Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablation.

Hartnett, Jack; Chouman, Nour; Donnellan, Eoin · Cleve Clin J Med · 2025

review · Level V

Where this comes from

Abstract

More and more patients with atrial fibrillation are undergoing catheter ablation as a rhythm-control strategy, but the recurrence rate after the procedure is high. A wide array of risk factors contribute to the pathogenesis of atrial fibrillation, including hypertension, diabetes mellitus, dyslipidemia, obesity, obstructive sleep apnea, metabolic dysfunction-associated steatotic liver disease (MASLD), smoking, alcohol consumption, and physical inactivity. This review summarizes the emerging evidence for periablation risk-factor modification to optimize postablation outcomes.

Medical subject headings