Department of Cardiovascular, Respiratory, Nephrological, Anaesthesiological and Geriatric Sciences, "Sapienza" University of Rome, Policlinico Umberto I, 00161 Rome, Italy.
Barts Heart Centre, West Smithfield, London EC1A 7BE, United Kingdom.
Arch Cardiovasc Dis. 2020 Aug-Sep;113(8-9):551-563. doi: 10.1016/j.acvd.2020.03.023. Epub 2020 Aug 1.
Obesity is a major risk factor for atrial fibrillation. It also influences the natural history of the disease, leading to more persistent forms and poorer ablation outcomes. This article reviews atrial fibrillation ablation in the obese population, focusing on outcomes, complications and periprocedural management. Through an analysis of the possible pathophysiological mechanism linking obesity and atrial fibrillation, we identify potential strategies to improve post-ablation outcomes in this challenging population.
肥胖是心房颤动的一个主要危险因素。它还影响疾病的自然病程，导致更持续的形式和更差的消融结果。本文回顾了肥胖人群中的心房颤动消融，重点关注结局、并发症和围手术期管理。通过分析肥胖和心房颤动之间可能的病理生理机制，我们确定了一些潜在的策略，以改善这一具有挑战性人群的消融后结局。
