As estratégias de prevenção primária se baseiam na redução dos fatores de risco por meio da modificação do 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
A modificação da dieta para promover perda de peso, a cessação do tabagismo, a redução do consumo de álcool e o aumento da prática de exercícios físicos podem reduzir o risco de desenvolvimento de doenças cardiovasculares, inclusive 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
Foi demonstrado que a redução de peso com manejo intensivo dos fatores de risco diminui a carga e a gravidade dos sintomas de fibrilação atrial e resulta em remodelamento cardíaco benéfico.[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