Volume : VII, Issue : XII, December - 2017

A STUDY ON ETIOLOGY AND CLINICAL PROFILE OF PATIENTS WITH ATRIAL FIBRILLATION

Harshad Rajge, Mitesh Thakkar, Rishabh Naik, Jaishree Ghanekar

Abstract :

 Aim: To evaluate and co–relate the etiology and clinical profile of patients with  acute (first episode), recurrent (two or more episodes),paroxysmal (teminates within 7 days) and chronic (persistent and permanent)atrial fiillation which is unevaluated. Materials methods: In the present study, 55 patients of AF were evaluated based on various parameters such as age, sex, gender, etiology, types of AF.Parameters were co–related to test for significance of association using Chi–square testing method. Results: The maximum patients in this study belonged to the age group of 51–70 years.There was a female predominance.Dyspnoea (81.8%) was the most common presenting complaint, followed by palpitations (74.5%) and pedal edema (32.7%).Stroke as a presenting feature was seen in only (11%) cases in present study but it was an important cause of functional limitation. In this study, 5.5% of the cases were asymptomatic.The most common etiology for atrial fiillation was RHD (40%), followed by IHD (21.8%) and HTN (12.7%).The persistent (38.2%), permanent (25.5%) and first time detected AF (23.6%) types of AF  were the major types seen as compared to the others which are paroxysmal (9.1%) and recurrent (3.6%).The LA size in maximum number of patients (43.6%) was less than 4cm, and more than 5cm in (20%) cases and RHD was the most important cause for enlarged LA. Significant co–relation was found between dyspnoea with Lone AF; palpitations with HTN and Lone AF; chest pain with IHD and DCM; dizziness with DCM and Lone AF; syncope with DCM and asymptomatic cases with Lone AF.Conclusion: The study concludes that AF is common in elderly with female preponderance. Dyspnoea is commonest complaint followed by palpitations and pedal edema and then stroke.Commonest etiology was supposed to be RHD , IHD and HTN. Persistent type AF is more common.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

HARSHAD RAJGE, MITESH THAKKAR, RISHABH NAIK, JAISHREE GHANEKAR, A STUDY ON ETIOLOGY AND CLINICAL PROFILE OF PATIENTS WITH ATRIAL FIBRILLATION, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-12 | December-2017

Number of Downloads : 403

References :