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心房颤动管理中的饮食干预措施。

Dietary interventions in the management of atrial fibrillation.

作者信息

Nabil Muhammad Ahad, Rychlik Leanne, Nicholson Audrey, Cheung Peter, Olsovsky Gregory D, Molden Jaime, Tripuraneni Ajay, Hajivandi Shayan-Salehi, Banchs Javier E

机构信息

Department of Medicine, Division of Cardiology, Baylor Scott & White Health, Round Rock, TX, United States.

Department of Medicine, Division of Cardiology, Baylor Scott & White Health, Temple, TX, United States.

出版信息

Front Cardiovasc Med. 2024 Aug 1;11:1418059. doi: 10.3389/fcvm.2024.1418059. eCollection 2024.

DOI:10.3389/fcvm.2024.1418059
PMID:39149585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11324562/
Abstract

Atrial fibrillation (AF) represents the most common cardiac arrhythmia with significant morbidity and mortality implications. It is a common cause of hospital admissions, significantly impacts quality of life, increases morbidity and decreases life expectancy. Despite advancements in treatment options, prevalence of AF remains exceptionally high. AF is a challenging disease to manage, not just clinically but also financially. Evidence suggests lifestyle modification, including dietary changes, plays a significant role in the treatment of AF. This review aims to analyze the existing literature on the effects of dietary modifications on the incidence, progression, and outcomes of atrial fibrillation. It examines various dietary components, including alcohol, caffeine, omega-3 polyunsaturated fatty acids and minerals, and their impact on AF incidence, progression, and outcomes. The evidence surrounding the effects of dietary patterns, such as the Mediterranean and low carbohydrate diets, on AF is also evaluated. Overall, this review underscores the importance of dietary interventions as part of a comprehensive approach to AF management and highlights the need for further research in this emerging field.

摘要

心房颤动(AF)是最常见的心律失常,具有显著的发病率和死亡率影响。它是住院的常见原因,对生活质量有重大影响,增加发病率并缩短预期寿命。尽管治疗选择有所进步,但AF的患病率仍然异常高。AF是一种具有挑战性的疾病,不仅在临床上,而且在经济上都是如此。有证据表明,生活方式的改变,包括饮食变化,在AF的治疗中起着重要作用。本综述旨在分析现有文献中关于饮食调整对心房颤动发病率、进展和结局的影响。它研究了各种饮食成分,包括酒精、咖啡因、ω-3多不饱和脂肪酸和矿物质,以及它们对AF发病率、进展和结局的影响。还评估了饮食模式,如地中海饮食和低碳水化合物饮食,对AF的影响的相关证据。总体而言,本综述强调了饮食干预作为AF综合管理方法一部分的重要性,并突出了在这一新兴领域进行进一步研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2ed/11324562/0f4a2f7df0af/fcvm-11-1418059-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2ed/11324562/0f4a2f7df0af/fcvm-11-1418059-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2ed/11324562/0f4a2f7df0af/fcvm-11-1418059-g001.jpg

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本文引用的文献

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Probability Score to Predict Spontaneous Conversion to Sinus Rhythm in Patients with Symptomatic Atrial Fibrillation When Less Could Be More?预测症状性心房颤动患者自发转为窦性心律的概率评分:少即是多?
J Clin Med. 2024 Mar 3;13(5):1470. doi: 10.3390/jcm13051470.
2
Serum electrolyte concentrations and risk of atrial fibrillation: an observational and mendelian randomization study.血清电解质浓度与心房颤动风险:观察性和孟德尔随机化研究。
BMC Genomics. 2024 Mar 16;25(1):280. doi: 10.1186/s12864-024-10197-2.
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Circulation. 2024 Jan 2;149(1):e1-e156. doi: 10.1161/CIR.0000000000001193. Epub 2023 Nov 30.
4
Excessive dietary sodium intake augments long-term risk of atrial fibrillation in older adults with hyperglycemia: A community-based prospective cohort study.高糖血症老年人群中,过量膳食钠摄入增加房颤长期风险:一项基于社区的前瞻性队列研究。
Diabetes Metab. 2023 Sep;49(5):101475. doi: 10.1016/j.diabet.2023.101475. Epub 2023 Sep 5.
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Association of chocolate consumption with neurological and cardiovascular outcomes in atrial fibrillation: data from two Swiss atrial fibrillation cohort studies (Swiss-AF and BEAT-AF).巧克力摄入与心房颤动患者神经和心血管结局的相关性:来自两项瑞士心房颤动队列研究(Swiss-AF 和 BEAT-AF)的数据。
Swiss Med Wkly. 2023 Aug 23;153:40109. doi: 10.57187/smw.2023.40109.
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