Stress reduction may play role in atrial fibrillation management

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Anxiety has been linked to illness as a result of illness, although the exact mechanism is not specified. Psychological stress has been identified as a contributor to atrial fibrillation (AFIb), both in initiating and enhancing AFib. The diagnosis of AFib is often associated with increased anxiety, mental stress and suicidal ideation. In a review paper published today at JACC: Clinical ElectrophysiologyMethods that may include anxiety with AFib and potential use of stress reduction in AFib care are explored.

Atrial fibrillation is an abnormal and often rapid heartbeat that can cause blood flow to the heart. People diagnosed with AFib are at increased risk for stroke, heart failure and other heart-related disorders. AFib is the most common arrhythmia in the world. There is a significant global difference in people who report mental illness, but on average it is reported that 1 in 3 people experience it. The authors describe stress “as an understanding of internal or external needs that goes beyond one’s ability to respond appropriately.” The stress levels reported were increasing each year with COVID-19 infection resulting in a greater improvement in self-reported behavior.

“It simply came to our notice then mental stress even negative emotions are associated with the onset of AFib syndrome, “said lead author Peter Kistler, MBBS, Ph.D., Head of Clinical Electrophysiology at Baker Heart and Diabetes Center and Head of Electrophysiology at Alfred Hospital in Melbourne, Australia. “[R]understanding anxiety as a potential risk factor for recurrence in these patients builds on an improved approach to AFib care. Thus, targeted stress reduction may improve vision and outcome for patients with AFib. “

The researchers reviewed studies on the role of stress in AFib, as well as correcting common AFib risk factors such as diet, alcohol withdrawal and exercise. The review also focuses on the bidirectional nature of AFib and its relation to stress. The authors looked at the role of stress and anxiety in causing AFib; the role that stress plays on physiologically changing heart; gender differences to respond to stress; and how to measure stress, which often occurs and is reported.

“We also have to take into account the bidirectional nature of stress with AFib. More studies show it goes all the way,” Kistler said. “Anxiety causes AFib and AFib causes anxiety. When we treat patients with AFib, doctors are more focused on the physical symptoms of AFib and do not fully consider the origin and cause health consequences. heart attack. “

According to reviews, stress and negative emotions are often accompanied by changing risk factors. For example, people with major depression report high levels of smoking, alcohol consumption, weight gain and lack of exercise. Risk factors contribute to the development of AFib symptoms in patients. Possible treatment options to reduce anxiety as part of the administration of AFib include further research in anxiolytic and antidepressant treatment, mind-altering stress and yoga.

“Physicians must identify and address the psychological implications of the diagnosis of AFib by providing patient education and confirmation with a routine to reduce symptoms and improve quality of life. , “said Kistler. “By considering the impact of stress on understanding illness, identifying and reducing stress can reduce symptoms and stress, improve mood and improve health habits to improve outcomes.”

The authors have developed additional research needed to establish standardized methods for diagnosing and quantifying stress, while randomized trials are needed to evaluate the impact. worry reduction on AFib administration.

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Learn more:
Atrial Fibrillation and Concern: A 2-Way Road ?, JACC: Clinical Electrophysiology (2022). DOI: 10.1016 / j.jacep.2021.12.008

hint: Reduced stress may play a role in atrial fibrillation control (2022, February 23) retrieved 23 February 2022 from fibrillation.html

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