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Review
. 2015 Dec 29;66(25):2899-2906.
doi: 10.1016/j.jacc.2015.10.047.

Obesity, Exercise, Obstructive Sleep Apnea, and Modifiable Atherosclerotic Cardiovascular Disease Risk Factors in Atrial Fibrillation

Jared D Miller  1 , Konstantinos N Aronis  1 , Jonathan Chrispin  1 , Kaustubha D Patil  1 , Joseph E Marine  1 , Seth S Martin  1 , Michael J Blaha  1 , Roger S Blumenthal  1 , Hugh Calkins  2
Affiliations
Free article
Review

Obesity, Exercise, Obstructive Sleep Apnea, and Modifiable Atherosclerotic Cardiovascular Disease Risk Factors in Atrial Fibrillation

Jared D Miller et al. J Am Coll Cardiol. .
Free article

Abstract

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.

Keywords: diabetes; hyperlipidemia; hypertension.

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