The problem of excess body weight in atrial fibrillation

Obesity is a pathological condition, which play significant role in case with development and progression of atrial fibrillation (AF). The article presents the data of a prospective study on assessing the frequency of occurrence of overweight and obesity in patients with atrial fibrillation. This pathological condition revealed in 78.6 % of patients. The authors note the statistically more frequent occurrence of a disturbance of carbohydrate metabolism in obese patients and AF when compared with patients with a normal body mass index, describe the results of a comparative analysis of laboratory and instrumental data in patients with isolated forms of fibrillation and atrial flutter, as well as with their combination. Modern approaches to the management of patients are presented, according to national clinical recommendations for the treatment of obesity and a review of literary data, were given non-surgical methods to reduce weight and indications and forms of surgical interventions. The authors of the article emphasize the need for further development of rehabilitation programs with testing the effectiveness, safety of physical exercises with the possibility of teaching patients, and timely treatment of related obesity, according to modern approved treatment programs.

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