Angiographic profile and outcomes in persistent non-valvular atrial fibrillation: A study from tertiary care center in North India
dc.contributor.author | Sharma, Yash Paul | en_US |
dc.contributor.author | Batta, Akash | en_US |
dc.contributor.author | Makkar, Kunaal | en_US |
dc.contributor.author | Hatwal, Juniali | en_US |
dc.contributor.author | Gawalkar, Atit A | en_US |
dc.contributor.author | Kaur, Navjyot | en_US |
dc.contributor.author | Malhi, Tejinder Singh | en_US |
dc.contributor.author | Kasinadhuni, Ganesh | en_US |
dc.contributor.author | Gupta, Himanshu | en_US |
dc.contributor.author | Panda, Prashant | en_US |
dc.contributor.author | Barwad, Parag | en_US |
dc.date.accessioned | 2023-07-21T11:36:52Z | |
dc.date.available | 2023-07-21T11:36:52Z | |
dc.date.issued | 2022-02 | |
dc.description.abstract | Background: The relationship of atrial fibrillation (AF) with coronary artery disease (CAD) is well established, yet it is often missed. There is evidence of myocardial ischemia on stress imaging in AF patients in the absence of obstructive CAD. In this prospective cohort, we studied the angiographic profiles of non-valvular AF patients. Methods: The study was a nonrandomized, prospective, single-center observational study of consecutive patients of persistent non-valvular AF. Patients symptomatic for AF despite optimal medical therapy for 3 months were recruited and all underwent coronary angiograms (CAG). Patients with prior history of CAD were excluded. Results: A total of 70 patients were followed for a mean duration of 12 ± 1.4 months. The mean age of the study group was 66.07 (±11.49) years. Hypertension was the commonest comorbidity seen in 74% patients. Obstructive CAD was present in 32 (46%) patients, non-obstructive (<50% stenosis) CAD in 17 (24%) patients and normal coronaries in 21 (30%) patients. Overall 49 (70%) patients had evidence of CAD. Amongst patients without obstructive CAD, slow flow was seen in 16 (42%) patients. Lower baseline ejection fraction, lower haemoglobin & albumin levels and higher creatinine levels was associated with increased mortality. In patients without obstructive CAD, hospitalizations for fast ventricular rate were significantly increased in those having slow flow on CAG (p ¼ 0.005). Conclusions: Majority (70%) of our patients had evidence of atherosclerotic CAD on CAG. A large proportion of patients without obstructive CAD had slow flow on CAG. | en_US |
dc.identifier.affiliations | Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, 160012, India | en_US |
dc.identifier.affiliations | Department of Internal Medicine, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, 160012, India | en_US |
dc.identifier.affiliations | Department of Cardiology, Dayanand Medical college and hospital, Ludhiana, Punjab, 141001, India | en_US |
dc.identifier.citation | Sharma Yash Paul, Batta Akash, Makkar Kunaal, Hatwal Juniali, Gawalkar Atit A, Kaur Navjyot, Malhi Tejinder Singh, Kasinadhuni Ganesh, Gupta Himanshu, Panda Prashant, Barwad Parag . Angiographic profile and outcomes in persistent non-valvular atrial fibrillation: A study from tertiary care center in North India. Indian Heart Journal. 2022 Feb; 74(1): 7-12 | en_US |
dc.identifier.issn | 0019-4832 | |
dc.identifier.issn | 2213-3763 | |
dc.identifier.place | India | en_US |
dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/220877 | |
dc.language | en | en_US |
dc.publisher | Cardiological Society of India | en_US |
dc.relation.issuenumber | 1 | en_US |
dc.relation.volume | 74 | en_US |
dc.source.uri | https://doi.org/10.1016/j.ihj.2021.12.010 | en_US |
dc.subject | Atrial fibrillation | en_US |
dc.subject | Coronary angiography | en_US |
dc.subject | Coronary artery disease | en_US |
dc.subject | Coronary slow flow | en_US |
dc.subject | Fast ventricular rate | en_US |
dc.title | Angiographic profile and outcomes in persistent non-valvular atrial fibrillation: A study from tertiary care center in North India | en_US |
dc.type | Journal Article | en_US |
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