Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
J Am Coll Cardiol. 2015 Dec 29;66(25):2899-2906. doi: 10.1016/j.jacc.2015.10.047.
Classically, the 3 pillars of atrial fibrillation (AF) management have included anticoagulation for prevention of thromboembolism, rhythm control, and rate control. In both prevention and management of AF, a growing body of evidence supports an increased role for comprehensive cardiac risk factor modification (RFM), herein defined as management of traditional modifiable cardiac risk factors, weight loss, and exercise. In this narrative review, we summarize the evidence demonstrating the importance of each facet of RFM in AF prevention and therapy. Additionally, we review emerging data on the importance of weight loss and cardiovascular exercise in prevention and management of AF.
经典的心房颤动（AF）管理的 3 大支柱包括抗凝治疗以预防血栓栓塞、节律控制和心率控制。在 AF 的预防和管理中，越来越多的证据支持全面心脏危险因素修正（RFM）的作用增加，在此定义为管理传统可修改的心脏危险因素、减肥和运动。在这篇叙述性综述中，我们总结了证明 RFM 在 AF 预防和治疗中的每一个方面的重要性的证据。此外，我们还回顾了关于减肥和心血管运动在预防和管理 AF 中的重要性的新数据。
