Las estrategias de prevención primaria se basan en la reducción de los factores de riesgo mediante la modificación del estilo de vida.[1]Hindricks G, Potpara T, Dagres N, et al. 2020 ESC guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2021 Feb 1;42(5):373-498.
https://academic.oup.com/eurheartj/article/42/5/373/5899003
http://www.ncbi.nlm.nih.gov/pubmed/32860505?tool=bestpractice.com
Modificar la dieta para promover la pérdida de peso, dejar el tabaquismo, reducir el consumo de alcohol y aumentar el ejercicio puede reducir el riesgo de desarrollar enfermedades cardiovasculares, incluyendo la FA.[29]Gorenek B, Pelliccia A, Benjamin EJ, et al. European Heart Rhythm Association (EHRA)/European Association of Cardiovascular Prevention and Rehabilitation (EACPR) position paper on how to prevent atrial fibrillation endorsed by the Heart Rhythm Society (HRS) and Asia Pacific Heart Rhythm Society (APHRS). Europace. 2017 Feb 1;19(2):190-225.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279109
http://www.ncbi.nlm.nih.gov/pubmed/28175283?tool=bestpractice.com
[30]Lavie CJ, Pandey A, Lau DH, et al. Obesity and atrial fibrillation prevalence, pathogenesis, and prognosis: effects of weight loss and exercise. J Am Coll Cardiol. 2017 Oct 17;70(16):2022-35.
https://www.sciencedirect.com/science/article/pii/S0735109717395694?via%3Dihub
http://www.ncbi.nlm.nih.gov/pubmed/29025560?tool=bestpractice.com
[31]Middeldorp ME, Pathak RK, Meredith M, et al. PREVEntion and regReSsive Effect of weight-loss and risk factor modification on atrial fibrillation: the REVERSE-AF study. Europace. 2018 Dec 1;20(12):1929-35.
https://academic.oup.com/europace/article/20/12/1929/5038102
http://www.ncbi.nlm.nih.gov/pubmed/29912366?tool=bestpractice.com
Se ha comprobado que la pérdida de peso, junto con un tratamiento intensivo de los factores de riesgo, reduce la cantidad y la gravedad de los síntomas de la fibrilación auricular, y lleva a una remodelación cardíaca beneficiosa.[82]Abed HS, Wittert GA, Leong DP, et al. Effect of weight reduction and cardiometabolic risk factor management on symptom burden and severity in patients with atrial fibrillation: a randomized clinical trial. JAMA. 2013 Nov 20;310(19):2050-60.
https://jamanetwork.com/journals/jama/fullarticle/1779533
http://www.ncbi.nlm.nih.gov/pubmed/24240932?tool=bestpractice.com