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P-90 Movement against arrhythmia – a comprehensive behavioural program for the treatment of paroxysmal atrial fibrillation
  1. Bogna Jiravská-Godula1,3,
  2. Otakar Jiravský2,
  3. Radek Neuwirth2,
  4. Eliška Marunová1,
  5. Zuzana Lovecková1,
  6. Eva Sošková1,
  7. Katarína Kubišová2,
  8. Barbora Ryšková2
  1. 1Poliklinika Agel, Ostrava
  2. 2Kardiocentrum Podlesí, Trinec
  3. 3Sportovní ambulance Karviná

Abstract

Aim Published data, mainly from studies LEGACY and CARDIO-FIT shows the positive contribution of intervention the lifestyle factors on the frequency, duration and intensity of the episodes of paroxysmal atrial fibrillation (AF).

Target Data presentation of the pilot group of patients with paroxysmal AF.

Methods Multicenter intervention study. Consequent patients in outpatient clinic of internal medicine in the city over 300,000 inhabitants and heart rhytm disorders clinic in area cardiocentre with paroxysmal AF. All offered the option of an annual program depending on physiotherapy intervention leading to a gradual increase in regular physical activity, according to FITT ( EFSMA). Furthermore, treatment of blood pressure, lipids, symptoms of anxiety and stress management, nutrition intervention. Evaluation of the frequency, intensity and duration of episodes of AF, according to the questionnaire AFSS. Simultaneously is evaluated total duration of AF by the weekly loop monitor.

Cohort 23 patients, 66 ± 3.2 years, 10 men/13 women, BMI 31.1 ± 5.3, total cholesterol 4.7 ± 1.1 mmol/l, fasting blood glucose of 5.5 +/−1.2 mmol/l. Maximum performance evaluated by exercise test 7.0 ± 2.9 METs. The mean LVEF is 52.3 ± 2.7%. The average duration of AF was 97 ± 32 min per week. Initial evaluation of the severity of AF by AFSS 27.2 ± 10.2 points.

Results Initial 3 month intensive intervention have completed up to date August the 15 th 2016 18 patients.

We have observed the improvement in cardiovascular fitness by 0.5 ± 0.1 METs. There was a decrease in weight for 1.9 ± 0.5 kg. 1 patient left the program due to “time-consuming reason”. We have signed the decrease in AF severity by AFSSA 11.2 ± 3.5 points.

Conclusion We present pilot group data of the patients with paroxysmal AF, to which in addition to optimal pharmacological therapy we have intervened risk lifestyle factors - physical activity, structure and energy content of diet, stress management, smoking cessation, treatment of hypertension and dyslipidemia. The pilot set in the initial 3-months demonstrates the feasibility and sustainability of the program for all motivated patients with AF.

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