scholarly journals Atrial Fibrillation in Athletes—Features of Development, Current Approaches to the Treatment, and Prevention of Complications

2019 ◽  
Vol 16 (24) ◽  
pp. 4890
Author(s):  
Evgeny Achkasov ◽  
Sergey Bondarev ◽  
Victor Smirnov ◽  
Zbigniew Waśkiewicz ◽  
Thomas Rosemann ◽  
...  
Keyword(s):  
Physical Activity ◽  
Atrial Fibrillation ◽  
Cardiac Arrhythmias ◽  
Review Article ◽  
Predisposing Factors ◽  
Thromboembolic Complications ◽  
Treatment And Prevention ◽  
Methods Of Treatment

Atrial fibrillation (AF) is one of the most common types of cardiac arrhythmias. This review article highlights the problem of the development of atrial fibrillation in individuals engaged in physical activity and sports. Predisposing factors, causes, and development mechanisms of atrial fibrillation in athletes from the perspective of the authors are described. Methods of treatment, as well as prevention of thromboembolic complications, are discussed. Directions for further studies of this problem and prevention of complications are proposed.

scholarly journals Obesity and Atrial Fibrillation

2020 ◽  
Vol 32 (3) ◽  
pp. 153-154
Author(s):  
J. Tarcísio Medeiros de Vasconcelos
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Arrhythmias ◽  
Atrial Myocardium ◽  
Effective Strategies ◽  
Treatment And Prevention ◽  
Determining Factors ◽  
The Universe ◽  
Permanent Form ◽  
Structural Aspects ◽  
Over Time

Atrial fibrillation is currently a central issue in the universe of cardiac arrhythmias. The increase in life expectancy that brought a substantial increase in its prevalence in the general population1 implied a marked deepening in the understanding of its electrophysiological mechanisms, in the identification of determining factors or potentiation of its occurrence and obviously in the development of effective strategies of treatment and prevention of its complications. Since the classic study of Wijffels et al., published in 1995 (Atrial Fibrillation Begets Atrial Fibrillation)2 which experimentally demonstrated that atrial frequencies artificially imposed to the atrial myocardium imply marked electrophysiological changes determining the very occurrence of atrial fibrillation, it became clear that once arrhythmia is initiated it potentiates its own occurrence and a constant process of feedback, whose final outcome over time is the installation of arrhythmia in a permanent form. However, for atrial fibrillation to occur, the presence of an adequate electrophysiological environment is necessary, consequent to the presence of several elements that aggress the atrial myocardium under the electrical and structural aspects.

scholarly journals Atlas of invasive treatment for cardiac arrhythmias in Ukraine in 2018

2019 ◽  
Vol 26 (4) ◽  
pp. 102-119
Author(s):  
O. S. Sychov ◽  
A. O. Borodai
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Arrhythmias ◽  
Left Atrial Appendage ◽  
Significant Heterogeneity ◽  
Invasive Treatment ◽  
Occupied Territory ◽  
Conflict Zone ◽  
European Society Of Cardiology ◽  
Methods Of Treatment ◽  
Autonomous Republic

The aim of the analysis was to provide comprehensive data on invasive therapies of cardiac arrhythmias in Ukraine in 2018. Association of Arrhythmologists of Ukraine has been collecting data on invasive cardiac arrhythmia therapies since 2010. In 2019, data for the survey were provided by 39 centers from all regions of Ukraine, with the exception of the temporarily occupied territory of the Autonomous Republic of Crimea, as well as a part of armed conflict zone in the east of Ukraine. In this analysis, we present updated data based on demographics and population statistics. In 2018 a total of 9597 procedures were performed, which is 824 (9.4 %) more compared to 2017, and has been the largest number since 2010. In total, 6265 pacemakers were implanted, which is 472 (8.1 %) more than in 2017. 54.8 % of them were dual chamber devices. The number of replacements for pacemakers decreased to 782, which is 143 (15.5 %) fewer than in 2017. In 2018, 98 CPT devices were implanted, which was 20 (24 %) more compared to 2017. Simultaneously, the number of CPT-D implantations grew by 24 (92.3 %) and equaled to 50. The number of defibrillator cardioverter implants increased to 166, which is 95 (133.8 %) more than in 2017. In 2018 a total of 2914 radiofrequency ablations were performed, which is 190 (7.0 %) more than in 2017. A total of 861 ablations of atrial fibrillation were performed, which is 127 (17.3 %) more compared with 2017. At the same time, the number of ablations in ventricular tachycardia with complex substrate decreased by 1 (2.7 %), totaling 36 procedures. A total of 96 extractions of electrodes were performed, which is 20 (26.3 %) more than in 2017. In addition, in 2018, 5 ECG recorders were implanted and 3 left atrial appendage closures were performed. Despite the positive dynamics, in the total number of procedures, primarily due to artificial rhythm drivers, there remains a significant heterogeneity in the availability of invasive methods of treatment across different regions of Ukraine. For example, ablation is only available in 7 regions, and atrial fibrillation ablations are performed only in 4 regions of the country. More than 10 defibrillator cardioverters have been implanted in only five centers in four regions of Ukraine. Despite the steady positive dynamics in Ukraine, the number of procedures performed is much lower than in other countries, members of ESC (European Society of Cardiology). Conclusions. There has been a significant increase in the number of invasive interventions for cardiac arrhythmias in Ukraine. In 2018, their number was the highest since 2010. At the same time, heterogeneity in access to them continues to exist across different regions of Ukraine, so further efforts are needed to improve the situation.

