Does comprehensive cardiac risk factor modification (including weight loss and exercise) improve the prevention and management of atrial fibrillation?
Comprehensive cardiac risk factor modification, including weight loss and exercise, plays a crucial role in the prevention and management of atrial fibrillation alongside traditional therapies.
Classically, the 3 pillars of atrial fibrillation (AF) management have included anticoagulation for prevention of thromboembolism, rhythm control, and rate control. In both prevention and management of AF, a growing body of evidence supports an increased role for comprehensive cardiac risk factor modification (RFM), herein defined as management of traditional modifiable cardiac risk factors, weight loss, and exercise. In this narrative review, we summarize the evidence demonstrating the importance of each facet of RFM in AF prevention and therapy. Additionally, we review emerging data on the importance of weight loss and cardiovascular exercise in prevention and management of AF.
Miller et al. (Tue,) studied this question.
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