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Physical activity and serious adverse events in patients with atrial fibrillation and/or atrial flutter treated with catheter ablation. | LitMetric

Physical activity and serious adverse events in patients with atrial fibrillation and/or atrial flutter treated with catheter ablation.

Heart Lung

Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen O, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, 2100 Copenhagen N, Denmark; University College Copenhagen, Institute for Nursing and Nutrition, Tagensvej 86, 2200 Copenhagen N, Denmark. Electronic address:

Published: April 2021

AI Article Synopsis

  • - The study investigates the effects of physical activity (PA) on the occurrence of serious adverse events (SAEs) in patients with atrial fibrillation (AF) and atrial flutter (AFL) who have undergone catheter ablation.
  • - It involved 462 patients and used the International Physical Activity Questionnaire to determine their self-reported PA levels, revealing that 21.8% experienced at least one SAE within a year.
  • - Findings suggest that patients who engaged in moderate to high levels of PA had a 36% reduced risk of SAEs compared to those with low PA levels, indicating the potential benefits of PA in this patient group.

Article Abstract

Background: Atrial fibrillation (AF) and atrial flutter (AFL) are cardiac arrhythmias associated with cardiovascular morbidity. Physical activity (PA) can trigger AF and AFL recurrence, but can also improve physical functional capacity in this patient group. Guidelines do not include concrete recommendations regarding PA for this patient group.

Objective: To assess the impact of the level of PA on risk of serious adverse events (SAEs) in patients with AF and/or AFL treated with catheter ablation.

Methods: A prospective cohort study including 462 patients with AF and/or AFL treated with catheter ablation from the CopenHeart Survey. The International Physical Activity Questionnaire (IPAQ) was used to explore patients' self-reported level of PA. SAEs were identified in the Danish National Patient Register and the Danish Civil Registration System one year after study onset. Cox regression analysis was carried out to assess the risks of SAE.

Results: During the one-year follow-up period, 98 patients (21.8%) experienced at least one SAE. Patients with a moderate-high PA level had a 36% lower risk of experiencing SAEs during the follow-up period, compared to patients in the low PA group, after adjusting for confounders.

Conclusion: A moderate-high vs. low level of PA was found to be associated with a lower incidence of SAEs in patients undergoing AF and/or AFL ablation.

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Source
http://dx.doi.org/10.1016/j.hrtlng.2020.04.020DOI Listing

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