心房颤动(AF)是西方世界最常见的心律紊乱。从2010年到2019年,全球房颤患病率从3350万上升到5900万,强调为患者制定公平治疗的重要性。这种疾病与心悸等症状有关,头晕,疲劳,呼吸急促,和认知功能障碍。此外,AF增加发生中风和心力衰竭的风险。尽管对可能导致房颤发展的风险因素有了新的见解,当前治疗的成功是次优的。许多风险因素,比如高血压,糖尿病,肥胖,与房颤的发展和进展有关。由于这些可能是与生活方式相关的风险因素,改变生活方式可能是减少AF相关症状和发作的解决方案。研究结果表明,某些饮食变化可以减少AF和许多AF的危险因素。人们越来越关注地中海和整个地中海,以植物为基础的饮食模式,强调吃谷物,豆类,蔬菜,水果,和坚果,同时不包括大多数或所有动物产品。因此,主要由未加工食品组成的地中海和植物性饮食的有益方面是什么?在当前的审查中,我们讨论了以饮食为基础的治疗的结果。此外,其他饮食相关治疗,由患者倡议提出,被突出显示。这些患者发起的研究包括L-谷氨酰胺和电解质作为治疗AF的选择。此外,我们强调了重视患者需求和以生活质量为中心的医学方法的重要性.正如最近的研究和患者经验所表明的那样,公民科学可以创造包容性的解决方案,导致患者赋权和房颤管理的整体方法。
Atrial fibrillation (AF) is the most common heart rhythm disorder in the Western world. Between the years 2010 and 2019, the global prevalence of AF rose from 33.5 million to 59 million, highlighting the importance of developing equitable treatments for patients. The disease is associated with symptoms such as palpitations, dizziness, fatigue, shortness of breath, and cognitive dysfunction. In addition, AF increases the risk of developing a stroke and heart failure. Despite new insights into risk factors that can lead to the development of AF, the success of current treatments is suboptimal. Numerous risk factors, such as hypertension, diabetes, and obesity, have been associated with the development and progression of AF. As these can be lifestyle-related risk factors, lifestyle modification may be a solution to reduce AF-related symptoms as well as episodes. Research results show that certain dietary changes can reduce AF and numerous risk factors for AF. Increasing attention is being given to Mediterranean and whole, plant-based eating patterns, which emphasize eating grains, legumes, vegetables, fruits, and nuts, while excluding most-or all-animal products. Hence, what are the beneficial aspects of a Mediterranean and plant-based diet which consists mainly of unprocessed foods? In the current review, we discuss the outcomes of diet-based treatments. Moreover, other diet-related treatments, brought up by patient initiatives, are highlighted. These patient-initiated studies include L-glutamine and electrolytes as options to manage AF. Also, we highlight the emerging importance of valuing patient needs and a quality-of-life-centered approach to medicine. As indicated by recent studies and patient experiences, citizen science can create inclusive solutions that lead to patient empowerment and a holistic approach for AF management.