Exercise Testing and Exercise Rehabilitation for Patients With Atrial Fibrillation

Journal of Cardiopulmonary Rehabilitation and Prevention
S J KeteyianQuinn R Pack

Abstract

Atrial fibrillation (AF) is a common cardiac arrhythmia associated with an increasing prevalence with advancing age. It is associated with dyspnea, exercise intolerance, and increased risk for clinical events, especially stroke and heart failure. This article provides a concise review of exercise testing and rehabilitation in patients with persistent or permanent AF. The first goal in the treatment of AF is to reduce symptoms (eg, palpitations) and a fast ventricular rate. The second goal is to reduce the risk of a stroke. Exercise testing and rehabilitation may be useful once these goals are achieved. However, there are no large, randomized exercise training trials involving patients with AF, and what data are available comes from single-site trials, secondary analyses, and observational studies. There are no specific indications for performing a graded exercise test in patients with AF; however, such testing may be used to screen for myocardial ischemia or evaluate chronotropic response during exertion. Among patients with AF, exercise capacity is 15% to 20% lower and peak heart rate is higher than in patients in sinus rhythm. Exercise rehabilitation improves exercise capacity, likely improves quality of life, and may improve...Continue Reading

References

Mar 1, 1988·Journal of the American College of Cardiology·J E AtwoodV Froelicher
May 1, 1996·Journal of Cardiopulmonary Rehabilitation·D J Mertens, T Kavanagh
Jan 6, 2001·Journal of Cardiopulmonary Rehabilitation·L VanheesR Fagard
Sep 3, 2003·Journal of Cardiovascular Electrophysiology·Stuart J Connolly
Mar 30, 2006·Journal of Cardiopulmonary Rehabilitation·Clinton A BrawnerSteven J Keteyian
Feb 19, 2008·Journal of Cardiopulmonary Rehabilitation and Prevention·Carl FosterBrian Udermann
Jul 24, 2008·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·J PlisieneP Schauerte
Dec 6, 2011·American Heart Journal·Philip Samuel OsbakGorm Boje Jensen
Jan 12, 2012·Circulation. Cardiovascular Quality and Outcomes·Jonathan P PicciniLesley H Curtis
Jan 13, 2012·The New England Journal of Medicine·Jeff S HealeyUNKNOWN ASSERT Investigators
Feb 22, 2012·European Journal of Preventive Cardiology·Renzo ZanettiniNadia Sorlini
Dec 4, 2012·The Canadian Journal of Cardiology·Nicholas B GiacomantonioDarren E R Warburton
Jul 24, 2013·Circulation·Gerald F FletcherUNKNOWN American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology,
Nov 26, 2013·The Canadian Journal of Cardiology·Jennifer L ReedAndrew L Pipe
Jul 9, 2014·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Jennifer L ReedAndrew L Pipe
Jul 11, 2014·Current Opinion in Cardiology·Jennifer L Reed, Andrew L Pipe
Jun 27, 2015·Journal of the American College of Cardiology·Rajeev K PathakPrashanthan Sanders
Feb 28, 2016·American Heart Journal·Ross ArenaLeonard A Kaminsky
Apr 1, 2017·Journal of the American College of Cardiology·Nancy LuoRobert J Mentz
Jul 12, 2017·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Adrian D ElliottPrashanthan Sanders
Nov 7, 2017·Journal of the American College of Cardiology·Vivek Y ReddyUNKNOWN PREVAIL and PROTECT AF Investigators
Feb 1, 2018·The New England Journal of Medicine·Nassir F MarroucheUNKNOWN CASTLE-AF Investigators
Feb 20, 2018·The Canadian Journal of Cardiology·Jason G AndradeLaurent Macle
Mar 15, 2018·Journal of the American College of Cardiology·Joseph M BumgarnerKhaldoun G Tarakji
Mar 22, 2018·JAMA Cardiology·Geoffrey H TisonGregory M Marcus
Jun 12, 2018·International Journal of Cardiology·Anoop N KoshyAndrew W Teh

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Citations

Dec 24, 2019·Journal of Cardiopulmonary Rehabilitation and Prevention·Philip A AdesMark A Williams
Mar 10, 2020·Circulation·Mina K ChungUNKNOWN American Heart Association Electrocardiography and Arrhythmias Committee and Exercise, Cardiac Rehabilitation, and Secondary
Feb 27, 2020·Circulation·Barry A FranklinUNKNOWN American Heart Association Physical Activity Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Ca
Nov 6, 2020·Journal of Cardiopulmonary Rehabilitation and Prevention·Lenny Kaminsky
Mar 17, 2021·International Journal of Stroke : Official Journal of the International Stroke Society·Torsten RackollUNKNOWN ; for the PHYS-Stroke study group
Aug 31, 2021·Journal of Cardiopulmonary Rehabilitation and Prevention·Cemal OzemekLeonard A Kaminsky
Nov 3, 2021·Journal of Cardiopulmonary Rehabilitation and Prevention·Jennifer L ReedRatika Parkash

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