The role of obesity in atrial fibrillation

dc.contributor.authorNalliah, C.J.
dc.contributor.authorSanders, P.
dc.contributor.authorKottkamp, H.
dc.contributor.authorKalman, J.M.
dc.date.issued2016
dc.description.abstractAtrial fibrillation (AF) is commonly associated with overweight and obesity. Both conditions have been identified as major global epidemics associated with increased mortality and morbidity. Overweight populations have higher incidence, prevalence, severity, and progression of AF compared with their normal weight counterparts. Additionally, weight change appears to accompany alteration of arrhythmia profile, raising overweight, and obesity as potential targets for intervention. Recent clinical data confirm hypothesis drawn from epidemiological studies that durable weight reduction strategies facilitate effective management of AF. Stable weight loss decreases AF burden and AF recurrence following treatment. Structural remodelling in response to weight loss suggests that reverse remodelling of the AF substrate mediates improvement of arrhythmia profile. Obesity often co-exists with multiple AF risk factors that improve in response to weight loss, making a consolidated approach of weight loss and AF risk factor management preferable. However, weight loss for AF remains in its infancy, and its broad adoption as a management strategy for AF remains to be defined.
dc.description.statementofresponsibilityChrishan Joseph Nalliah, Prashanthan Sanders, Hans Kottkamp, Jonathan M. Kalman
dc.identifier.citationEuropean Heart Journal, 2016; 37(20):1565-1572
dc.identifier.doi10.1093/eurheartj/ehv486
dc.identifier.issn0195-668X
dc.identifier.issn1522-9645
dc.identifier.orcidSanders, P. [0000-0003-3803-8429]
dc.identifier.urihttp://hdl.handle.net/2440/97624
dc.language.isoen
dc.publisherOxford University Press
dc.rights© The Author 2015. Published on behalf of the European Society of Cardiology. All rights reserved.
dc.source.urihttps://doi.org/10.1093/eurheartj/ehv486
dc.subjectAtrial fibrillation
dc.subjectAtrial remodelling
dc.subjectObesity
dc.subjectOverweight
dc.titleThe role of obesity in atrial fibrillation
dc.typeJournal article
pubs.publication-statusPublished

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