A Clinico-Demographic Profile of Atrial Fibrillation - A Hospital Based Descriptive Study from South India (original) (raw)
Related papers
JNMA: Journal of the Nepal Medical Association, 2021
Introduction: Atrial fibrillation is the most prevalent supraventricular arrhythmia responsible for the large morbidity and mortality burden worldwide. There are various causes of atrial fibrillation that may affect the prognosis of patients. This study was intended to determine different echocardiographic findings in patients with atrial fibrillation in a tertiary care center. Methods: A descriptive cross-sectional study was conducted at Manmohan Cardiothoracic Vascular and Transplant Center, Institute of Medicine, among 175 patients with atrial fibrillation admitted in the cardiology department from June 2017 to October 2018. It was approved by the Institutional Review Board of the Institute of Medicine (Ref.:411(6-11-E)2/073/074). Convenience sampling was used. Statistical analysis was done using Statistical Package for Social Sciences version 21.0. Results: A total of 175 patients with atrial fibrillation were enrolled where Rheumatic heart disease 68 (38.9%) was the leading cau...
Journal of Evolution of Medical and Dental Sciences, 2013
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice. It is a common arrhythmia and major cause of morbidity and mortality not only in the western world but in India as well. This study was conducted to find the epidemiology and clinical profile of AF patients in Sikkim. Sikkim is a small north eastern Himalayan state. Ethnicity and culture of the people is quite different from rest of India. There are various studies conducted worldwide but there is paucity of data in this region. METHODS: This observational hospital based study was carried amongst indoor and outdoor patients of AF of Department of Medicine, SMIMS, Gangtok. The diagnosis of AF was made on the basis of history, clinical examination, confirmation with 12 leads ECG and 2-DEchocardiography. Data analysis was done using micro-soft excel. Results are presented using percentages. RESULTS: Out of 51 patients of AF studied, majority of patients were aged between 71-80 years (33.33%). There were more males (54.90%) as compared to females. Structural heart disease was found in 86.26% of cases and non-structural heart disease in 13.72%. Among the structural heart disease, HTN with or without DM was seen in 50.98% cases as a cause of AF while among the non structural heart disease chronic obstructive airway (9.80 %) and thyrotoxicosis (3.92%) were most important causes. RHD was more prevalent in females (9.80%). In our study HTN was the most common etiological factor since most of our patients were in age group 61-80 yrs in which HTN is commonly seen. Dyspnea on exertion (DOE) (39.22%) was the most common presenting complaint encountered followed by palpitation (22.53%) and stroke (17.65%). Most common etiology of AF was HTN (55.55%) in patients who presented as stroke. Majority of the patients were from east district (70.58%) followed by west district (13.72%).Highest population of east district could have attributed to this. Prevalence of AF was highest in Nepalese community (68.62%) followed by bhutias (21.56%) (Table5). HTN as a risk factor was most prevalent in Nepalese (37.25%) and was
International Journal of Research in Medical Sciences, 2017
Background: Atrial fibrillation (AF) is the most common sustained arrhythmia in clinical practice. In western countries, rheumatic heart disease (RHD) is a rare cause of atrial fibrillation but in developing countries like India it is one of the commonest cause of atrial fibrillation. We studied etiology, left atrial size and the incidence of left atrial appendage clot in patients with atrial fibrillation at our institution so that guidelines could be formulated to manage the patients of AF in the hours of emergency.Methods: 110 consecutive patients of atrial fibrillation coming to emergency, cardiology and medicine outpatient department over a period of one year were enrolled for the study. Ethical committee clearance was taken. Detailed history were taken, clinical presentation reviewed and examination were carried out. All patients were subjected to transthoracic echocardiography and for transesophageal echocardiography if required.Results: The mean age of patients in the study ...
Chest
Objectives: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice. This study was conducted to find the etiological and clinical profile of persistent and permanent AF patients from rural Bihar. Methods: This observational hospital based study was carried amongst indoor patients . Data analysis was done using SPSS 14.0 version software. Results were presented using percentages Results: Out of 66 patients of AF, majority of patients were aged between 51-60 years and were males. Valvular heart disease was found to be the most common cause of atrial fibrillation while palpitation was the most common presenting complaint encountered. Nearly 62.1% patients had their left atrial size more than 3.5 cm. Mitral stenosis was noted as most common cause of enlarged left atrium in 47% cases. About half of patients had their left ventricular ejection fraction < 50%. Conclusions: This article has provided many insights on potential risk factors for the occurrence of atrial fibrillation and various presenting features of patients with atrial fibrillation. This would help in early diagnosis and prompt treatment of patients with AF especially in rural areas which remains a challenging problem.
