Can Weight Loss Improve AFib?

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Thank you for visiting Dr. AFib, I’m Dr. Morales. Today we’re going to be talking about Can Weight Loss Improve AFib? obesity, weight loss and how it can influence your atrial fibrillation?

Now obesity is a big problem in the United States and worldwide and it influences a lot of health conditions people with obesity are much more likely to develop high blood pressure, diabetes, sleep apnea as well as heart disease. Heart disease which can also include atrial fibrillation. Now obesity can influence or increase your risk of getting atrial fibrillation in a variety of ways. One like I said it increases your risk of developing high blood pressure, diabetes, sleep apnea and all those are risk factors for developing atrial fibrillation. However, the obesity itself has been determined that it can also influence you developing atrial fibrillation.

Fat cells have been found that they can increase and secrete hormones including inflammatory hormones which can also in themselves increase the risk of atrial fibrillation. Now for many years’ doctors have advised overweight patients who develop atrial fibrillation to lose weight. It’s been emphasized for a while now, However, in 2015 there was a very important clinical trial called the “legacy trial” which helped to emphasize to doctors and patients. Why weight loss is such an important feature for the management of atrial fibrillation and in that study over 1,000 patients were studying over a five-year period so we were studying for several years, and they found that patients who lost over 10% of their body weight had over 6-fold improvement in their atrial fibrillation and many of those patients were free of atrial fibrillation who lost a significant amount of weight.

Not to say that everybody who loses away it’s going to be completely free of atrial fibrillation but it can dramatically improve your burden and your symptoms and so the take away of that a very important clinical trial shows that one weight loss is a very important feature, managing patient of atrial fibrillation and it can credibly improve your symptoms and their frequency with weight loss. 2) this is a long-term situation to be able to improve atrial fibrillation.

Weight loss should never be a quick fix it is something that takes the time you may take even years to reduce weight and the goal weight that you want to be at. But clearly, we do some way you can have a significant improvement in your amount of in relation is it in it is an important treatment strategy for the long-term management of patients with atrial fibrillation. Now losing weight is easier said than done. There are many guidelines that people may need advice; people may need to be able to lose that weight. I’m going to be talking about in my next segment when I will talk about exercise for atrial fibrillation.

 

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