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GLP-1semaglutideatrial fibrillationobesitycase report

Case report describes atrial fibrillation ceasing after semaglutide start

A 50-year-old man with BMI 34.9 and persistent AF after four pulmonary vein isolation procedures had no recurrence following weekly semaglutide.

MH
By Maren Holt · Senior Reporter, GLP-1

The wire

  1. 01Semaglutide was started in January 2026 at 0.25mg weekly with escalation; wearable rhythm monitoring since 2023 had documented episodes of 8 to 30 hours, and episodes stopped immediately after initiation with 14kg lost over six months.
  2. 02Cardiologists managing obese patients with refractory AF may see this as a signal for cardiometabolic adjuncts to rhythm control.
  3. 03It is a single case in European Heart Journal Case Reports; the authors state causality cannot be established and call for prospective studies.

From the source

Cardiometabolic therapy for rhythm control: a case report of refractory atrial fibrillation resolving after initiation of semaglutide for obesity

European heart journal. Case reports · 2026 Oct · Weitkamp FM, Vatic M, von Haehling S et al.

Read at pubmed.ncbi.nlm.nih.gov
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