Psychosomatische Aspekte bei Vorhofflimmern

Vorhofflimmern (VHFL) stellt die häufigste Rhythmusstörung dar. Bei jüngeren Patienten verläuft das zumeist paroxysmale VHFL häufig hochsymptomatisch, während es von älteren Patienten erstaunlich oft beschwerdefrei toleriert wird. Für beide kann die reale oder subjektiv bedrohliche Assoziation mit der Erkrankung destabilisierend sein. Eine Vielzahl klassischer kardialer und psychosozialer Faktoren verursachen bzw. triggern VHFL.

Publication History

Article published online:
26 May 2021

• Literatur

• 1 Rosman L, Lampert R, Ramsey CM. et al. Posttraumatic Stress Disorder and Risk for Early Incident Atrial Fibrillation: A Prospective Cohort Study of 1. 1 Million Young Adults. J Am Heart Assoc 2019; 8 (19) e013741
• 2 Kivimäki M, Nyberg ST, Batty GD. et al. Long working hours as a risk factor for atrial fibrillation: a multi-cohort study. Eur Heart J 2017; 38 (34) 2621-2628
• 3 Fransson EI, Nordin M, Magnusson Hanson LL. et al. Job strain and atrial fibrillation – Results from the Swedish Longitudinal Occupational Survey of Health and meta-analysis of three studies. Eur J Prev Cardiol 2018; 25 (11) 1142-1149
• 4 Lampert R, Jamner L, Burg M. et al. Triggering of symptomatic atrial fibrillation by negative emotion. J Am Coll Cardiol 2014; 64: 1533-1534
• 5 Ladwig KH, Goette A, Atasoy S. et al. Psychological aspects of atrial fibrillation: A systematic narrative review: Impact on incidence, cognition, prognosis, and symptom perception. Curr Cardiol Rep 2020; 22 (11) 137
• 6 Lange HW, Herrmann-Lingen C. Depressive symptoms predict recurrence of atrial fibrillation after cardioversion. Journal of Psychosomatic Research 2007; 63: 509-513
• 7 Wändell P, Carlsson AC, Gasevic D. et al. Socioeconomic factors and mortality in patients with atrial fibrillation-a cohort study in Swedish primary care. Eur J Pub Health 2018; 28 (06) 1103-1109
• 8 Westerman S, Wenger N. Gender Differences in Atrial Fibrillation: A Review of Epidemiology, Management, and Outcomes. Curr Cardiol Rev 2019; 15 (02) 136-144
• 9 Jankowska-Polanska B, Kaczan A, Lomper K. et al. Symptoms, acceptance of illness and health-related quality of life in patients with atrial fibrillation. Eur J Cardiovasc Nurs 2018; 17 (03) 262-272
• 10 Lakkireddy D, Atkins D, Pillarisetti J. et al. Effect of yoga on arrhythmia burden, anxiety, depression, and quality of life in paroxysmal atrial fibrillation: the YOGA My Heart Study. J Am Coll Cardiol 2013; 61 (11) 1177-1182