Impact of Lifestyle Modification on Atrial Fibrillation
Atrial Fibrillation (AF) is the most common arrhythmia in adults, and the rapid increase in AF prevalence has been classified by experts as an epidemic. The mechanisms of AF are complex and incompletely understood. While many aspects of management are now based on high quality evidence, other clinic...
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| Veröffentlicht in: | The American journal of cardiology 2020-01, Vol.125 (2), p.289-297 |
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| creator | Wingerter, Rebecca Steiger, Nathaniel Burrows, Austin Estes, N.A. Mark |
| description | Atrial Fibrillation (AF) is the most common arrhythmia in adults, and the rapid increase in AF prevalence has been classified by experts as an epidemic. The mechanisms of AF are complex and incompletely understood. While many aspects of management are now based on high quality evidence, other clinical decisions are based on experience and judgment. This article provides an up to date review relating to lifestyle modification and its effect on AF to inform clinical treatment. This comprehensive review used PubMed and Google Scholar to perform keyword searches of articles published between 1998 and the present, with the exception of the 1978 “Holiday Heart” article. Robust data has emerged identifying multiple risk factors for development of AF, including age, sex, hypertension, diabetes mellitus, obesity, alcohol consumption, exercise, and obstructive sleep apnea. Recent evidence indicates that lifestyle modification has a significant role in mitigating the risk and burden of AF. In conclusion, based on the available evidence, an interdisciplinary approach to lifestyle modification will likely reduce risk and/or symptom burden of AF. |
| doi_str_mv | 10.1016/j.amjcard.2019.10.018 |
| format | Article |
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Mark</creator><creatorcontrib>Wingerter, Rebecca ; Steiger, Nathaniel ; Burrows, Austin ; Estes, N.A. Mark</creatorcontrib><description>Atrial Fibrillation (AF) is the most common arrhythmia in adults, and the rapid increase in AF prevalence has been classified by experts as an epidemic. The mechanisms of AF are complex and incompletely understood. While many aspects of management are now based on high quality evidence, other clinical decisions are based on experience and judgment. This article provides an up to date review relating to lifestyle modification and its effect on AF to inform clinical treatment. This comprehensive review used PubMed and Google Scholar to perform keyword searches of articles published between 1998 and the present, with the exception of the 1978 “Holiday Heart” article. Robust data has emerged identifying multiple risk factors for development of AF, including age, sex, hypertension, diabetes mellitus, obesity, alcohol consumption, exercise, and obstructive sleep apnea. Recent evidence indicates that lifestyle modification has a significant role in mitigating the risk and burden of AF. In conclusion, based on the available evidence, an interdisciplinary approach to lifestyle modification will likely reduce risk and/or symptom burden of AF.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2019.10.018</identifier><identifier>PMID: 31761147</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Alcohol ; Apnea ; Arrhythmia ; Atrial Fibrillation - epidemiology ; Atrial Fibrillation - psychology ; Atrial Fibrillation - rehabilitation ; Behavior Therapy - methods ; Caffeine ; Cardiac arrhythmia ; Cost control ; Diabetes ; Diabetes mellitus ; Diet ; Epidemics ; Exercise - physiology ; Fibrillation ; Global Health ; Heart ; Humans ; Hypertension ; Interdisciplinary aspects ; Life Style ; Lifestyles ; Obesity ; Patients ; Prevalence ; Risk analysis ; Risk factors ; Risk management ; Risk Reduction Behavior ; Search engines ; Sleep ; Sleep apnea ; Sleep disorders ; Stroke ; Weight control ; Women</subject><ispartof>The American journal of cardiology, 2020-01, Vol.125 (2), p.289-297</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><rights>2019. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-72c0390c0e5fdcf5d94c26b2c5747ae146cb62b3a449a154cd8bb99b06ba8b353</citedby><cites>FETCH-LOGICAL-c459t-72c0390c0e5fdcf5d94c26b2c5747ae146cb62b3a449a154cd8bb99b06ba8b353</cites><orcidid>0000-0002-0475-0859</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2326439815?