A Study of Clinical Profile of Atrial Fibrillation and Its Transthoracic Echocardiography Presentation: A Cross Sectional study at a Tertiary Care Hospital in Chennai
2017
BACKGROUND: Atrial Fibrillation is the most commonly encountered quivering or
irregular heart beat (arrhythmia) in our population, Its prevalence though
less than 1 % in general population below 65 years old, its incidence and
prevalence is in increasing trend. It is the most common cause of cardiac
source of emboli causing complications including stroke.
METHODS: A cross sectional study was conducted in 100 patients with atrial
fibrillation, and their clinical profile including symptoms, signs, etiololgy,
and transthoracic echocardiocardiography parameters were analysed.
RESULTS: Most common symptom was palpitation in our study, Out of 100
patients 77% of the people were presented with RHD and the remaining
23% of them with Non RHD etiology accounted for AF, among the 77% of
the RHD group females were more about 63%,and Rheumatic MS was the
most common lesion,3% of the patients presented with LA clot detected by
TTE.
CONCLUSION: Female patients were more common then male patients. Most
common etiology was Rheumatic heart disease with Mitral stenosis. Few
Patients with severe MS presented with LA clot. We detected LA Clot only
in a very few patients with AF because TTE has low sensitivity of detecting
LA clot.
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