Evidence map›Paper›PMID 40776961›Full record

ReviewReviews in cardiovascular medicine2025

Exercise and Atrial Fibrillation: Current Evidence, Knowledge Gaps, and Future Directions.

Hoang Nhat Pham, Mahmoud H Abdelnabi, Ramzi Ibrahim, Enkhtsogt Sainbayar, Hong Hieu Truong, Eiad Habib, Girish Pathangey, George Bcharah, Amitoj Singh, Reza Arsanjani and 2 more

Abstract readReview
In one paragraph

Review in Reviews in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Hoang Nhat PhamDepartment of Medicine, University of Arizona, Tucson, AZ 85721, USA.ORCID https://orcid.org/0000-0001-8412-0082
Mahmoud H AbdelnabiDepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ 85054, USA.ORCID https://orcid.org/0000-0001-8016-9049
Ramzi IbrahimDepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ 85054, USA.
Enkhtsogt SainbayarDepartment of Medicine, University of Arizona, Tucson, AZ 85721, USA.
Hong Hieu TruongDepartment of Internal Medicine, Ascension Saint Francis, Evanston, IL 60202, USA.
Eiad HabibDepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ 85054, USA.
Girish PathangeyDepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ 85054, USA.
George BcharahMayo Clinic Alix School of Medicine, Phoenix, AZ 85054, USA.
Amitoj SinghDepartment of Cardiology, Sarver Heart Center, University of Arizona, Tucson, AZ 85721, USA.
Reza ArsanjaniDepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ 85054, USA.
Anwar A ChahalDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55901, USA.
Dan SorajjaDepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ 85054, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, contributing to significant morbidity and mortality worldwide. The relationship between physical exercise and AF is complex, with studies showing both beneficial and potentially adverse effects. Moreover, evidence suggests a U-shaped association between exercise intensity and AF risk. Moderate exercise has been shown to reduce AF burden by improving cardiovascular risk factors, enhancing autonomic regulation, and mitigating atrial fibrosis. In contrast, excessively high-intensity endurance exercise may increase AF risk, particularly in young athletes, due to atrial stretching, dilation, fibrosis, autonomic imbalances, and heightened inflammation. The current guidelines emphasize exercise as a core lifestyle intervention for AF management, recommending moderate-intensity aerobic activity for optimal outcomes. This review examines the current evidence on the effects of exercise on AF, identifies knowledge gaps, and proposes potential future research directions.

Indexed as

AF burdenatrial fibrillation (AF)cardiorespiratory fitness (CRF)cardiovascular riskendurance exerciseexercise intensitymoderate-intensity exercise

Identifiers

PMID40776961
PMCPMC12326448

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.