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 Triggers for Atrial Fibrillation: The Role of Anxiety

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Paolo Severino ◽  
Marco Valerio Mariani ◽  
Annalisa Maraone ◽  
Agostino Piro ◽  
Andrea Ceccacci ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Anxiety Disorders ◽  
Heart Diseases ◽  
Poor Quality ◽  
Valvular Heart Diseases ◽  
Arrhythmogenic Substrate ◽  
Clinical Strategies

Atrial fibrillation (AF) is the most widely recognized arrhythmia. Systemic arterial hypertension, diabetes, obesity, heart failure, and valvular heart diseases are major risk factors for the onset and progression of AF. Various studies have emphasized the augmented anxiety rate among AF patients due to the poor quality of life; however, little information is known about the possibility of triggering atrial fibrillation by anxiety. The present review sought to underline the possible pathophysiological association between AF and anxiety disorders and suggests that anxiety can be an independent risk factor for AF, acting as a trigger, creating an arrhythmogenic substrate, and modulating the autonomic nervous system. The awareness of the role of anxiety disorders as a risk factor for AF may lead to the development of new clinical strategies for the management of AF.

scholarly journals Clinicopathological Evaluation of Seronegative Arthritis in a Tertiary Care Hospital of Bangladesh

2016 ◽  
Vol 12 (2) ◽  
pp. 66-70
Author(s):  
Md Shameem Haidar ◽  
Md Abdur Razzak
Keyword(s):  
Demographic Data ◽  
Tertiary Care ◽  
Armed Forces ◽  
Military Hospital ◽  
Inflammatory Rheumatic Diseases ◽  
Case Report Form ◽  
Care Hospital ◽  
Seronegative Arthritis ◽  
Cross Sectional ◽  
Number Of Patients

Introduction: The seronegative arthritis is a heterogeneous group of inflammatory rheumatic diseases with predominant involvement of axial, peripheral joints and enthesitis. All of these have some distinct as well as some overlapping features, characteristic peripheral asymmetrical lower limb involvement and a negative rheumatoid factor. Involvement of joints is usually oligoarticular but rarely polyarthritis may be present. Diagnosis is usually made from clinical features rather than investigations. Objective: To evaluate the seronegative arthritis clinicopathologically by collecting and analyzing the relevant informations. Materials and Methods: A descriptive cross-sectional prospective study was conducted at Combined Military Hospital, Chittagong from November 2015 to October 2016. A total 74 patients of suspected seronegative arthritis were included. Detail socio-demographic data were collected from the informant and recorded in structured case report form. Clinical examination and relevant investigations were done meticulously to confirm the aetiology of seronegative arthritis. Results: Maximum number of patients was in the 3rd to 4th decade (62.1%), mean age of the patient was 37.4±8.7 and 38.7±8.1 years in male and female respectively. Malefemale ratio was 2.65:1. Symmetrical sacroiliitis was found in 15(20.2%) patients, asymmetrical sacroiliitis in 36(48.6%) and in 23(31.2%) cases sacroiliac joint was not involved. Common aetiology for seronegative arthritis showed that, reactive arthritis recognized in majority of patients 29 (39.1%) and second most common cause was seronegative rheumatoid arthritis in 23(31%) patients. Conclusion: The Seronegative arthritis is a social, economical and health-care burden. Patients who develop 66 JAFMC Bangladesh. Vol 12, No 2 (December) 2016 arthritis have high disability, discomfort and loss of quality of life. Seronegative arthritis is an interesting group of related conditions with overlapping features and genetic and familial association. That may alert the primary care physician to attain possible diagnosis of spondyloarthritis and to consider a rheumatological opinion. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 66-70

scholarly journals Risk Factor Profile Of Young Adults With Acute Myocardial Infarction: A Preliminary Finding

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Mohd Zhafri Mohd Razib ◽  
Azarisman Shah M.Shah ◽  
Jamalludin A.Rahman ◽  
Aszrin Abdullah ◽  
Aida N.S M.Shah ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Young Adults ◽  
Risk Factor ◽  
Preliminary Finding ◽  
Cross Sectional ◽  
Risk Factor Profile ◽  
Common Risk Factors

Introduction: Acute myocardial infarction (AMI) is a major cause of death around the world. There are limited studies of risk factor profile in young adults with AMI. This study aimed to assess the risk factor profile of young adults with AMI at the emergency department of Hospital Tengku Ampuan Afzan (HTAA), Kuantan, Pahang. This is a preliminary result of young adults (age between 18 to 45 years old) who presented to the emergency department of HTAA. Materials and Methods: This cross-sectional study was conducted in HTAA from the 31st July 2017 to the 11th June 2018 involving 709 patients who were diagnosed with AMI. Seventy seven patients were less than 45 years old. However, only 55 were recruited for analysis who fulfilled the inclusion and exclusion criteria. Results: The prevalence of young adults with AMI was 10.9% with mean age of 38.8 ± 5.1 years old and 96.4% were male. Eighty percent of the patients were Malay followed by 10.9% Chinese and 9.1% were Indian. 83.6% were married while 14.5% were unmarried and 1.8% were divorcees. Majority of patients (81.8%) had income less than RM4000. The common risk factors of young adults with AMI presented to HTAA was smoking (80%) followed by increased waist circumference (54.5%), obesity (52.7%), hypertension (40%), hypercholesterolaemia (27.2%), family history of ischaemic heart disease (27.2%), and diabetes mellitus (21.8%). Conclusion: AMI in young adults almost exclusively occurs in male. Smoking and obesity were the most common risk factors in young adults with AMI in HTAA.

