Rajeev K. Pathak; Melissa E. Middeldorp; Megan Meredith; Abhinav B. Mehta; Rajiv Mahajan; Walter P....
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Rajeev K. Pathak; Melissa E. Middeldorp; Megan Meredith; Abhinav B. Mehta; Rajiv Mahajan; Walter P. Abhayaratna; Dennis H. Lau; Prashanthan Sanders Centre
Rajeev K. Pathak; Melissa E. Middeldorp; Megan Meredith;
Abhinav B. Mehta; Rajiv Mahajan; Walter P. Abhayaratna; Dennis H.
Lau; Prashanthan Sanders Centre for Heart Rhythm Disorders, South
Australian Health and Medical Research Institute, University of
Adelaide and Royal Adelaide Hospital, South Australia; Department
of Cardiology, The Canberra Hospital, Canberra
Slide 2
Proportion overweight Years Sassi et.al, OCED Publishing,
2014
30, n (%)61 (52)52 (50)69 (51)0.1 Smoker, n (%)47 (40)41 (40)50
(37)0.9 ETOH (>30g/week), n (%) 34 (29)35 (34)42 (31)0.7
Slide 9
Slide 10
(ml/m 2 ) *Group-Time P
Days0365730109514601825 5% WF575345311914 P
WL Clinic 113(84%) WL Clinic 58 (57%) WL Clinic 35 (30%) 85%
57% 30% 52 patients lost >10% weight in first year 34/52 (66%)
maintained WL 30/34 (85%) attended WL clinic 18 regained weight,
only 2 (11%) attended clinic WL Clinic Total Patients N=135Total
Patients N=103 Total Patients N=117
Slide 19
Sustained weight loss is associated with dose dependent
reduction in AF burden and maintenance of sinus rhythm >5%
Weight fluctuation dampens the benefit conferred by weight loss A
dedicated clinic improves patient engagement, promoting treatment
adherence, preventing weight regain and fluctuation