Optimizing Heart Rate and Controlling Symptoms in Atrial Fibrillation

2016 ◽  
Vol 10 (1) ◽  
pp. 26
Author(s):  
Pragnesh Parikh ◽  
◽  
KL Venkatachalam ◽  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Rate Control ◽  
Stroke Risk ◽  
Symptom Control ◽  
Review Article ◽  
Rhythm Control ◽  
Ventricular Rate ◽  
Control Methods ◽  
Novel Approaches

Atrial fibrillation (AF) is the most common arrhythmia noted in clinical practice and its incidence and prevalence are on the rise. The single most important intervention is the evaluation and treatment of stroke risk. Once the risk for stroke has been minimized, controlling the ventricular rate and treating symptoms become relevant. In this review article, we emphasize the importance of confirming and treating the appropriate arrhythmia and correlating symptoms with rhythm changes. Furthermore, we evaluate some of the risk factors for AF that independently result in symptoms, underlining the need to treat these risk factors as part of symptom control. We then discuss existing and novel approaches to rate control in AF and briefly cover rhythm control methods.

Anxiety-depressive disorders and quality of life in patients with atrial fibrillation

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
T Demenko ◽  
G.A Chumakova
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Atrial Fibrillation ◽  
Correlation Analysis ◽  
Depressive Disorders ◽  
Life Assessment ◽  
Mild Depression ◽  
Group 2 ◽  
Group 1

Abstract Background Mental disorders in patients with cardiovascular disease have a significant impact on the course, the prognosis of the underlying disease and quality of life (QOL). Objective We aimed to examine the prevalence of anxiety and depressive disorders and their impact on the quality of life in patients with atrial fibrillation (AF). Materials and methods In 52 with permanent AF and 50 with paroxysmal AF patients, we administered the depression scale Tsung, the scale of situational anxiety (SA) and personal anxiety (PA) Spielberger-Hanin; QOL was assessed the SF-36 quality of life assessment scale. Correlation analysis using Spearman's rank correlation coefficient. Results The prevalence symptoms mild depression situational or neurotic genesis was 21.1% (12 patients) in Group 1 and 12.0% (6 patients) in Group 2 (p>0.05). Subdepressive state was two percents of patients in Group 1 and Group 2. The incidence SA was 59.6% (31 patients) in Group 1 and 52.0% (26 patients) in Group 2. The incidence PA was 74.0% (37 patients) in Group 2 and 67.3% (35 patients) in Group 1. The average score the physical component of health (PCH) was 29,8±4,3 in Group 1, the mental component of health (MCH) – 49.5±7.4 points; p<0.05. In Group 2: PCH – 44.8±6.6 points, MCH – 26.6±7.5 points; p<0.05. Correlation analysis showed negative strong correlations between SA and MCH (r=−0.64, p=0.0005) and between PA and MCH (r=−0.69, p<0.0001), between SA and PCH (r=−0.71, p=0.0001), between depression and PCH (r=−0.69, p=0.023). Negative statistically significant correlation between depression and MCH (r=−0.69, p=0.54) and negative medium correlation between depression and PCH (r=−0.64, p=0.23). Conclusion These findings suggest that we did not identify patients with symptoms of a true depressive (that can cause pseudodementia and influenced to complete tests). 16.5% patients with AF had mild depression of situational or neurotic genesis. Depression may be a pathogenetic factor of AF or develop because of paroxysms AF – psychological stress. More than 50% patients in Group 1 and Group 2 had an increased anxiety score. SA is more common in patients with permanent AF, probably because older people difficult to adapt to a new situation. PA is more common in patient with paroxysmal AF, probably because disease is sudden and causes anxiety. The PCH of QOL is more impairment in patients with permanent AF, because complications (for example heart failure) impairment physical activity. However, PCH also reduced in patient with paroxysmal AF, because disease is sudden may occur during physical activity. The MCH of QOL is more impairment in patients with paroxysmal AF, because waiting attack effect on mental health and social functioning. An increased level of anxiety and depression negatively affected the mental and physical health of patients with AF. Funding Acknowledgement Type of funding source: None

