Clinical Impact of Early Rhythm Control and Healthy Lifestyles in Patients with Atrial Fibrillation (JCEP June 2024)-Article: Clinical Impact of Early Rhythm Control and Healthy Lifestyles in Patients with Atrial Fibrillation

Article: Clinical Impact of Early Rhythm Control and Healthy Lifestyles in Patients with Atrial Fibrillation

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The study focused on evaluating the impact of early rhythm control (ERC) and healthy lifestyle (HLS) behaviors on the risk of ischemic stroke in patients with atrial fibrillation (AF). The study included 208,662 patients with new-onset AF and categorized them based on ERC and HLS behaviors. Results showed that ERC alone and HLS alone were associated with a lower risk of stroke by 23%, while the combination of ERC and HLS led to the greatest reduction in stroke risk by 42%. Adding ERC to HLS or HLS to ERC further reduced the risk of stroke. The study highlighted the importance of a comprehensive approach including both ERC and lifestyle modifications for stroke prevention in patients with new-onset AF.<br /><br />ERC therapy within 1 year of AF diagnosis has been shown to reduce stroke risk, and lifestyle modifications have also been linked to better outcomes in AF patients. The study's findings underscore the benefit of combining ERC and HLS for stroke prevention, supporting integrated care management. Lifestyle changes such as quitting smoking, abstaining from alcohol, and regular exercise were associated with a lower risk of stroke. The study acknowledged limitations such as data availability and the selectiveness of patients with health checkup records. Overall, the results emphasize the significance of implementing both ERC and HLS concurrently for improved outcomes in patients with new-onset AF, highlighting the need for holistic management approaches.

Keywords

early rhythm control

healthy lifestyle behaviors

ischemic stroke

atrial fibrillation

ERC

HLS

stroke risk reduction

comprehensive approach

lifestyle modifications

integrated care management