Clinical and Echocardiographic Profile of Atrial Fibrillation.
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Date
2011-04
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Abstract
The present study was done on 100 newly diagnosed patients of atrial fibrillation attending outpatient
department of Internal Medicine, Govt. Medical College, Jammu over a period of 1 year with effect
from June 2004 to May 2005. Patients who either attended OPD on a single day in a week or admitted
patients were included in the study. Male: female ratio was 1:1.94, with mean age of the patient 50.16
years (range 13-96 years). 60% of patients were aged 50 years and above. Dyspnoea NYHA class II
-IV was the commonest 74% complaint followed by palpitations 57%, fatigue 19%, syncope 17% and
chest pain 11%. 14% patients were asymptomatic at presentation. Congestive cardiac failure was
present in 67%. Rheumatic heart disease 54% was the commonest underlying etiological factor, followed
by, coronary artery disease 9%, HTN (alone) and COPD (8% each), cardiomyopathy 7%, hyperthyroidism
3% and congenital heart disease 2%, 9% of the patients had the lone atrial fibrillation. Patient with left
atrial dimension >4.0 cm had sustained atrial fibrillation. Thromboembolic phenomenon was more common
in chronic AF and all the patients had mitral valve disease. Ventricular rate exceeded 100 per minute in
69 % of cases.
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Keywords
Atrial fibrillation, Echocardiography, Left atrium, Rheumatic Heart Disease
Citation
Kumar Tejinder, Soodan S S. Clinical and Echocardiographic Profile of Atrial Fibrillation. JK Science Journal of Medical Education and Research. 2011 Apr-June; 13(2): 73-76