Chronic Obstructive Pulmonary Disease and Atrial Fibrillation

An Interdisciplinary Perspective

Sami O. Simons; Adrian Elliott; Manuel Sastry; Jeroen M. Hendriks; Michael Arzt; Michiel Rienstra; Jonathan M. Kalman; Hein Heidbuchel; Stanley Nattel; Geertjan Wesseling; Ulrich Schotten; Isabelle C. van Gelder; Frits M.E. Franssen; Prashanthan Sanders; Harry J.G.M. Crijns; Dominik Linz


Eur Heart J. 2021;42(5):532-540. 

In This Article

Conclusions and Perspectives

Data from non-randomized studies of AF patients suggest that COPD is associated with increased AF recurrence after electrical cardioversion and reduced catheter ablation success rates. Chronic obstructive pulmonary disease is prevalent in up to 23% of all AF patients. Chronic obstructive pulmonary disease should be suspected in every AF patient with chronic dyspnoea or reduced exercise tolerance as the predominant symptom and heart failure should be considered as an important differential diagnosis. Future prospective cohort studies in AF patients are needed to confirm the relationship between COPD and AF, and the benefits of treatment of either COPD or AF in this population, and to clarify the need and cost-effectiveness of routine COPD screening.