Six-Month Exercise Program Helps Maintain Normal Heart Rhythm in Patients with Atrial Fibrillation

Attractive sporty woman working out at home, doing pilates exercise in front of television in her living room. Social distancing. Stay healthy and stay at home during corona virus pandemic.For patients with atrial fibrillation, a new exercise program has been found to help restore normal heart rhythm. This specialized six-month exercise program was presented at ESC Congress 2021.

This exciting new lifestyle treatment suggests that some patients can control their arrhythmia through physical activity, eliminating the need for complex interventions such as medications or ablation.

Symptoms of Atrial Fibrillation


Atrial fibrillation (AF) is a condition that causes irregular, often rapid heart rate that can lead to poor blood flow. Some common symptoms include shortness of breath, heart palpitations, lightheadedness, and fatigue. AF patients often have significant risks of heart failure and stroke.

Recommendations for exercise-based rehabilitation are often given to patients with coronary heart disease and heart failure. However, few studies have examined the benefits of exercise in AF. This is what led researchers to develop the ACTIVE-AF program for patients with atrial fibrillation.

The ACTIVE-AF trial assessed the outcome of a six-month exercise program combining home-based and supervised activities on the recurrence and symptom severity of AF. The study included patients with short AF episodes (paroxysmal AF) or longer episodes who required intervention to restore normal rhythm (persistent AF). Patients who had permanent AF, whose normal heart rhythm could not be restored, were excluded.

For the trial, 120 patients with symptomatic AF were randomly allocated an exercise intervention or usual care for six months. The intervention included supervised weekly exercise and an individualized weekly plan to follow at home. The target was to increase aerobic exercise up to 3.5 hours a week over six months. The usual care group received advice about physical activity but no active intervention.

The study found that after 12 months, the AF recurrence rate was significantly lower in the exercise group (60%) compared to the control group (80%). This meant that patients in the exercise group could maintain a normal heart rhythm without needing invasive interventions continued use of drugs.

Study author Dr. Adrian Elliott concluded by saying, “Our study provides evidence that aerobic exercise should be incorporated into the treatment of patients with symptomatic AF. This should sit alongside the use of medications, as guided by a cardiologist, and management of obesity, hypertension, and sleep apnoea. As a general guide, patients should strive to build up to 3.5 hours per week of aerobic exercise and incorporate some higher intensity activities to improve cardiorespiratory fitness.”

Author Bio

Sarah began her interest in nutritional healing at an early age. After going through health problems and becoming frustrated with the conventional ways doctors wanted to treat her illness (which were not working), she took it upon herself to find alternative treatments. This led her to revolutionize her own diet to help her get healthier and tackle her health problems. She began treating her illness by living a more balanced lifestyle through healthy food choices, exercise and other alternative medicine such as meditation. This total positive lifestyle change led her to earn a diploma in Nutritional Therapy from Health Sciences Academy in London, England. Today, Sarah enjoys helping others by teaching healthy lifestyle changes through her personal consultations and with her regular contributions to the Doctors Health Press. Also, passionate about following her dreams in life, Sarah moved to France and lived in Paris for over 5 years where she earned a certification in beadwork and embroidery from Lesage (an atelier owned by Chanel). She then went on to be a familiar face sitting front row and reporting from Paris Fashion Week. Sarah continues to practice some of the cultural ways of life she learned while in Europe. They enjoy their food, and take the time to relax and enjoy many of life’s little moments. These are life lessons she is glad to have brought back home with her.