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June 12, 2026European Journal of Preventive CardiologyOpen Access

AF recurrence was significantly lower among CRP participants (22.9%) compared with non-participants (50.0%) (p = 0.049; odds ratio 0.30; 95% confidence interval 0.09–0.98).

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Why the study?

Does a structured cardiac rehabilitation programme reduce AF recurrence in patients with paroxysmal or persistent AF following cardioversion or ablation?

Population

64 consecutive patients with paroxysmal or persistent AF in sinus rhythm following electrical cardioversion…

Comparison

Multidisciplinary cardiac rehabilitation… vs Non-participation or early discontinuation of…

Design

Cohort

Follow-up

median 38.5 months (interquartile range 29–55)

Authors

GHG De La Osa HernandezJGJ Vila GarciaCCC Rodriguez Carneiro

Discussion

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Overview

May support cardiac rehabilitation referral post-AF ablation or cardioversion; leaves open confirmation in randomized trials.

Key Points

  • This research aims to evaluate the impact of structured cardiac rehabilitation on atrial fibrillation recurrence rates following cardioversion or ablation.
  • Retrospective observational study with 64 patients having paroxysmal or persistent atrial fibrillation.
  • Comparison of AF recurrence between patients who completed a multidisciplinary cardiac rehabilitation program and those who did not.
  • The rehabilitation program included supervised exercise, lifestyle counselling, and nutritional guidance focused on risk factor management.
  • AF recurrence was significantly lower in CRP participants (22.9%) compared to non-participants (50.0%), p=0.049; OR 0.30 (95% CI 0.09–0.98).
  • Kaplan-Meier analysis indicated higher AF-recurrence-free survival in the CRP group (p=0.044).
  • Improvements in body composition, including weight and visceral fat reduction, were observed in the CRP group.

Structured PICO

Does a structured cardiac rehabilitation programme reduce AF recurrence in patients with paroxysmal or persistent AF following cardioversion or ablation?

P
Population
64 consecutive patients with paroxysmal or persistent AF in sinus rhythm following electrical cardioversion or ablation
I
Intervention
Multidisciplinary cardiac rehabilitation programme (CRP) incorporating supervised exercise, lifestyle counselling, nutritional guidance and intensive risk-factor management
C
Comparator
Non-participation or early discontinuation of the CRP
O
Outcome
Atrial fibrillation (AF) recurrence (any documented episode during long-term follow-up)hard clinical

Completion of a comprehensive cardiac rehabilitation program focused on risk-factor optimization is associated with a significantly lower rate of AF recurrence after rhythm-control interventions.

Cite This Study

Hernandez et al. (2026) studied this question.

synapsesocial.com/papers/6a2bd1386550ea4541ffe99fhttps://doi.org/10.1093/eurjpc/zwag249.354
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac rehabilitation in patients with atrial fibrillation2025 · 1 citations
  2. 2Exercise based cardiac rehabilitation for atrial fibrillation: Cochrane systematic review, meta-analysis, meta-regression and trial sequential analysis2025 · 14 citations
  3. 3Beyond rhythm control: burden of modifiable risk factors in patients undergoing catheter ablation for atrial fibrillation2026
  4. 4Improving outcomes of atrial fibrillation ablation by integrated personalized lifestyle interventions: a randomized controlled trial2025 · 12 citations
  5. 5Prediction of sinus rhythm maintenance using clinical parameters following atrial fibrillation ablation with pulsed-field and radiofrequency energy2026