Arrhythmias & electrophysiology

Cognitive Behavioral Therapy for Paroxysmal Atrial Fibrillation: Heart Rate Variability, Physical Activity, and Sleep

JACC AdvPublished Secondary analysis of a randomised controlled trial

Authors' conclusion

In this select cohort, AF-CBT decreased insomnia severity but had no impact on HRV or physical activity.

Study context

Population
Patients with symptomatic paroxysmal AF on optimal medical therapy (mean age 65.4 ± 8.3 years, 58% females, 61% on beta-blockers)
Participants
65 vs 62
Comparison
Online AF-CBT vs AF education
  • AF-CBTn = 65
  • AF educationn = 62reference

Primary result

As reported in the abstract

  • Objective and subjective physical activity and sleep duration unchanged after treatment, no significant difference between groups
  • No changes in AF burden or heart rate variability (HRV) indices at rest during the day or at night

Further findings

OutcomeP value
Insomnia Severity Index scoreSignificant change vs controlsP = 0.032

Insomnia Severity Index score

From subclinical insomnia (12.2 ± 6.7) to near normal values (8.1 ± 5.6)

Original publication

Cognitive Behavioral Therapy for Paroxysmal Atrial Fibrillation: Heart Rate Variability, Physical Activity, and Sleep. JACC Adv. Published 27 September 2024. doi:10.1016/j.jacadv.2024.101289

Composed by AI from the published abstract and checked against it. How Briefs are made →

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