Lifestyle Modification as Therapy for Atrial Fibrillation
This site is intended for healthcare professionals

COMMENTARY

Lifestyle Modification as Therapy for Atrial Fibrillation

Claire Raphael, MBBS; Suraj Kapa, MD

Disclosures

January 06, 2017

6

Editorial Collaboration

Medscape &

This feature requires the newest version of Flash. You can download it here.

Claire Raphael, MBBS: I'm Dr Claire Raphael, one of the cardiology fellows at Mayo Clinic. Today we'll be discussing lifestyle modification for atrial fibrillation. I'm joined by Dr Suraj Kapa, who specializes in arrhythmia disorders. Welcome.

Suraj Kapa, MD: Thank you, Dr Raphael.

Dr Raphael: How do weight and fitness play a role in atrial fibrillation?

Dr Kapa: Weight and fitness play multiple intersecting roles in atrial fibrillation. Atrial fibrillation can be an incidental organic disease that happens in anybody, but it can also be the result of an accumulation of factors that can occur in any given person. What I mean by this is the interplay between other forms of heart disease, diabetes, or hypertension as well as other factors including increased weight or poor fitness, can all lead to the pathophysiology or underlying tendency to develop atrial fibrillation. Extensive data show that obesity actually contributes to changes in the heart itself.[1,2,3] Diastolic dysfunction as well as increased left atrial size can be the result of obesity or morbid obesity, which can in turn lead to an increased risk for atrial fibrillation.

Fitness is more interesting because both poor fitness—as well as being overly fit—can increase the risk for atrial fibrillation.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.

processing....