Peer-reviewedCC BY-NC-NDJournal of arrhythmia
2026 Asia Pacific Heart Rhythm Society (APHRS) Guidelines (Part IV) on Comprehensive Lifestyle Risk Factor and Comorbidity Management in Atrial Fibrillation.
15 affiliations
- 1Department of Internal Medicine Seoul National University Hospital Seoul Republic of Korea.
- 2Department of Internal Medicine Seoul National University College of Medicine Seoul Republic of Korea.
- 3Centre for Heart Rhythm Disorders Adelaide University Adelaide Australia.
- 4Section of Cardiology, Department of Internal Medicine Mackay Memorial Hospital Taipei Taiwan.
- 5Division of Cardiology, Department of Internal Medicine Yonsei University College of Medicine Seoul Republic of Korea.
- 6All India Institute of Medical Sciences (AIIMS) New Delhi India.
- 7Department of Endocrinology and Metabolism Pudong Gongli Hospital, Shanghai University of Medicine & Health Sciences Shanghai China.
- 8Department of Cardiovascular Medicine Saga University Saga Japan.
- 9The First Affiliated Hospital of Nanjing Medical University Nanjing China.
- 10Division of Cardiology, Department of Medicine, Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand.
- 11Department of Cardiology Kyorin University School of Medicine Tokyo Japan.
- 12Institute of Life Course and Medical Sciences University of Liverpool Liverpool UK.
- 13Clinical Medicine Aalborg University Aalborg Denmark.
- 14Department of Cardiology, Lipidology and Internal Medicine With Intensive Coronary Care Unit Medical University of Bialystok Bialystok Poland.
- 15Division of Cardiology, Department of Medicine Taipei Veterans General Hospital and National Yang Ming Chiao Tung University Taipei Taiwan.
Abstract
Atrial fibrillation (AF) is closely associated with comorbidities and lifestyle factors that influence the development, progression, and outcomes. Here the focus is on guidelines for the systematic management of hypertension, heart failure, coronary and structural heart disease, diabetes, dyslipidemia, cerebrovascular disease, obesity, chronic kidney disease, thyroid dysfunction, inflammatory disease, cancer and frailty. In addition, it provides guidelines for lifestyle factors such as nutrition, physical activity, alcohol consumption, tobacco use, sleep and psychological health as key components of AF care. Finally, multimorbidity, polypharmacy and the diverse clinical, cultural, socioeconomic and healthcare contexts of the Asia Pacific region are also addressed. Particular focus is driven by evidence to support the comprehensive management of lifestyle factors as a core component of AF care with equitable access adapted to local resources and patient needs.
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BibTeX
@article{choi20262026,
title = {{2026 Asia Pacific Heart Rhythm Society (APHRS) Guidelines (Part IV) on Comprehensive Lifestyle Risk Factor and Comorbidity Management in Atrial Fibrillation.}},
author = {Eue-Keun Choi and Melissa E Middeldorp and Hyo-Jeong Ahn and Jonathan P Ariyaratnam and Adrian D Elliott and Chung-Lieh Hung and Hee Tae Yu and Gautam Sharma and Ningjian Wang and Takanori Yamaguchi and Minglong Chen and Boyoung Joung and Rungroj Krittayaphong and Kyoko Soejima and Gregory Y H Lip and Hui-Nam Pak and Tze-Fan Chao},
journal = {Journal of arrhythmia},
year = {2026},
month = oct,
doi = {10.1002/joa3.70490},
url = {https://europepmc.org/article/MED/42923086},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - 2026 Asia Pacific Heart Rhythm Society (APHRS) Guidelines (Part IV) on Comprehensive Lifestyle Risk Factor and Comorbidity Management in Atrial Fibrillation.
AU - Eue-Keun Choi
AU - Melissa E Middeldorp
AU - Hyo-Jeong Ahn
AU - Jonathan P Ariyaratnam
AU - Adrian D Elliott
AU - Chung-Lieh Hung
AU - Hee Tae Yu
AU - Gautam Sharma
AU - Ningjian Wang
AU - Takanori Yamaguchi
AU - Minglong Chen
AU - Boyoung Joung
AU - Rungroj Krittayaphong
AU - Kyoko Soejima
AU - Gregory Y H Lip
AU - Hui-Nam Pak
AU - Tze-Fan Chao
PY - 2026
DA - 2026/10/21
JO - Journal of arrhythmia
DO - 10.1002/joa3.70490
UR - https://europepmc.org/article/MED/42923086
AB - Atrial fibrillation (AF) is closely associated with comorbidities and lifestyle factors that influence the development, progression, and outcomes. Here the focus is on guidelines for the systematic management of hypertension, heart failure, coronary and structural heart disease, diabetes, dyslipidemia, cerebrovascular disease, obesity, chronic kidney disease, thyroid dysfunction, inflammatory disease, cancer and frailty. In addition, it provides guidelines for lifestyle factors such as nutrition, physical activity, alcohol consumption, tobacco use, sleep and psychological health as key components of AF care. Finally, multimorbidity, polypharmacy and the diverse clinical, cultural, socioeconomic and healthcare contexts of the Asia Pacific region are also addressed. Particular focus is driven by evidence to support the comprehensive management of lifestyle factors as a core component of AF care with equitable access adapted to local resources and patient needs.
SN - 1880-4276
SN - 1883-2148
ER -