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31761147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wingerter, Rebecca</creatorcontrib><creatorcontrib>Steiger, Nathaniel</creatorcontrib><creatorcontrib>Burrows, Austin</creatorcontrib><creatorcontrib>Estes, N.A. Mark</creatorcontrib><title>Impact of Lifestyle Modification on Atrial Fibrillation</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Atrial Fibrillation (AF) is the most common arrhythmia in adults, and the rapid increase in AF prevalence has been classified by experts as an epidemic. The mechanisms of AF are complex and incompletely understood. While many aspects of management are now based on high quality evidence, other clinical decisions are based on experience and judgment. This article provides an up to date review relating to lifestyle modification and its effect on AF to inform clinical treatment. This comprehensive review used PubMed and Google Scholar to perform keyword searches of articles published between 1998 and the present, with the exception of the 1978 “Holiday Heart” article. Robust data has emerged identifying multiple risk factors for development of AF, including age, sex, hypertension, diabetes mellitus, obesity, alcohol consumption, exercise, and obstructive sleep apnea. Recent evidence indicates that lifestyle modification has a significant role in mitigating the risk and burden of AF. In conclusion, based on the available evidence, an interdisciplinary approach to lifestyle modification will likely reduce risk and/or symptom burden of AF.</description><subject>Alcohol</subject><subject>Apnea</subject><subject>Arrhythmia</subject><subject>Atrial Fibrillation - epidemiology</subject><subject>Atrial Fibrillation - psychology</subject><subject>Atrial Fibrillation - rehabilitation</subject><subject>Behavior Therapy - methods</subject><subject>Caffeine</subject><subject>Cardiac arrhythmia</subject><subject>Cost control</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diet</subject><subject>Epidemics</subject><subject>Exercise - physiology</subject><subject>Fibrillation</subject><subject>Global Health</subject><subject>Heart</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Interdisciplinary aspects</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Obesity</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Risk management</subject><subject>Risk Reduction Behavior</subject><subject>Search engines</subject><subject>Sleep</subject><subject>Sleep apnea</subject><subject>Sleep disorders</subject><subject>Stroke</subject><subject>Weight control</subject><subject>Women</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkM9LwzAUx4Mobk7_BKXgxUtrXpukzUnGcDqYeNFzSNIUUvpjJq2w_97UTQ9ehEDI4_Pe--aD0DXgBDCw-zqRba2lK5MUAw-1BENxguZQ5DwGDtkpmmOM05gD4TN04X0dngCUnaNZBjkDIPkc5Zt2J_UQ9VW0tZXxw74x0Utf2spqOdi-i8JZDs7KJlpb5WzTfJcv0VklG2-ujvcCva8f31bP8fb1abNabmNNKB_iPNU441hjQ6tSV7TkRKdMpZrmJJcGCNOKpSqThHAJlOiyUIpzhZmShcpotkB3h7k713-MIZ9ordcmpOhMP3qRhq9wRjie0Ns_aN2PrgvpApUykvECJooeKO16752pxM7ZVrq9ACwms6IWR7NiMjuVg9nQd3OcPqrWlL9dPyoD8HAATNDxaY0TXlvTaVNaZ_Qgyt7-s-ILc3WKuQ</recordid><startdate>20200115</startdate><enddate>20200115</enddate><creator>Wingerter, Rebecca</creator><creator>Steiger, Nathaniel</creator><creator>Burrows, Austin</creator><creator>Estes, N.A. 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Mark</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-72c0390c0e5fdcf5d94c26b2c5747ae146cb62b3a449a154cd8bb99b06ba8b353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Alcohol</topic><topic>Apnea</topic><topic>Arrhythmia</topic><topic>Atrial Fibrillation - epidemiology</topic><topic>Atrial Fibrillation - psychology</topic><topic>Atrial Fibrillation - rehabilitation</topic><topic>Behavior Therapy - methods</topic><topic>Caffeine</topic><topic>Cardiac arrhythmia</topic><topic>Cost control</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diet</topic><topic>Epidemics</topic><topic>Exercise - physiology</topic><topic>Fibrillation</topic><topic>Global Health</topic><topic>Heart</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Interdisciplinary aspects</topic><topic>Life Style</topic><topic>Lifestyles</topic><topic>Obesity</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Risk management</topic><topic>Risk Reduction Behavior</topic><topic>Search engines</topic><topic>Sleep</topic><topic>Sleep apnea</topic><topic>Sleep disorders</topic><topic>Stroke</topic><topic>Weight control</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wingerter, Rebecca</creatorcontrib><creatorcontrib>Steiger, Nathaniel</creatorcontrib><creatorcontrib>Burrows, Austin</creatorcontrib><creatorcontrib>Estes, N.A. 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| subjects | Alcohol Apnea Arrhythmia Atrial Fibrillation - epidemiology Atrial Fibrillation - psychology Atrial Fibrillation - rehabilitation Behavior Therapy - methods Caffeine Cardiac arrhythmia Cost control Diabetes Diabetes mellitus Diet Epidemics Exercise - physiology Fibrillation Global Health Heart Humans Hypertension Interdisciplinary aspects Life Style Lifestyles Obesity Patients Prevalence Risk analysis Risk factors Risk management Risk Reduction Behavior Search engines Sleep Sleep apnea Sleep disorders Stroke Weight control Women |
| title | Impact of Lifestyle Modification on Atrial Fibrillation |
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