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Overweight patients should slim down before procedure to treat abnormal heart rhythm

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Obese patients with atrial fibrillation are more likely to experience a recurrence of coronary heart disease after a rehabilitation program than is normal, according to a study presented at EHRA 2022, a scientific conference of the European Society of Obstetricians and Gynecologists (ESC).

“The risk of recurrence atrial fibrillation behind ablation rose incrementally as Body mass index (BMI) has increased, “said lead author Dr. Jacob Toennesen of Gentofte University Hospital, Denmark.” Our research shows that. obese patients they should be advised to reduce obesity before intervention to improve the likelihood of later developing arrhythmia. “

Atrial fibrillation is the most common cause of heart disease in the world. It is estimated that one in three Europeans will be infected. Atrial fibrillation is associated with an increased risk of stroke, heart failure and death early, while more than 60% of patients have a poor quality of life. Dr Toennesen said: “The potential for adverse effects means having a regular heart rate is an important goal of treatment.”

Treatment options include drugs and bleeding, which include burning or freezing a small area of ​​the heart to cause scarring and prevent the spread of low energy. While previous studies have shown that obesity is associated with increased fibrillation, this study examined the association between BMI and heart rate recurrence after abortion.

The survey was conducted using the Danish Register. It included a total of 9,229 adults who suffered from primary fibrillation from 2010 through 2018. Patients were divided into five groups based on BMI per kg / m: weight loss (below 18.5), normal weight (18.5 to 24), obese (25 to 29), obese (30 to 34) and obese (over 34). The median age decreased from 64 years in the regular weight group to 60 years in the obese group.

Patients were considered to have experienced fibrillation during follow-up if they claimed prescribed anti-arrhythmic drugs, were hospitalized due to fibrillation, had a miscarriage, or had an electrocardiographic cardioversion. electricity to the heart electronically on the chest to restore normal heart rate.

The authors examined the relative risk of recurrent atrial fibrillation based on BMI after adjustment for sex, age, age range, heart rate, ischemic heart disease, chronic obstructive pulmonary disease (COPD), kidney disease, high blood pressure and diabetes. Within a year, compared to the normal weight group, the obese, obese and obese groups had a 19%, 22% and 32% higher risk of developing fibrillation, respectively. A similar pattern was observed after five years, with 15%, 18% and 26% higher risk of heart attack in overweight, obese and obese groups, respectively, compared with the weight group al. ‘ada. The relative risk in obese patients did not differ from those with normal weight at any given time.

Dr Toennesen said: “Studies have shown that severe fibrillation recurrence is accompanied by an increase in BMI in the short and long term. For example, after one year 61% of patients with normal weight gain were patients with heart rate. illness compared with only 52% of obese patients. We also noticed that both the duration of the operation and the number of X-rays increased with the increase in BMI. “

He concludes: “The strength of the association between high BMI and recurrent fibrillation after abortion was proportional to the impact of known factors. heart attack, COPD and hypertension which are usually treated in these patients. The results of the study showed that controlling heavy weight before abortion can lead to better results. ”


Weight loss surgery improves the success of A-fib repair


Learn more:
A description of “Repeated ablation of atrial fibrillation according to the Body Index, across the country, a registered Danish study” will be presented during the session “Atrial fibrillation: a new understanding” taking place on 4 April.

hint: My obese patients should lower their knees before starting work to treat irregular heartbeat (2022, April 4) restored 4 April 2022 from https://medicalxpress.com/news/2022-04-overweight -patients-slim-procedure-abnormal.html

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Overweight patients should slim down before procedure to treat abnormal heart rhythm Source link Overweight patients should slim down before procedure to treat abnormal heart rhythm

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