
We do not fully understand how atrial fibrillation develops but there are many factors that increase the risk of developing atrial fibrillation during your life, examples of which are given in the table below. These include medical conditions like diabetes or renal disease in addition to diseases of the heart. It is important to treat these comorbidities to optimise the results of atrial fibrillation therapy.
In the past, the term “lone atrial fibrillation” has been used for patients who did not have any obvious risks factor or underlying conditions making them more prone for developing atrial fibrillation. However, there has been increasing evidence showing that a cause is present in all patients and hence, the term lone atrial fibrillation is confusing and should no longer be used.
| Lifestyle | Comorbidities / Other conditions |
|---|---|
| Alcohol abuse | High blood pressure / Diabetes |
| Obesity | Heart infarction / Coronary heart disease |
| Physical inactivity or excessive endurance sports | Heart failure or Heart valve disease |
| Smoking | Sleep disorders / Obstructive sleep apnea |
| Stress | Cardiac Surgery |
| Abuse of stimulants (including caffeine) | Thyrotoxicosis (hyperactive thyroid) |
| Pulmonary infection (lung infection) | |
| Congenital heart disease |
FREQUENTLY ASKED QUESTIONS
How does age affect the risk of AFib?
The risk of AFib increases significantly with age, particularly in individuals over 65.
Can lifestyle choices impact the risk of AFib?
Yes, smoking, excessive alcohol consumption, and lack of exercise can increase the risk of developing AFib.
Is AFib hereditary?
Yes, having a family history of AFib may increase your likelihood of developing the condition.
How do heart diseases contribute to AFib risk?
Conditions like heart failure, coronary artery disease, and valve disorders can predispose individuals to AFib.
Are athletes at risk for AFib?
Yes, endurance athletes may develop AFib due to structural changes in the heart from prolonged intense training.

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