Impact of obesity on atrial fibrillation ablation

Arch Cardiovasc Dis. 2020 Aug-Sep;113(8-9):551-563. doi: 10.1016/j.acvd.2020.03.023. Epub 2020 Aug 1.

Abstract

Obesity is a major risk factor for atrial fibrillation. It also influences the natural history of the disease, leading to more persistent forms and poorer ablation outcomes. This article reviews atrial fibrillation ablation in the obese population, focusing on outcomes, complications and periprocedural management. Through an analysis of the possible pathophysiological mechanism linking obesity and atrial fibrillation, we identify potential strategies to improve post-ablation outcomes in this challenging population.

Keywords: Ablation de fibrillation atriale; Atrial fibrillation ablation; Obesity; Obésité; Tissu adipeux épicardique.

Publication types

  • Review

MeSH terms

  • Ablation Techniques* / adverse effects
  • Adiposity
  • Animals
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / epidemiology
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / surgery*
  • Body Mass Index
  • Heart Rate
  • Humans
  • Obesity / diagnosis
  • Obesity / epidemiology
  • Obesity / physiopathology*
  • Risk Factors
  • Treatment Outcome
  • Weight Gain