scholarly journals Response by Lau et al to Letters Regarding Article, “Modifiable Risk Factors and Atrial Fibrillation”

Circulation ◽  
2018 ◽  
Vol 137 (14) ◽  
pp. 1534-1535 ◽  
Author(s):  
Dennis H. Lau ◽  
Stanley Nattel ◽  
Jonathan M. Kalman ◽  
Prashanthan Sanders
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Modifiable Risk Factors

Prevention of atrial fibrillation – non-modifiable and modifiable risk factors for AF

2020 ◽  
Vol 2 (55) ◽  
pp. 14-19
Author(s):  
Agnieszka Wojdyła-Hordyńska ◽  
Grzegorz Hordyński
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Atrial Fibrillation ◽  
Cardiovascular Disease ◽  
Cardiovascular Diseases ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Combined Treatment ◽  
Lifestyle Changes ◽  
Modifiable Risk Factors

Atrial fibrillation is one of the most common arrhythmias, with a significant increase in incidence in recent years. AF is a major cause of stroke, heart failure, sudden cardiac death, and cardiovascular disease. Timely intervention and modification of risk factors increase chance to stop the disease. Aggressive, multilevel prevention tactics are a component of combined treatment, including – in addition to lifestyle changes, anticoagulant therapy, pharmacotherapy and invasive anti-arrhythmic treatment – prevention of cardiovascular diseases, hypertension, ischemia, valvular disease and heart failure.

Age Modified Relationship Between Modifiable Risk Factors and the Risk of Atrial Fibrillation

2021 ◽  
Author(s):  
Satoshi Matsuoka ◽  
Hidehiro Kaneko ◽  
Akira Okada ◽  
Kojiro Morita ◽  
Hidetaka Itoh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Modifiable Risk Factors

scholarly journals Letter by Spartalis et al Regarding Article, “Modifiable Risk Factors and Atrial Fibrillation”

Circulation ◽  
2018 ◽  
Vol 137 (14) ◽  
pp. 1528-1529 ◽  
Author(s):  
Michael Spartalis ◽  
Eleni Tzatzaki ◽  
Eleftherios Spartalis
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Modifiable Risk Factors

scholarly journals Letter by Borghi and Cicero Regarding Article, “Modifiable Risk Factors and Atrial Fibrillation”

Circulation ◽  
2018 ◽  
Vol 137 (14) ◽  
pp. 1532-1533
Author(s):  
Claudio Borghi ◽  
Arrigo F.G. Cicero
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Modifiable Risk Factors

Potentially modifiable risk factors for atrial fibrillation following lung resection surgery: a retrospective cohort study

Anaesthesia ◽  
2016 ◽  
Vol 71 (12) ◽  
pp. 1424-1430 ◽  
Author(s):  
S. H. Lee ◽  
H. J. Ahn ◽  
S. M. Yeon ◽  
M. Yang ◽  
J. A. Kim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Lung Resection ◽  
Modifiable Risk Factors

Modifiable Risk Factors and Atrial Fibrillation

Circulation ◽  
2017 ◽  
Vol 136 (6) ◽  
pp. 583-596 ◽  
Author(s):  
Dennis H. Lau ◽  
Stanley Nattel ◽  
Jonathan M Kalman ◽  
Prashanthan Sanders
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Modifiable Risk Factors

scholarly journals Atrial fibrillation: A review of modifiable risk factors and preventive strategies

2019 ◽  
Vol 57 (2) ◽  
pp. 99-109 ◽  
Author(s):  
Alireza Sepehri Shamloo ◽  
Nikolaos Dagres ◽  
Arash Arya ◽  
Gerhard Hindricks
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Underlying Mechanism ◽  
Modifiable Risk Factors ◽  
Preventive Strategies ◽  
Mortality And Morbidity ◽  
Obstructive Sleep ◽  
Obesity Hypertension ◽  
Development And Management

Abstract Atrial fibrillation (AF), as the most common cardiac arrhythmia worldwide, is associated with increased mortality and morbidity. Successful therapeutic strategies have been introduced so far, but they are associated with significant costs. Therefore, identification of modifiable risk factors of AF and the development of appropriate preventive strategies may play a substantial role in promoting community health and reducing health care system costs. Modifiable cardiovascular risk factors including obesity, hypertension, diabetes mellitus, obstructive sleep apnea, alcohol consumption, smoking, and sedentary lifestyles have been proposed as possible contributors to the development and progression of AF. In this review, we discuss the role of modifiable risk factors in the development and management of AF and the evidence for the underlying mechanism for each of the potential risk factor.

