Why the study?
Debates persist regarding AF risk management and its prognostic impact, with mixed results across studies evaluating supplemental treatments, lifestyle changes, and comorbidity management.
Do lifestyle modifications and risk factor management improve outcomes and reduce recurrence in patients with atrial fibrillation?
Do lifestyle modifications and risk factor management improve outcomes and reduce recurrence in patients with atrial fibrillation?
Integrating lifestyle modifications such as weight loss, sleep apnea management, and alcohol reduction with standard therapies significantly improves atrial fibrillation management and reduces recurrence.
Should not yet change AF care; leaves open RCTs testing whether well-being optimization independently improves outcomes.
Atrial fibrillation (AF) is the most common heart rhythm disorder, defined by an irregular and rapid heartbeat. It is the most prevalent cardiac arrhythmia in the United States, characterized by irregular heartbeats due to asynchrony between atrial and ventricular contractions. AF can be categorized as paroxysmal or persistent and, as such, poses significant health risks, including heart failure and stroke. Factors like age, sex, lifestyle, and existing health conditions elevate AF risk. There have been a lot of debates around AF risk management and its impact on prognosis. This literature review aims to explore the influence of addressing modifiable risk factors in AF patients on its morbidity and mortality, exploring various treatment options and their effectiveness. Current guidelines suggest rate control and anticoagulation for persistent AF with medications like beta blockers and non-vitamin K oral anticoagulants. Catheter ablation for rhythm control is contentious. Studies on supplemental treatments, lifestyle changes, and managing comorbidities show mixed results, necessitating further research for comprehensive treatment effectiveness in AF patients, which this literature review will discuss.
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Sharma et al. (2024) studied this question.
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