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Will Burnout Lead To Atrial Fibrillation? Atrial fibrillation, also known as AFib or AF, is an irregular and often rapid heart rate that can raise the risk of blood clots, strokes, heart failure and other heart-related complications. It is the most commonly diagnosed heart rhythm disorder. During AFib, the heart's 2 upper chambers (the atria) beat chaotically and irregularly, out of coordination with the 2 lower chambers (the ventricles) of the heart. Symptoms often include heart palpitations, shortness of breath and weakness. Research shows that untreated AFib doubles the risk of heart-related deaths and is associated with a 5-fold increased risk for stroke. Old age, heart disease, high blood pressure, obesity, diabetes, a family of history of the disorder, and respiratory diseases (like chronic obstructive pulmonary disorder, COPD) are some of the risk factors for AFib. Psychological distress has been suggested as a risk factor for atrial fibrillation, but previous studies showed varied results. A recent study reported that vital exhaustion is linked to development of AFib. Vital exhaustion, commonly referred to as burnout syndrome, is typically caused by prolonged and profound stress at work or home. It differs from depression, which is characterized by low mood, guilt, and poor self-esteem. Being conducted by the researchers from the University of Southern California, the study’s findings were published January 13, 2020, in the ‘European Journal of Preventive Cardiology’, a journal of the European Society of Cardiology (ESC). 11,455 people involved were 57 years old on average at the start of the study and who had no history of AFib. These participants were followed for about 23 years, and 2,220 people, or about 19 percent of the participants, developed AFib. Those with the highest levels of burnout at the start of the study were 20 percent more likely to develop/Volumes/NPH_TD256/Documents/__WebPages/HowtoPreventHD/Articles/200821_What Is Myocarditis.txt AFib than participants with little or no evidence of exhaustion.
Researchers assessed burnout, based on how often people experienced a wide range of symptoms, including fatigue, poor sleep, lack of energy, limited concentration, crying spells, hopelessness, irritability, decreased libido, depression, or suicidal thoughts. They also looked at whether people took antidepressants, experienced frequent bouts of anger, or suffered from social isolation. No connections were found between anger, antidepressant use, or poor social support and development of atrial fibrillation. The findings for anger and social support are consistent with prior research but 2 previous studies did find a significant association between antidepressant use and an increased risk of atrial fibrillation. There are 2 likely explanation for the connection between exhaustion and AFib. First of all, vital exhaustion is linked to elevated inflammation and increased activation of the body’s physiological stress response. When these 2 things are chronically activated, serious and damaging effects on the heart tissue can happen, which could then eventually lead to the development of AFib. Secondly, it is possible that burnout leads to unhealthy behaviors, like eating more and exercising less, that can lead to the development of risk factors for AFib, just like high blood pressure, obesity, and diabetes. Long working hours may play a role for the development of AFib, too. A study, which was published in September 2017 in the ‘European Heart Journal’, found that people who work at least 55 hours a week was associated with a 42 percent higher risk of AFib than working 35 to 40 hours a week. The study followed more than 55,000 adults for a decade. Many ways can be employed for people to try to avoid negative emotions and lead a heart-healthy life. For starters, people should try to minimize interpersonal conflicts. This might mean learning better strategies for conflict resolution or anger management or learning relaxation techniques to reduce stress when difficult situations cannot easily be resolved. When possible, working less or leaving a stressful job can also help. People can adopt healthy stress relief like running or yoga instead of unhealthy alternatives, such as drinking and smoking. In order to minimize the risk of AFib, people may want to do their best to avoid common risk factors for high blood pressure, like diabetes, obesity, and a diet high in salt, fat, or cholesterol. Hypertension is the most common modifiable risk factor for AFib. Date: December 17, 2020
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