Frequency of atrial fibrillation and its complication in Muzaffarabad
Total 1100 patients included for this study through Non probability consecutive sampling. Ethical approval and consent forms were taken. Patients were examined for atrial fibrillation through ECG. The patients who were confirmed as AF were detail examined and their cause and complications were noted down. Data was analyzed with SPSS version 24. One sample t test was used to predict AF in the population Chi-square test was applied. P value ≤0.05 was considered significant.
2017
Aim A national atrial fibrillation (AF) registry was conducted under the aegis of the Indian Heart Rhythm Society (IHRS), to capture epidemiological data-type of AF, clinical presentation and comorbidities, current treatment practices, and 1-year follow-up outcomes. Methods A total of 1537 patients were enrolled from 24 sites in India in the IHRS-AF registry from July 2011 to August 2012. Their baseline characteristics and follow-up data were recorded in case report forms and subsequently analyzed. Results The average age of Indian AF patients was 54.7 years. There was a marginal female preponderance – 51.5% females and 48.5% males. At baseline, 20.4% had paroxysmal AF; 33% had persistent AF; 35.1% had permanent AF and 11% had first AF episode. At one-year follow-up, 45.6% patients had permanent AF. Rheumatic valvular heart disease (RHD) was present in 47.6% of patients. Hypertension, heart failure, coronary artery disease, and diabetes were seen in 31.4%, 18.7%, 16.2%, and 16.1%, r...
Frequency of Atrial Fibrillation and its Complication
Pakistan Journal of Medical and Health Sciences, 2021
Background: Evidence available on atrial fibrillation in Pakistan is not enough. Therefore, present study aims to determine frequency of atrial fibrillation and its associated complications. Place and duration of study: This cross sectional study was conducted at Department of Medicine, at SKBZ/AK CMH Muzaffarabad (Tertiary Care Hospital Muzaffarabad AJK) from July to December, 2019. Methodology: Total 1100 patients included for this study through non-probability consecutive sampling. Ethical approval and consent forms were taken. Patients were examined for atrial fibrillation through ECG. The patients who were confirmed as AF were detail examined and their cause and complications were noted down. Data was analyzed with SPSS version 24. One sample t test was used to predict AF in the population Chi-square test was applied. P value ≤0.05 was considered significant. Results: Out of 1100 patients mean age of patients was 43.4±12.7 years. The male to female ratio was 11:10. The atrial f...
Clinical Profile of Atrial Fibrillation in Tertiary Hospital in Central Nepal
Journal of Nepal Medical Association, 2017
Introduction: Atrial fibrillation is common cardiac arrhythmia in elderly causing morbidity and mortality. Methods: A cross-sectional study was conducted in College of Medical Sciences Teaching Hospital from August 2013 to Jul 2016. All in-patients diagnosed with atrial fibrillation were included. Results: Two hundred five patients were studied from August 2013 to July 2016. Mean age was 63.95 ±16.5 years. There were 105 (51.2%) male and 100(48.8%) female. There were 154(75.1%) nonvalvular and 51 (24.9%) valvular causes for atrial fibrillation. Common presentations were SOB (41%), palpitations (27.8%), stroke (16.1%), fatigability (1.5%), abdominal pain (1.9%), chest pain (2.9%), pneumonia (1%), limb pain (0.5%) and severe bleeding (2.4%). For valvular causes, common lesions were disease of mitral valve (90 %) in isolation or mixed with aortic valve (23.5%). Warfarin was used in 32(62.7%) with mean INR of 2.038 ± 0.6. Seventeen (53.1% ) had INR below 2. In nonvalvular cases,...
Characteristics of Atrial Fibrillation Based On Age, Sex, and Etiology
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Introduction: Atrial fibrillation (AF) is one type of arrhythmia that occurs frequently to patients in the last decade. AF patients have five times higher risk to stroke and death, and they also have two times higher risk compared to others. A correct selection of governance in AF could result in better prognosis of the patients. The aim of this study was to explain AF of the outpatients in Department of Cardiology of Dr. Soetomo General Hospital Surabaya in February 2018, so that it can detect early AF and prevent further advanced complications. Methods: This research was descriptive method design. The population and sample of this study included all of the patients who had AF and came to out-patient care in Department of Cardiology of Dr. Soetomo General Hospital Surabaya in February 2018. This research was real-time total sampling and was analyzed descriptively.Results: In this study, 60 samples which were suitable to the criteria were gained with the numbers of 25 males (41.7%) ...