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Douglas Severance, Family Medicine, answeredObesity is a risk factor for many health conditions, including heart disease, metabolic syndrome, type 2 diabetes, and atrial fibrillation. Obesity increases the risk of high blood pressure, which causes changes in the walls of the heart's left ventricle and alters how the electrical impulses move through the heart. Obesity increases the risk of pre-diabetes and type 2 diabetes. If you have diabetes, you have an increased risk of getting hypertension and coronary artery disease. Also, if you have instances of hypoglycemia (low blood sugar) with diabetes, this is known to cause an arrhythmia. Obesity also increases the risk of sleep apnea, a health condition that causes your breathing to stop many times during sleep. Sleep apnea is known to lead to arrhythmias and atrial fibrillation.