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Obesity and Atrial Fibrillation: A Comprehensive Review.
Jonathan Na1, Sai Sita Garapati1, Adi Lador2
1Houston Methodist Hospital, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, US.
Methodist Debakey Cardiovascular Journal
|February 24, 2025
Summary
Atrial fibrillation (AF) is a common heart rhythm disorder. This review explores the link between AF and obesity, covering their shared causes and how obesity impacts AF treatment.
Area of Science:
- Cardiology
- Epidemiology
- Metabolic disease research
Background:
- Atrial fibrillation (AF) is the most prevalent cardiac arrhythmia globally.
- The increasing prevalence of obesity worldwide has prompted investigation into its association with various health conditions.
- Understanding the interplay between AF and obesity is crucial for effective risk factor management.
Purpose of the Study:
- To review the current understanding of the relationship between atrial fibrillation and obesity.
- To explore the epidemiological data linking AF and obesity.
- To discuss the pathophysiological mechanisms connecting AF and obesity, and the implications for AF management.
Main Methods:
- Literature review of epidemiological studies.
- Analysis of pathophysiological mechanisms linking obesity and AF.
- Discussion of clinical management strategies for AF in obese patients.
Main Results:
- Obesity is a significant and modifiable risk factor for atrial fibrillation.
- Several pathophysiological pathways, including inflammation, metabolic changes, and structural heart remodeling, link obesity to AF.
- Obesity complicates AF management, potentially affecting treatment efficacy and patient outcomes.
Conclusions:
- Obesity is strongly associated with an increased risk of developing atrial fibrillation.
- Targeting obesity through lifestyle modifications and weight management is essential for preventing and managing AF.
- Further research is needed to fully elucidate the complex interactions between obesity and AF pathophysiology to optimize therapeutic strategies.
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