Abstract

Atrial fibrillation (AF) is the most common arrhythmia affecting three million people in the United States (US). Across different races in the US, the incidence of other races was comparable to that of Caucasian population. This points towards the importance of certain lifestyle modifications that can help prevent and treat this disorder. This article discusses 10 such factors. Smoking has been linked to AF, with almost 36% risk reduction if quit. Hypertension has 56% increased risk of atrial fibrillation in which the role of lifestyle changes is well known. Similarly, alcohol-induced atrial fibrillation has 10% increased risk of atrial fibrillation. On the other hand, several case reports document red bull as the cause of atrial fibrillation. Moreover, the risk of atrial fibrillation is four times higher in patients with obstructive sleep apnea (OSA) independent of other confounding variables. Additionally, it has been shown that acute sleep deprivation increases AF risk by 3.36 times. Furthermore, diabetes mellitus and obesity also contribute greatly to atrial fibrillation. This risk has been shown to be around 40% more with diabetes. Diet itself has an impact: numerous studies have shown Mediterranean diet to reduce the risk of AF and cerebrovascular accident in addition to olive oil, fruits and vegetables. Even emotions are important with 85% less AF on ‘happy days’. Needless to mention, yoga has been well demonstrated to have almost 24% reduction in AF. Similarly, physical activity in all forms is beneficial. In summary, lifestyle modifications reduce the incidence of AF, induce more AF remission and also produce successful ablation outcomes.

Highlights

  • BackgroundAtrial fibrillation (AF) is the most common arrhythmia affecting an estimated three million people in the United States (US) and 20 million people around the world [1]

  • Diet itself has an impact: numerous studies have shown Mediterranean diet to reduce the risk of AF and cerebrovascular accident in addition to olive oil, fruits and vegetables

  • Lifestyle modifications reduce the incidence of AF, induce more AF remission and produce successful ablation outcomes

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Summary

Introduction

Atrial fibrillation (AF) is the most common arrhythmia affecting an estimated three million people in the United States (US) and 20 million people around the world [1]. Hypertension is another factor that is well known to contribute to atrial fibrillation with one large study reporting a 56% increased risk [4]. In a recent large meta-analysis, even one daily drink in five out of eight studies showed a statistically significant increased risk of atrial fibrillation. The risk of atrial fibrillation is four times higher in patients with OSA independent of obesity, age, hypertension, heart failure or other confounding variables. This means that AF treatment outcomes may be ineffective if OSA is not adequately treated. Similar results have been seen from other ultra-endurance events

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