Abstract
This study is conducted to know the various clinical presentations in chronic atrial fibrillation, to detect various aetiologies of chronic atrial fibrillation, to know relation between chronic atrial fibrillation and left atrial size. The study involves 120 cases of atrial fibrillation, admitted in Medical wards of Mamata General Hospital, Khammam during 2014 September to 2015 August. Sixty cases are examined in detail with special reference to cardiovascular system. 120 cases of chronic atrial fibrillation (AF) are studied in detail. Chronic AF due to rheumatic aetiology is more common in younger age group while that due to other causes like hypertension (HTN) and ischemic heart disease (IHD) common in older age. Females are more commonly affected than males. Rheumatic heart disease(RHD) is the commonest cause followed by IHD & HTN. congestive cardiac failure(CCF) , angina and embolic stroke are common complications. Most of the cases of chronic AF are associated with large left atrial size(>4cms).
Keywords: Atrial fibrillation, Mitral stenosis, Rheumatic heart disease
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