scholarly journals Regular exercise is associated with a lower risk of developing dementia in patients with a new diagnosis of atrial fibrillation: a nationwide population-based study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J.H Lim ◽  
S.R Lee ◽  
E.K Choi ◽  
J.P Yun ◽  
H.J Ahn ◽  
...  
Keyword(s):  
Physical Activity ◽  
Atrial Fibrillation ◽  
Vascular Dementia ◽  
Lower Risk ◽  
Alzheimer’S Dementia ◽  
P Value ◽  
Regular Exercise ◽  
Newly Diagnosed ◽  
Exercise Habit ◽  
New Diagnosis

Abstract Introduction Regular exercise is known to decrease the risk of dementia. There is a paucity of information about the impact of the change of exercise habit on cardiovascular outcomes after a new diagnosis of atrial fibrillation (AF). We aimed to investigate whether regular exercise is associated with the risk of developing dementia in patients with AF. Methods Using the Korean National Health Insurance Service database, we enrolled patients with newly diagnosed AF who had undergone health screening between 2010 and 2016. The study population was divided into four groups based on the consistency of regular exercise before and after AF diagnosis: (1) persistent non-exerciser, (2) exercise starter, (3) exercise quitter, and (4) exercise maintainer. We investigated the association between exercise and the risk of dementia. Results A total of 126,555 patients were included (mean age 62.7 years, male 62.0%, and mean CHA2DS2-VASc Score 2.7). During a median follow-up duration of 3.0 years, 5,943 patients were newly diagnosed as dementia (1.57 per 100 person-years). Among patients with incident dementia, 4,410 patients had Alzheimer's dementia and 951 patients had vascular dementia (1.16 and 0.25 per 100 person-years, respectively). Persistent non-exerciser, exercise starter, quitter, and maintainer groups were 65.1%, 12.8%, 12.7%, and 9.4%, respectively. After multivariable adjustment, we found that exercise was associated with a lower risk of developing overall dementia. When compared to persistent non-exerciser, exercise starter and maintainer showed reduced risk of developing dementia (hazard ratio [HR] 0.80, 95% confidence interval [95% CI] 0.73–0.88 and HR 0.63, 95% CI 0.54–0.73, respectively, all p-value <0.0001), but exercise quitter showed no significant risk reduction (HR 0.95, 95% CI 0.88–1.03, Figure). Alzheimer's dementia showed consistent results: a 20% lower risk with exercise starter, and a 37% lower risk with exercise maintainer. Change of exercise habit, however, did not affect the risk of vascular dementia (all, p-value >0.05, Figure). Conclusions Regular exercise showed a lower risk of dementia in patients with new-onset AF. Starting exercise even after the diagnosis of AF was beneficial to patients who had little physical activity previously. These findings may support physicians to recommend that AF patients should start exercise or keep their physical activity to reduce the risk of dementia. Funding Acknowledgement Type of funding source: None

scholarly journals Relation of Physical Activity and Incident Atrial Fibrillation (from the Multi-Ethnic Study of Atherosclerosis)

2015 ◽  
Vol 116 (6) ◽  
pp. 883-888 ◽  
Author(s):  
Aneesh Bapat ◽  
Yiyi Zhang ◽  
Wendy S. Post ◽  
Eliseo Guallar ◽  
Elsayed Z. Soliman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Atrial Fibrillation ◽  
Ethnic Study

Smartwatch-based detection of cardiac arrhythmias Beyond the differentiation between sinus rhythm and atrial fibrillation

Heart Rhythm ◽  
2021 ◽  
Author(s):  
Marc Strik ◽  
Sylvain Ploux ◽  
F Daniel Ramirez ◽  
Saer Abu-Alrub ◽  
Pierre Jais ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Sinus Rhythm ◽  
Cardiac Arrhythmias
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