scholarly journals Socio-demographic Profile of Abortion Cases attending at a Tertiary Level Hospital

2020 ◽  
Vol 14 (2) ◽  
pp. 200-202
Author(s):  
Feroz Ahmed Sohel ◽  
Sanzida Jahan ◽  
Saifullah Russel ◽  
Farzana Zafreen
Keyword(s):  
Unplanned Pregnancy ◽  
Economic Status ◽  
Armed Forces ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Medical College ◽  
Number Of Patients ◽  
Level Hospital

Introduction: Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Abortion can be legally performed by a physician in a hospital if it is necessary to save the life of the mother. A person, who performs an abortion under any other circumstances, including a woman who self-aborts, can be punished by a fine and imprisonment. Objective: To assess the socio-demographic profile of abortion cases attending a tertiary level hospital of Bangladesh. Materials and Methods: This cross-sectional descriptive type of study was carried out among 80 patients at the Gynae ward and out patient department of Dhaka Medical College Hospital from March 2012 to June 2012. The study population was women attending the selected hospital for an abortion or abortion-related complications. Results: Most of the respondents 35(43.8%) were below 25 years of age and all patients were housewives. The maximum number of patients 63(78.8%) had spontaneous abortion, low socio-economic status and majority were multigravidas. It was also found that patients with abortion were mostly in their second (43.8%) and third (21.3%) decade of life. Conclusion: In this study, the commonest reason for termination of pregnancy was unplanned pregnancy. Creating awareness and timely intervention might decrease the number of abortion cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 200-202

Cardioembolic stroke, the basis of diagnosis and prevention

2019 ◽  
pp. 55-58 ◽  
Author(s):  
A. S. Mukhin ◽  
A. P. Mеdvedev ◽  
Ya. A. Ivanova ◽  
S. A. Fedorov
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Left Atrial ◽  
Oral Anticoagulants ◽  
Persistent Atrial Fibrillation ◽  
Cardioembolic Stroke ◽  
Atherogenic Dyslipidemia ◽  
Common Causes ◽  
Patients At Risk

A stroke develops due to ineffective anticoagulant therapy or the lack of such therapy. With the advent of new oral anticoagulants, everything has changed. This is what the latest research on this topic shows. According to available literature sources, it is known that atherogenic dyslipidemia is a risk factor for plaque failure in the coronary arteries. Persistent atrial fibrillation, diagnosed with Holter's long-term monitoring, is also a risk factor for stroke. One of the methods for diagnosing embolism is transcranial Doppler scanning. Also, the method helps in choosing the tactics of endovascular closure of the left atrial appendage. As for the etiology, embolism is one of the common causes of cardioembolic stroke. The term embolism of an unspecified source (ESUS), a study of the causes currently underway, was introduced for the embolism that happened in the remote period after a myocardial infarction. Recent clinical trials have shown that ESUS can occur in patients with subclinical atrial fibrillation (AF). Evidence suggests that a left atrial thrombus can lead to thromboembolism even in the absence of AF. Many aspects for the sensible management of patients at risk of developing car dioembolic stroke are ref lected in this review.

P258 Risk factor reversion and electrical cardioversion of persistent atrial fibrillation

2003 ◽  
Vol 14 ◽  
pp. S104
Author(s):  
R. Nicolas ◽  
M.T. Martin ◽  
P. Varela ◽  
P. Asensio ◽  
C. Pellicer ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Persistent Atrial Fibrillation ◽  
Electrical Cardioversion

scholarly journals Depression in paroxysmal and persistent atrial fibrillation patients: a cross-sectional comparison of patients enroled in two large clinical trials†

EP Europace ◽  
2013 ◽  
Vol 16 (6) ◽  
pp. 812-819 ◽  
Author(s):  
Alexander F. von Eisenhart Rothe ◽  
Andreas Goette ◽  
Paulus Kirchhof ◽  
Günter Breithardt ◽  
Tobias Limbourg ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Trials ◽  
Persistent Atrial Fibrillation ◽  
Cross Sectional

scholarly journals CEREBRAL INFARCTION;

2017 ◽  
Vol 24 (10) ◽  
pp. 1484-1488
Author(s):  
Muhammad Adnan Sarwar ◽  
Huma Muzaffar ◽  
Shakeel Ahmad
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Atrial Fibrillation ◽  
Risk Factor ◽  
Heart Disease ◽  
Cerebral Infarction ◽  
Cross Sectional Survey ◽  
Common Risk Factor ◽  
Cross Sectional ◽  
Medical College

Objectives: To determine the frequency of different risk factors among patientsof stroke due to cerebral infarction. Study Design: Descriptive cross sectional survey. Setting:Punjab Medical College and affiliated hospitals (Allied Hospital and DHQ), Faisalabad. Durationwith Dates: Six months from June 2006 to November 2006. Methods: This was a crosssectional survey that included 195 patients with stroke due to cerebral infarction. The mainoutcome variable was frequency of different risk factors which were described as frequencydistribution table. Results: Hypertension was seen among 142 (73%) patients, followed bydiabetes mellitus in 83 42.5% patients, ischemic heart disease in 74 (38%) patients, smokingin 59 (30.3%) patients, obesity in 53(27%) patients, atrial fibrillation in 43 (22%) patients anddyslipidemia in 23 (11.8%). Conclusion: Hypertension is the most common risk factor followedby diabetes mellitus associated with stroke due to cerebral infarction.

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