Exercise Guidelines for Patients with Atrial Fibrillation

Safe Physical Activity Recommendations for AFib Management

Cardiology

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Last updated: Mar 24, 2025

Introduction

Exercise is beneficial for patients with atrial fibrillation (AFib) when performed safely and appropriately. This guide outlines recommended activities and precautions.

Exercise Benefits

  • Improved cardiovascular health
  • Better heart rate control
  • Reduced AFib symptoms
  • Enhanced quality of life
  • Weight management

Recommended Activities

Low-Impact Aerobic Exercise

  • Walking
  • Swimming
  • Stationary cycling
  • Light jogging
  • Elliptical machines

Strength Training

  • Light weights
  • Resistance bands
  • Body weight exercises

Exercise Guidelines

Before Starting

  1. Obtain clearance from your cardiologist
  2. Learn to monitor pulse rate
  3. Understand your target heart rate zone

During Exercise

  • Start slowly (5-10 minutes warm-up)
  • Maintain moderate intensity
  • Monitor pulse frequently
  • Stay hydrated
  • Stop if experiencing symptoms

Warning Signs

  • Excessive shortness of breath
  • Chest pain or pressure
  • Dizziness or lightheadedness
  • Unusual fatigue
  • Irregular heartbeat sensation

Exercise Progression

Week 1-2

  • 10-15 minutes per session
  • 2-3 sessions per week

Week 3-4

  • 15-20 minutes per session
  • 3-4 sessions per week

Week 5+

  • 20-30 minutes per session
  • 4-5 sessions per week

Important Precautions

  • Avoid high-intensity activities
  • Exercise during cooler times of day
  • Wear appropriate clothing
  • Carry emergency contact information
  • Keep medication list accessible

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