How cardiac rehabilitation provides significant advantages for atrial fibrillation

Cardiac rehabilitation based on exercise decreases the severity. Furthermore. For example, frequency and recurrence of the most common form of irregular heart rate, atrial fibrillation or AF for short-circuit, finds a group analysis of available research, published online in the British Journal of Sports Medicine.

It also improves the capacity for exercise and general mental health, without incurring serious side effects, according to the results.

The FA occurs when the upper hearts of the heart (earrings) do not contract properly. Consequently, contracted rather, disturbing the electrical signals to the lower rooms (ventricles). For example, Symptoms may include palpitations, chest pain, fatigue, dizziness and shortness of breath.

The FA is associated with an increased risk of stroke and heart failure. However. However, It is estimated that 6 to 12 million people are developing how cardiac rehabilitation provides significant new it in how cardiac rehabilitation provides significant the United States by 2050. Additionally, However, nearly 18 million in Europe by 2060, note the researchers.

Although the current treatment is effective. Therefore. Furthermore, the ability of patients to manage their condition themselves can help slow progression, maintain functional capacity and minimize the impact on their quality of life, they add.

Cardiac rehabilitation based on exercise includes training in exercise alongside the management of personalized lifestyle risk factors. Consequently, psychosocial intervention, medical risk management and health education. Therefore,

It is used for patients who have had a heart attack. Furthermore. Consequently, have been diagnosed with heart failure or who have had an adjusted stent to improve blood flow to the heart, explain the researchers. Nevertheless, But it is not clear if this type of rehabilitation is suitable for patients with FA. Consequently, and it is therefore not included in international AF how cardiac rehabilitation provides significant new treatment guidelines.

Previous systematic journals on the subject. Meanwhile, published in how cardiac rehabilitation provides significant 2017 and 2018, have provided uncompromising evidence for its broader advantages. Moreover. Furthermore, But since then, several other relevant clinical trials have been published, the researchers have therefore decided to update the evidence.

They have traveled research databases for randomized clinical trials on the effects of cardiac rehabilitation based on exercise in. patients with FA. In addition, published until March 2024. Nevertheless.

They found that 20 relevant clinical trials carried out between 2006 and 2024 involving 2039 patients, who were then monitored on average of 11 months. Ten trials were carried out in Europe. four in Asia, two in Australia, one in Brazil, Canada and Russia, and one in several countries.

Five trials evaluated the complete rehabilitation of the exercise. which included educational and / or psychological components; The rest has only evaluated how cardiac rehabilitation provides significant new the exercise rehabilitation.

The exercise interventions varied from 8 to 24 weeks, involving 1 to 7 how cardiac rehabilitation provides significant weekly sessions from 15 to 90 minutes. Most trials included moderate intensity interventions, with only three looking at the impact of vigorous intensity. Most trials included only training in aerobic exercise, although 6 included aerobic and resistance -based cardiac rehabilitation.

The analysis of the data grouped of the results has shown that this type of rehabilitation has not. affected the relative risks of death of any cause (8% vs 6% in the comparison group). serious side effects (3% vs 4%).

But compared to those of comparison groups. it reduced the severity of symptoms by 39%. the frequency and duration of FA episodes of 43%and 42%, respectively, and the risk of recurrence of 32%.

It has also considerably improved the capacity for exercise, as measured by how cardiac rehabilitation provides significant new the maximum oxygen intake. The scores of the mental component of a questionnaire on the quality of health related to health also how. cardiac rehabilitation provides significant improved considerably. although this is not the case for the physical component.

The effects were consistent. whatever the type of FA, the “dose” of rehabilitation, the characteristics of the patients or the delivery method.

Researchers recognize certain limits by their results. Several trials lacked key methodological information, and those who report the main results of interest were few. Most of the trials were relatively small and had a short surveillance period. The number of reported deaths. serious side effects was low, which considerably reduced the ability to reliably detect any real effect. And most participants were men.

Notwithstanding these warnings. the researchers suggest: “Although improvements in traditional cardiovascular risk factors are likely to take into account a substantial proportion of the advantage. additional how cardiac rehabilitation provides significant new mechanisms can have a direct impact on the load and recurrence of the FA.

“The training of the exercise promotes favorable atrial reshaping. in particular atrial how cardiac rehabilitation provides significant stiffness. reduced fibrosis, which can help to limit (conditions favorable to the FA), although additional research is necessary. »»

They added: “Exercise training is known to have psychological advantages. including reductions in anxiety and depression, which are widespread in people with FA and can exacerbate the perception of symptoms. »»

And they continued: “Collectively. these adaptations provide plausible mechanisms through which (rehabilitation based on exercise) not only supports general cardiovascular health. well-being, but also offer specific AF advantages, including reductions in AF recurrence after treatment and improvements in self-declary AF load. »»

They concluded: “AF management guidelines should reflect this updated evidence by recommending (cardiac rehabilitation based on exercise) alongside drug therapies. removal for patients with how cardiac rehabilitation provides significant new FA. »»

In a linked editorial. an increase in the role of exercise in the treatment of FA. the DRS Sarandeep Marwaha and Sanjay Sharma of the Institute of Cardiovascular how cardiac rehabilitation provides significant and Cellular Sciences, London, said that the results “provide additional evidence that (cardiac rehabilitation based on exercise) significantly benefits patients with FA”.

They added: “The exercise is widely recognized as an important management tool.. it is crucial to emphasize that it remains one of the most profitable, easily available and manageable interventions to improve cardiovascular health. »»

They continued: “Patients may fear that the exercise could trigger AF episodes. in particular those suffering from underlying heart disease, and clinicians often underestimate exercise orientations due to uncertainty. However. most of the studies evaluating moderate exercise in patients with FA have demonstrated safety with a very low risk. of adverse events. »»

But they warned: “It is how cardiac rehabilitation provides significant new essential to emphasize that if the exercise is a powerful tool in the. management of the FA. it is more effective when it is precisely suitable for individual factors. such as comorbidities, FA characteristics, how cardiac rehabilitation provides significant functional status, psychological factors and supervision or supervision requirement. »»