IMPACT OF BARIATRIC SURGERY ON THE PREVALENCE AND OUTCOMES OF ATRIAL FIBRILLATION IN OBESE PATIENTS

Curr Probl Cardiol. 2023 Sep 15;102083. doi: 10.1016/j.cpcardiol.2023.102083. Online ahead of print.

Abstract

Obesity has been identified as a significant factor contributing to the development of numerous cardiovascular conditions and as a result, the cardiovascular community has prioritized efforts to address obesity and reduce its associated risks. However, despite these efforts, the prevalence of obesity continues to rise steadily, and is projected to double in the upcoming years. Atrial Fibrillation (AF) is among the most prevalent and extensively researched cardiovascular comorbidities associated with obesity. Several mechanisms have been postulated, including scar tissue formation and fat deposition, which ultimately leads to atrial remodeling and subsequent arrhythmogenesis. Numerous strategies have been implemented to prevent and manage obesity, encompassing lifestyle adjustments, dietary modifications, pharmacological treatments, and surgical interventions. Bariatric surgery has garnered significant recognition over the years due to its promising outcomes, including a decrease in the overall prevalence of AF and other cardiovascular comorbidities in general in obese patients. This study focuses on the current trends regarding the impact of bariatric surgery on obese patients with atrial fibrillation.

Keywords: Atrial fibrillation; Bariatric surgery; Obesity; Outcomes; arrhythmogenesis.

Publication types

  • Review