify a specific time range (e.g., years of running was queried as “For how many years have you been running?”).…”

Section: Methodsmentioning

confidence: 99%

An Assessment of Training Characteristics Associated with Atrial Fibrillation in Masters Runners

Matsumura

Abbatemarco

2019

Sports

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A growing body of literature supports an association between long-term endurance exercise and the development of atrial fibrillation (AF). Given the benefits of lifelong exercise, a better understanding of this association is critical to allow healthcare providers to counsel aging exercisers on the proper “dose” of exercise to maximize health benefits but minimize AF risk. The current study examines the relationship between specific aspects of training volume and intensity and the occurrence of AF among older runners in order to better understand what aspects of endurance exercise may contribute to the development of AF. The study was an Internet-based survey of endurance training and health characteristics of runners 35 years of age and older. A total 2819 runners participated and 69 (2.4%) reported a current or prior diagnosis of AF. Among “traditional” risk factors, runners reporting AF were older, more likely to be male, and had higher rates of hypertension and diabetes. Among training characteristics, only accumulated years of training was associated with AF. In contrast, average weekly mileage, training pace, and days of training per week were not associated with AF. In a multivariable analysis that included chronologic age, sex, diabetes, and hypertension, accumulated years of training remained significantly associated with the report of AF. These findings suggest that the relationship between chronic endurance exercise and AF is dependent on the accumulated training duration but does not appear to be influenced by specific training characteristics such as frequency or intensity of endurance exercise. Further confirmation of these relationships may help healthcare providers counsel exercisers on optimal training habits and identify endurance athletes who are at risk for the development of AF.

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Section: Methodsmentioning

confidence: 99%

An Assessment of Training Characteristics Associated with Atrial Fibrillation in Masters Runners

Matsumura

Abbatemarco

2019

Sports

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“…19,45,[54][55][56][57][58] Symptomatic recurrence of paroxysmal AF was documented more commonly in regular drinkers than in those who did not consume alcohol (50% vs 24%) and daily alcohol intake was an independent predictor of AF relapse. 54 In addition, moderate -to -high alcohol consumption is an independent risk factor for progression of paroxysmal toward chronic AF (OR, 3). 55 Several studies demonstrated improvement in AF ablation outcome with alcohol abstinence after the procedure, [56][57][58] reporting that abstainers compared with former or current drinkers had a significantly lower AF recurrence rate after the first ablation (34.1% vs 41.9%).…”

Section: 51mentioning

confidence: 99%

“…Glucose tolerance test Low-glycemic index diet Metformin Pioglitazone HYPERTENSION BP, 125-130/80-85 mm Hg ACEI, ARB, and/or eplerenone β-blockers Renal denervation FIGURE 1 A practical guide for risk factors modification to prevent atrial fibrillation. Abbreviations: BP, blood pressure; CRF, cardiorespiratory fitness; LDL -C, low -density lipoprotein cholesterol; MET, metabolic equivalent (of task); TG, triglycerides; others, see TABLES [2][3][4]…”

Section: Diabetes Mellitusmentioning

confidence: 99%

“…2 Modification of these risk factors may prevent incident AF and improve the efficacy of therapies targeting arrhythmias. 3,4 Moreover, improvement of lifestyle and cardiometabolic risk factors is associated with better overall health and survival. 2 reported that aggressive risk factors modification reduced the use of other specific rhythm control strategies (ie, antiarrhythmic drugs [AADs], cardioversion, and catheter ablation).…”

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confidence: 99%

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Risk factor modification for the primary and secondary prevention of atrial fibrillation. Part 2

Mujović¹,

Milan²,

Miroslav³

et al. 2020

Kardiol Pol

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Atrial fibrillation (AF) is the most common cardiac arrhythmia and is associated with increased risk of death, stroke, and heart failure. Prevalence and incidence of AF are rising due to better overall medical treatment, longer survival, and increasing incidence of cardiometabolic and lifestyle risk factors. Treatment of AF and AF -related complications significantly increases healthcare costs. In addition, the use of conventional rhythm control strategies (including, antiarrhythmic drugs and catheter ablation) is associated with limited efficacy for sinus rhythm maintenance and serious adverse effects. Aggressive cardiometabolic risk factor management may prevent incident as well as recurrent AF, improve overall health, and reduce mortality. Therefore, modifiable risk factor management became one of the 3 treatment pillars in AF management along with anticoagulation as well as conventional rate and rhythm control strategies. The second part of this review systematically discusses the association between AF and potentially modifiable risk factors for AF, such as obesity, obstructive sleep apnea, alcohol consumption, and dyslipidemia. We also provide practical guidelines for the risk factor management with respect to primary and secondary prevention of AF.

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“…Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and is known to be an independent predictor of mortality [1][2][3]. Moreover, patients receiving anticoagulation most often die from cardiovascular causes [4].…”

Section: Introductionmentioning

confidence: 99%

The importance of the longest R-R interval on 24-hour electrocardiography for mortality prediction in patients with atrial fibrillation

Zyśko¹,

Persson²,

Obremska³

et al. 2021

Kardiol Pol

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Revisiting the risks of incident atrial fibrillation: a narrative review. Part 2

Cited by 15 publications

References 27 publications

An Assessment of Training Characteristics Associated with Atrial Fibrillation in Masters Runners

An Assessment of Training Characteristics Associated with Atrial Fibrillation in Masters Runners

Risk factor modification for the primary and secondary prevention of atrial fibrillation. Part 2

The importance of the longest R-R interval on 24-hour electrocardiography for mortality prediction in patients with atrial fibrillation

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