Impact of lifestyle risk factors on atrial fibrillation: Mechanisms and prevention approaches - A narrative review.

Autor:	Vermeer JR; Department of Cardiology, Catharina Hospital Eindhoven, the Netherlands.; Department of Electrical Engineering, Eindhoven University of Technology, Eindhoven, the Netherlands., van den Broek JLPM; Department of Cardiology, Catharina Hospital Eindhoven, the Netherlands.; Department of Electrical Engineering, Eindhoven University of Technology, Eindhoven, the Netherlands., Dekker LRC; Department of Cardiology, Catharina Hospital Eindhoven, the Netherlands.; Department of Electrical Engineering, Eindhoven University of Technology, Eindhoven, the Netherlands.
Jazyk:	angličtina
Zdroj:	International journal of cardiology. Cardiovascular risk and prevention [Int J Cardiol Cardiovasc Risk Prev] 2024 Oct 24; Vol. 23, pp. 200344. Date of Electronic Publication: 2024 Oct 24 (Print Publication: 2024).
DOI:	10.1016/j.ijcrp.2024.200344
Abstrakt:	Both the development and progression of atrial fibrillation (AF) are affected by a range of modifiable lifestyle risk factors. These key modifiable risk factors encompass obesity, hypertension, hypercholesterolemia, diabetes mellitus, smoking, chronic obstructive pulmonary disease, alcohol consumption, exercise, sedentary lifestyle and obstructive sleep apnoea. These lifestyle-dependent factors rarely exist in isolation, but rather exist together, exerting a complex influence on the development of AF. This comprehensive review elucidates the interplay and interdependency of these lifestyle factors in the arrhythmogenesis of AF, by exploring their role in AF substrate formation, modulating properties and triggering mechanisms. We emphasize the importance of targeted prevention strategies by discussing available literature on the effectiveness of treatment strategies targeting multiple risk factors. Additionally, the clinical impacts of integrated care, nurse-led care and mobile health are discussed in the context of lifestyle improvement. These management strategies have favourable applicability in both paroxysmal and persistent AF, and are also beneficial for patients receiving AF ablation. Despite the challenges accompanying lifestyle and prevention strategies, substantial benefits are apparent, such as improved quality of life and better ablation outcomes. This review further emphasizes the essential nature of awareness of appropriate lifestyle modifications as fundamental pillars in the management of individuals with AF. (© 2024 The Authors.)
Databáze:	MEDLINE
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