Psychological aspects of atrial fibrillation: A systematic narrative review

Ladwig, Karl‐Heinz; Goette, Andreas; Atasoy, Seryan; Johar, Hamimatunnisa

doi:10.1007/s11886-020-01396-w

Cited by 34 publications

(11 citation statements)

References 97 publications

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“…Our findings were also in line with those of previous studies suggesting that the death of a partner is associated with an increased AF risk8 and of studies showing that the death of a child was associated with increased risks of ischaemic heart disease, heart failure and stroke 2–4 6. Further, our findings corroborate the results of several studies regarding the link between less severe psychological stressors than bereavement, including job strain, perceived stress, and post-traumatic stress disorder, and an increased AF risk 21…”

Section: Discussionsupporting

confidence: 92%

“… 2–4 6 Further, our findings corroborate the results of several studies regarding the link between less severe psychological stressors than bereavement, including job strain, perceived stress, and post-traumatic stress disorder, and an increased AF risk. 21 …”

Section: Discussionmentioning

confidence: 99%

“…2-4 6 Further, our findings corroborate the results of several studies regarding the link between less severe psychological stressors than bereavement, including job strain, perceived stress, and post-traumatic stress disorder, and an increased AF risk. 21 The death of the only child may be particularly devastating as it involves the loss of the parental role, while having more than two children after the loss may be challenging as the parents need to combine their own grief work with caring for several children and supporting them in their grief. 2 4 In line with this hypothesis, we reported earlier that bereaved parents with more than two children left at the time of the loss had higher risks of ischaemic heart disease, stroke, AF and heart failure than those with one or two remaining live children.…”

Section: Original Researchmentioning

confidence: 99%

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Loss of a child and the risk of atrial fibrillation: a Danish population-based prospective cohort study

Wei

Janszky

et al. 2023

J Epidemiol Community Health

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BackgroundSeveral studies suggest that bereavement is associated with increased risks of ischaemic heart disease, heart failure, stroke and cardiovascular mortality. Knowledge regarding the link between bereavement and the risk of atrial fibrillation (AF) is limited. We investigated whether the death of a child, one of the most severe forms of bereavement, is associated with AF.MethodsWe conducted a population-based cohort study involving parents of live-born children during 1973–2016 from the Danish Medical Birth Register (n=2 804 244). Information on children’s death, parental AF and sociodemographic and other health-related characteristics was obtained by individual-level linkage between several Danish population-based registers. We analysed the association between loss of a child and AF using Poisson regression.ResultsDuring the up to 39 years follow-up, 64 216 (2.3%) parents lost a child and 74 705 (2.7%) had an AF. Bereaved parents had a higher risk of AF than the non-bereaved; the corresponding incidence rate ratio (IRR) and 95% CI were 1.12 (1.08 to 1.17). The association was present both when the child died of cardiovascular diseases (IRR (95% CI): 1.42 (1.20 to 1.69)), and of other causes (IRR (95% CI): 1.11 (1.06 to 1.16)), tended to be U-shaped according to the deceased child’s age at loss, but did not differ substantially according to the number of remaining live children at loss, the number of deceased children or the time since the loss.ConclusionsThe death of a child was associated with a modestly increased risk of AF. Bereaved parents may benefit from increased support from family members and health professionals.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Original Researchmentioning

confidence: 99%

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Loss of a child and the risk of atrial fibrillation: a Danish population-based prospective cohort study

Wei

Janszky

et al. 2023

J Epidemiol Community Health

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“…This distress is related to long-term medication use and side effects, fear of worsening symptoms, symptoms emerging during activity, and interventions planned to control symptoms [ 20 ]. Otherwise, physiological distress may also induce AF development by stimulating sympatho-vagal activation and autonomic ganglia [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Validity and reliability studies of the Indonesian version of Atrial Fibrillation Severity Scale (AFSS)

