![]() ![]() as an incidental finding in asymptomatic individuals.The NHFA’s AF guidelines recommend opportunistic AF screening in patients aged ≥65 years with either radial pulse palpation followed by a 12-lead electrocardiogram (ECG) or a single-lead handheld ECG. The patient with newly diagnosed atrial fibrillation Type 2 diabetes/impaired glucose tolerance. ![]() Risk factors, disease associations and potentially reversible precipitants for atrial fibrillation 8,10 In light of these findings, the National Heart Foundation of Australia’s (NHFA’s) 2018 AF guidelines recommend aerobic exercise and a target body mass index of 27 kg/m 2 in patients with AF. 9 Once AF has been diagnosed, weight loss and aerobic activity have been shown to decrease both the number of AF episodes and symptoms related to AF. 6–8 A number of studies have investigated whether the risk of developing AF can be reduced with exercise the majority suggest that moderate physical activity is beneficial in reducing AF risk. It is important to note that metabolic syndrome and several of its modifiable constituents (abdominal obesity, hypertension, impaired glucose tolerance/type 2 diabetes) are strongly associated with AF. ![]() Table 1 lists the most clinically relevant risk factors and disease associations for AF. Risk factors for, and lifestyle management of, atrial fibrillation ![]() Given AF’s varying clinical manifestations, the aim of this article is to distil management concepts into practical recommendations that are useful in general practice. 1–3 The prevalence of AF is estimated to be 2–4% in developed countries 1,4 and increases with age, but this only reflects clinically detected AF the true prevalence of AF is suspected to be greater when subclinical or ‘silent’ AF is included. 1,2 AF is independently associated with stroke, heart failure and all-cause death. Atrial fibrillation (AF) is the most common recurrent arrhythmia in adult clinical practice and is associated with significant morbidity and mortality. ![]()
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