scholarly journals Poor glycemic control in diabetic patients increases the risk of recurrent atrial arrhythmia and cardiovascular hospitalizations among morbidly obese patients undergoing atrial fibrillation ablation

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
K.M Stout ◽  
H Tandon ◽  
R Adomako ◽  
J.W Schleifer ◽  
J Payne ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Primary Outcome ◽  
Morbidly Obese ◽  
Modifiable Risk Factors ◽  
Atrial Arrhythmias ◽  
Obese Patients ◽  
Lifestyle Modifications ◽  
Af Ablation ◽  
Excessive Alcohol

Abstract Background/Introduction Obesity and atrial fibrillation (AF) coexist and share multiple cardiovascular risk factors. Lifestyle modifications can reduce AF burden in obese patients. However, the time invested in pursing lifestyle changes may delay AF ablation, which could negate the procedural benefit. Purpose To examine the effects of lifestyle modifications and the timing of catheter ablation on morbidly obese patients with AF. Methods This retrospective study included 217 consecutive AF patients with a body mass index (BMI) ≥35 kg/m2 undergoing AF ablation at a tertiary care center from 2012 to 2019. Modifiable risks were examined, including the time from AF diagnosis to ablation, fluctuation of BMI >5% or an increase in BMI >3% prior to ablation, mean systolic blood pressure >130 mmHg or diastolic blood pressure >80 mmHg, obstructive sleep apnea with CPAP noncompliance, hyperlipidemia without statin therapy, tobacco use, excessive alcohol use, and diabetes mellitus with hemoglobin A1c (HbA1c) ≥6.5%. The primary outcome was a composite of recurrent atrial arrhythmias and cardiovascular (CV) hospitalizations following AF ablation. A multivariate analysis adjusting for age, gender and modifiable risks was performed. Results The mean age was 61±9 years old, 58% were female and 45% had persistent AF. A substantial portion of the study patients had modifiable risk factors, ranging from 2.7% with excessive alcohol use to 67.3% experiencing delayed AF ablation, Figure 1. The median time from diagnosed AF to ablation was 1.3 years. During a mean follow-up of 2.9 years after AF ablation, 136 (62.7%) patients met the primary outcome. Only HbA1c ≥6.5% was an independent risk factor with adjusted hazard ratio of 1.57, 95% confidence interval 1.02–2.36, P=0.0412, Figure 2A. Delayed AF ablation did not alter the outcome, Figure 2B. There was no interaction between time of ablation and HbA1c ≥6.5% (P=0.67). Conclusion Substantial portions of morbidly obese patients undergoing AF ablation have potentially modifiable risk factors. Poor glycemic control with HbA1c ≥6.5% predicts an increased risk of recurrent atrial arrhythmias and CV hospitalizations, while delayed AF ablation does not. This finding underscores an importance of optimizing HbA1c in morbidly obese patients with AF to reduce adverse outcomes after ablation. FUNDunding Acknowledgement Type of funding sources: None.

scholarly journals Risk Factor Management in Atrial Fibrillation

2018 ◽  
Vol 7 (2) ◽  
pp. 118 ◽  
Author(s):  
Axel Brandes ◽  
Marcelle D Smit ◽  
Bao Oanh Nguyen ◽  
Michiel Rienstra ◽  
Isabelle C Van Gelder ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Clinical Practice ◽  
Management Strategy ◽  
Oral Anticoagulant Therapy ◽  
Rhythm Control ◽  
Current Evidence ◽  
Modifiable Risk Factors ◽  
Early Management ◽  
Risk Factor Management

Atrial fibrillation (AF) is the most common clinical arrhythmia and is associated with increased morbidity and mortality. There is growing evidence that numerous cardiovascular diseases and risk factors are associated with incident AF and that lone AF is rare. Beyond oral anticoagulant therapy, rate and rhythm control, therapy targeting risk factors and underlying conditions is an emerging AF management strategy that warrants better implementation in clinical practice. This review describes current evidence regarding the association between known modifiable risk factors and underlying conditions and the development and progression of AF. It discusses evidence for the early management of underlying conditions to improve AF outcomes. It also provides perspective on the implementation of tailored AF management in daily clinical practice.

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