Yamin

Salim

Setiati

et al. 2023

BMC Cardiovasc Disord

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Background In the atrial fibrillation (AF) population, worsened quality of life (QOL) has been reported even before complications occur. Symptom-based questionnaires can be used to evaluate AF treatment. The Atrial Fibrillation Severity Scale (AFSS) was first developed in Canada in English, which is not the main language in Indonesia. This study aims to test the reliability and validity of the Indonesian version of the Atrial Fibrillation Severity Scale (AFSS). Methods Translation of the AFSS from English to Indonesian was done using forward and backward translation. The final version was then validated with the Short Form-36 (SF-36) questionnaire, and a test-retest reliability study was done in a 7-14-day interval. Results An Indonesian version of AFSS was achieved and deemed acceptable by a panel of researchers. This version is reliable and valid, with Cronbach’s α of 0.819, Intraclass Correlation Coefficient (ICC) ranging from 0.803 to 0.975, and total score correlation ranging from 0.333 to 0.895. Pearson’s analysis of AFSS and SF-36 revealed that the total AF burden domain was poorly correlated with role limitations due to emotional problems (r:0.427; p < 0.01) and pain (r:0.495; p < 0.01). The symptom severity domain was poorly correlated with physical functioning (r:-0.335; p < 0.01), role limitations due to emotional problems (r:0.499; p < 0.01), pain (r:0.458; p < 0.01), and total SF-36 score (r:-0.361; p < 0.01). Total AFSS score was moderately correlated with role limitations due to emotional problems (r:0.516; p < 0.01) and pain (r:0.538; p < 0.01). The total AFSS score was poorly correlated with the European Heart Rhythm Association (EHRA) score (r:0.315; p < 0.01). Conclusion The Indonesian version of AFSS has good internal and external validity with good reliability.

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“…In particular, women experience more frequent palpitations, shortness of breath, dizziness, fatigue, and chest pain. 20 Palpitations are defined as an increase in the perception of the heartbeat. The sensory and mechanistic pathways underlying the palpitations are unknown.…”

Section: Clinical Comorbidity and Clinical Manifestationmentioning

confidence: 99%

Validity of MENARI plus (self‐pulse assessment and clinical scoring) mobile apps for detecting atrial fibrillation in high‐risk population

Fadlan

Rizal

Satrijo

et al. 2023

Journal of Arrhythmia

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BackgroundEven before it is clinically diagnosed, atrial fibrillation (AF) can cause a stroke. This study validates self‐pulse assessment and clinical scoring (MENARI Plus) based on android apps.ObjectiveThe aim of this study was to examine the validity of AF screening using MENARI Plus compared with an ECG recording.MethodsWe collected a total of 1385 subjects from high‐risk population according to CHA2DS2‐VASc score ≥2, attending 8 primary care centers (PCCs) in Malang between July 2021 and December 2021. Every participant underwent self‐pulse assessment, and then was evaluated for MENARI Plus Score on android Apps. These cases had been classified as low or high probability for AF (cut‐off score 7). After that, electrocardiography examinations were performed and classified with AF and Sinus Rhythm group.ResultsIn this study, the mean age of these patients was 61.5 ± 6.9 years old. We found that 156/1385 (11%) patients had AF. There were 68/156 (43.5%) new cases of AF. The sensitivity for self‐pulse palpation was 73.1% (95% CI: 68%–76%) and specificity was 68.3% (95% CI: 65%–72%). MENARI Plus had an area under the receiver operating curve (AUC) of 0.86 (95% CI: 0.82–0.89) with sensitivity per measurement occasion was (84%, 95% CI: 82%–88%) and specificity was (87.9%, 95% CI: 82%–90%).ConclusionIn this study, we found that MENARI Plus has high sensitivity and specificity for AF. It is therefore useful for ruling out AF. It may also be a useful screen that can be applied opportunistically for previously undetected AFs.

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Psychological aspects of atrial fibrillation: A systematic narrative review

Cited by 34 publications

References 97 publications

Loss of a child and the risk of atrial fibrillation: a Danish population-based prospective cohort study

Loss of a child and the risk of atrial fibrillation: a Danish population-based prospective cohort study

Validity and reliability studies of the Indonesian version of Atrial Fibrillation Severity Scale (AFSS)

Validity of MENARI plus (self‐pulse assessment and clinical scoring) mobile apps for detecting atrial fibrillation in high‐risk population

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