Title: Clinical and Echocardiographic Study in Chronic Atrial Fibrillation
Authors: Dr Dilip M Rampure, Dr Ganiger, Dr Rakeshreddy.R, Dr Swetha.D
DOI: http://dx.doi.org/10.18535/jmscr/v3i10.07
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 1. Eric N Prystowsky, Benzy J Padanilam, Albert L Waldo;.Hurst’s: The Heart, edited by Valentinfuster et al. Mcgraw Hill 13thedition 2011. VolI .963-981. 2. Go AS, Hylek EM, Phillips KA et al, Prevalence of atrial fibrillation in adults. JAMA 2001;285:2370-5. 3. Wolf PA , Abbott RD, Kannel WB, Atrial fibrillation: A major contributor to stroke in the elderly. The Framingham study. Arch Internal Medicine 1987; 147:1561-4. 4. Rodney H Falk, MD. Atrial Fibrillation; NEJM .2001;344:1067-1077. 5. Benjamin EJ, Levy D, Vaziri SM, D'Agostino RB, Belanger AJ, Wolf PA. Independent risk factors for atrial fibrillation in a population-based cohort: the Framingham Heart Study. JAMA. 1994; 271: 840–844. 6. Go AS, Hylek EM, Phillips KA, Chang Y, Henault LE, Selby JV, Singer DE. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA.2001; 285: 2370–2375. 7. Psaty BM, Manolio TA, Kuller LH, Kronmal RA, Cushman M, Fried LP, White R, Furberg CD, Rautaharju PM. Incidence of and risk factors for atrialfibrillation in older adults. Circulation.1997; 96: 2455–2461. 8. Fuster, V Ryden LE . Asinger RW et al. ACC/ AHA /ESC guidelines for the management of patient with atrial fibrillation (committee to develop guidelines for the management of patients with AF )circulation 2001; 104: 2118-2150 9. Levy S. Classification system of AF. Cur opincardiol 2000;15:54-57 10. Lip GyGodlging DJ- A survey of Atrial fibrillation in general practice. British journal of general practice 47(418)n285-9,1997. 11. Lok NS, Lau CP- presentation and management of patients admitted with atrial fibrillation. Intrnational journal of cardiology-48(3): 271-8,1995 Mar.3. 12. Furberg CD, Psaty BM, ManolioTA et al. Prevalence of atrial fibrillation in elderly subject (the cardiovascular health study) Ame. J Cardiol 1994; 74 : 236-41. 13. Kannel WB, MC Namara, AbottRD , coronary heart disease and atrial fibrillation, The Framingham study. Am heart J. 1993;106: 389-96. 14. Alfa study- The college of French cardiologists:1999;99:3028-35. 15. Diker E aydogdu S-prevalence and prediction of atrial fibrillation in rheumatic valvular heart disease. American Jr of cardiology 77(1):96-8, 1996 JanAbstract
References