scholarly journals A Study of Incidence, Clinical Features, Risk Factor Profile and Prognosis of Atrial Fibrillation in Hospitalised Elderly Patients

2016 ◽  
Vol 04 (11) ◽  
pp. 13712-13716
Author(s):  
Dr R. Santha Prabu ◽  
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Elderly Patients ◽  
Clinical Features ◽  
Risk Factor Profile

Incidence, clinical features and outcomes of atrial fibrillation and stroke in Qatar

2019 ◽  
Vol 15 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Yahia Z Imam ◽  
Saadat Kamran ◽  
Naveed Akhtar ◽  
Dirk Deleu ◽  
Rajvir Singh ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Clinical Features ◽  
Stroke Care ◽  
Newly Diagnosed ◽  
Limited Data ◽  
Stroke Patients ◽  
Acute Stroke Care ◽  
Low Rate

Background Atrial fibrillation is an important risk factor for stroke but there are limited data on atrial fibrillation-related stroke from the Middle East. Methods We interrogated the Qatar Stroke Database to establish the occurrence, clinical features, and outcomes of atrial fibrillation-related stroke at Hamad General Hospital, the sole provider of acute stroke care in Qatar. Results A total of 4079 patients (81.4% male, mean age 55.4 ± 13.3 years) were enrolled in the stroke database between January 2014 and 21 October 2017. Atrial fibrillation was present in 260 (6.4%) patients, of whom 106 (2.6%) had newly diagnosed atrial fibrillation. The National Institute of Health Stroke Scale (NIHSS) was significantly higher (7.9 + 7.0 (median 6; IQR 11) vs. 5.9 + 6.4 (median 4; IQR 6), P < 0.001) in atrial fibrillation patients. The modified Rankin Score (mRS) (P < 0.001) and mortality at 90-day follow-up (P = 0.002) were significantly higher in atrial fibrillation compared to non-atrial fibrillation stroke patients. Conclusion We demonstrate a low rate of atrial fibrillation and stroke in Qatar, perhaps reflecting the relatively young age of these patients. Atrial fibrillation-related strokes had higher admission NIHSS, greater disability, and higher mortality at 90 days when compared to non-atrial fibrillation strokes.

scholarly journals Orthostatic hypotension and atrial fibrillation: is there a relationship?

2021 ◽  
Vol 27 (4) ◽  
pp. 409-414
Author(s):  
O. N. Antropova ◽  
I. V. Osipova ◽  
G. G. Efremushkin
Keyword(s):  
Atrial Fibrillation ◽  
Cardiovascular Disease ◽  
Risk Factor ◽  
Elderly Patients ◽  
Orthostatic Hypotension ◽  
Venous Return ◽  
Upright Position ◽  
Cerebrovascular Complications ◽  
All Cause Mortality ◽  
The Relationship

Orthostatic hypotension (OH), a possible marker of autonomic dysfunction, reflects the inability of reflex cardiovascular mechanisms to compensate for the fall in venous return in the upright position. This is a manifestation of structural and functional abnormalities of the cardiovascular system. Significance of the orthostatic hypotension is underestimated, while it is associated with all-cause mortality and cardiovascular disease. The article reviews the relationship between atrial fibrillation (AF) and OH. The pathogenetic mechanisms of OH are considered, including various subgroups, e. g. elderly patients. The article also discusses the relationship between OH, AF and cerebrovascular complications. Available evidence suggests that impaired orthostatic hemodynamic response should be considered as a new risk factor for AF. Further research is needed for better understanding of the association between AF and OH, as well as their management.

scholarly journals Comparison of the clinical features and outcomes in two age-groups of elderly patients with atrial fibrillation

2014 ◽  
pp. 1335 ◽  
Author(s):  
Xing-Hui Shao ◽  
Yan-Min Yang ◽  
Jun Zhu ◽  
Han Zhang ◽  
Yao Liu ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Elderly Patients ◽  
Clinical Features ◽  
Age Groups ◽  
Two Age Groups

scholarly journals A STUDY OF RISK FACTOR PROFILE OF ATRIAL FIBRILLATION APPLYING CHA2DS2-VASC SCORE

2021 ◽  
Vol 70 (Suppl-4) ◽  
pp. S674-78
Author(s):  
Ahmed Mustafa ◽  
Imtiaz Ali Khan ◽  
Hafiza Sonia Iqbal ◽  
Anam Fatima Janjua ◽  
Faraz Ahmad ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Scoring System ◽  
Heart Diseases ◽  
Armed Forces ◽  
Persistent Atrial Fibrillation ◽  
Cross Sectional ◽  
Detailed History ◽  
Risk Factor Profile ◽  
Number Of Patients

Objective: To identify the risk factor profile of Atrial Fibrillation applying CHA2DS2-VASC scoring system Study Design: Descriptive cross-sectional study. Place and Duration of Study: The study was conducted in outdoor patient and emergency departments of Armed Forces Institute of Cardiology/National Institute of Heart Diseases in 4 months duration after approval of synopsis, from Sep 2019 to Dec 2019. Methodology: All patients with symptoms of palpitation and dyspnea were evaluated with detailed history, physical examination, electrocardiogram and 2-D echocardiography for collection of data. Patients who were found with Atrial Fibrillation on electrocardiogram and non-valvular on 2-D echocardiography were enrolled. Detailed History regarding CHA2DS2-VASC scoring system was taken. Patients with age <18 years, those with moderate rheumatic stenos is, hypertrophic cardiomyopathy and Atrial Fibrillation with prosthetic valves were excluded. Data was entered and analyzed with SPSS-23. Results: Out of 100 patients enrolled, frequencies of male and female patients were 60 (60%) and 40 (40%) respectively. The age varied from 25 years to 89 years with a mean age of 64.27 ± 12 years. Maximum number of patients was between 65-74 years (31%). Hypertension (57%) was the most common risk factor after gender followed by age. Frequencies of other risk factors were congestive heart failure (33%), diabetes mellitus (18%), vascular disease (14%) and stroke/TIA/thrombo-embolism (13%). Paroxysmal atrial fibrillation was the most common type of atrial fibrillation observed (67%) followed by persistent atrial fibrillation (31%). The number of patients having CHA2DS2-VASC score 2 and greater than 2 were 76 (76%) and less than 2 were 24%. Conclusion: Our findings highlighted the prevalence of non-modifiable as well as modifiable predictors of thromboembolic phenomena in atrial fibrillation using CHA2DS2-VASC scoring system in our population.

scholarly journals Risk-factor profile for coronary artery disease among young and elderly patients in Andhra Pradesh

Heart India ◽  
2014 ◽  
Vol 2 (1) ◽  
pp. 11 ◽  
Author(s):  
Srinivasa Jayachandra ◽  
CRVasudev Murthy ◽  
RPrabhakar Rao ◽  
Gopinath Agnihotram
Keyword(s):  
Coronary Artery Disease ◽  
Risk Factor ◽  
Coronary Artery ◽  
Elderly Patients ◽  
Andhra Pradesh ◽  
Risk Factor Profile ◽  
Artery Disease
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