Table 2: Key messages to achieve an integral-multidisciplinary management of patients with atrial fibrillation.

Key messages

1. Atrial fibrillation is the most common arrhythmia. It has a high impact because it is associated with higher morbidity, mortality and care costs

2. Atrial fibrillation has a close relation with sedentary lifestyles, alcohol intake, tobacco use and stress. It is also related to obesity, high blood pressure, diabetes mellitus, Ischemic heart disease, chronic kidney disease, sleep apnea, chronic obstructive pulmonary disease, peripheral artery disease, hypothyroidism, cardiometabolic syndrome, stroke, hypertrophic cardiomyopathy and heart failure

3. Lifestyle modifications such as weight loss, regular exercise, avoid alcohol and tobacco use, as well as controlling other modifiable risk factors and co-morbidities, reduce the prevalence, recurrence rate and progression of AF and improve these patient’s prognosis

4. Lifestyle modifications along with a joint aggressive management of risk factors and co-morbidities must be done at the same time as anticoagulant therapy and rhythm or rate control in order to achieve the best possible results

5. It is recommended to create multidisciplinary programs for the management of patients with AF, cardiac rehabilitation programs can be used or create AF clinics to provide comprehensive treatment, promote greater education to patients, family members and health personnel, achieve greater adherence to treatment and best results

AF = atrial fibrillation.