Atrial fibrillation in a tertiary care institute – A prospective study

Bhardwaj, Ramakant

doi:10.1016/j.ihj.2012.07.014

Cited by 27 publications

(28 citation statements)

References 9 publications

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“…Women participants were 51% in the Indian Heart Rhythm Society (IHRS) AF study. 11 In the study by Bhardwaj R 55.47% were females 12 and in SK Sharma's study 72.72% were females. 13 Majority of patients with atrial fibrillation are relatively asymptomatic.…”

Section: Discussionmentioning

confidence: 92%

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A Study of Atrial Fibrillation in Rheumatic Heart Disease

Boddu¹,

C²

2018

jemds

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BACKGROUND Atrial fibrillation is the most common sustained arrhythmia in clinical practice. Among Indians, rheumatic heart disease is the most common aetiological factor. In this study, we have evaluated atrial fibrillation in patients with chronic rheumatic heart disease. MATERIALS AND METHODS This was a retrospective observational study. Case sheets of 75 patients fulfilling the inclusion criteria were studied. The clinical data and 2D echocardiography findings of the patients were studied. RESULTS 51 (68%) patients belonged to 21 to 40 years' age group. Females were more than males. 62 (82.7%) patients presented with dyspnoea followed by palpitations in 34 (45.3%). 70 (93%) had mitral stenosis. 39 (52%) had combined mitral stenosis with regurgitation. The mean left atrial size was 4.87 cm. 34 (45.3%) of total patients had clot in left atrium. Among the various valvular lesions, mitral stenosis had 33 (44%) of left atrial clot. Among mitral stenosis, 55 (78.6%) had severe stenosis with 30 (54.5%) of them having a left atrial clot. CONCLUSION The analysis of the present study gives us insight into the various aspects of valvular involvement in the patients of rheumatic heart disease with atrial fibrillation.

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Section: Discussionmentioning

confidence: 92%

“…In a study by Bhardwaj R, rheumatic heart disease was the aetiology of atrial fibrillation in 61.31% patients. 12 In a study by SK Sharma, the incidence of atrial fibrillation was 43.61% among patients of rheumatic heart disease. 13 In our study, the majority of patients were in the 21 -40 years' age group, i.e.…”

Section: Discussionmentioning

confidence: 99%

A Study of Atrial Fibrillation in Rheumatic Heart Disease

Boddu¹,

C²

2018

jemds

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“…Mitral valve was involved in all cases of rheumatic heart disease with AF. RHD was the commonest cause of AF in a prospective study done in Himachal Pradesh by Rajeev Bharadwaj during the period of 2006 -2008 17 Left atrial enlargement was observed in 38 patients. Left ventricular hypertrophy was more common in patients with AR.…”

Section: Observations and Resultsmentioning

confidence: 99%

The Study of Prevalence and Clinical Profile of Valvular Heart Diseases in a Teaching Hospital

Krishnan¹,

Srinivas²

2015

jebmh

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Valvular heart disease is still a common causes of mortality and morbidity in India and rheumatic heart disease is still far more frequent. AIMS AND OBJECTIVES: To study the prevalence and clinical profile of rheumatic and non-rheumatic valvular heart disease in patients attending to Government General Hospital, Kakinada. MATERIALS AND METHODS: 100 Adult patients with valvular abnormalities attending to the Medicine and Cardiology Units of Government General Hospital, Kakinada from Nov 2011-May 2013 were studied. Clinical history including various symptoms, past history of rheumatic fever, followed by systemic examination was done. A detailed cardiovascular examination with relevant investigations and evaluation was done. OBSERVATIONS AND RESULTS: The most common cause of acquired valvular heart disease is Rheumatic Heart Disease. Mitral valve involvement is the most common valve involvement with Mitral regurgitation as the most common valvular lesion. Mitral stenosis is the most common valvular lesion among rheumatic valvular heart disease. The most common complaint is breathlessness and the most common complication is Congestive heart failure. Multi valvular lesion is the most common valve involvement in patients presenting with congestive heart failure and infective endocarditis. Patients having atrial fibrillation are noted to have mitral stenosis more commonly. Mitral stenosis is the valve abnormality commonly noted in patients presenting with haemoptysis, respiratory tract infection and chorea. Left sided hemiplegia is common in patients with acquired valvular heart disease. CONCLUSIONS: Though the incidencen of rheumatic valvular disease is decreased in modern era, still continuing in our country. The analysis of the present study gives us insight into the various types of presentation of acquired valvular heart disease and to increase awareness besides early detection of valvular diseases clinically. It also helps in planning of early treatment of valvular heart diseases. This study also helps in proper plan of treatment thus decreasing mortality and morbidity of acquired valvular disease.

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“…In a study done on North Indian rural background RHD continues to be an important cause of atrial fibrillation and mixed mitral valve lesion was the commonest lesion seen. 10 Hypertension is an independent predictor of atrial fibrillation and is found in 60-80% of atrial fibrillation cases in western population. 11 In addition to hypertensive heart disease, the most common cardiac abnormality associated with AF are ischaemic heart disease, mitral valve disease, hypertrophic cardiomyopathy and dilated cardiomyopathy.…”

Section: Discussionmentioning

confidence: 99%

The clinical and etiological profile of atrial fibrillation after echocardiography in a tertiary care centre from North India - a cross sectional observational study

et al. 2017

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Background: Atrial fibrillation (AF) is the most common sustained arrhythmia in clinical practice. In western countries, rheumatic heart disease (RHD) is a rare cause of atrial fibrillation but in developing countries like India it is one of the commonest cause of atrial fibrillation. We studied etiology, left atrial size and the incidence of left atrial appendage clot in patients with atrial fibrillation at our institution so that guidelines could be formulated to manage the patients of AF in the hours of emergency.Methods: 110 consecutive patients of atrial fibrillation coming to emergency, cardiology and medicine outpatient department over a period of one year were enrolled for the study. Ethical committee clearance was taken. Detailed history were taken, clinical presentation reviewed and examination were carried out. All patients were subjected to transthoracic echocardiography and for transesophageal echocardiography if required.Results: The mean age of patients in the study was 58.42±14.27 years (range 22-90 years). Maximum numbers of patients were in the age group of 61-70 years (26.37%). Out of 110 patients with atrial fibrillation, 72 patients (65.46%) were females and 38 patients (34.54%) were males. Majority of patients presented with more than one symptom. Out of 110, 66 patients (60%) had RHD. Among RHD patients, 50 patients (45.55%) were females and 16 patients (14.55%) were males. Next common causes were hypertensive heart disease and degenerative valvular heart disease.Conclusions: In our study RHD was the most common cause of atrial fibrillation, followed by hypertensive heart disease and degenerative valvular heart disease. Mitral valve involvement was seen in all patients of RHD. Left atrial enlargement was seen in majority of patients, so left atrial enlargement could be a predictor of atrial fibrillation. Patients of left atrial enlargement are more prone to develop left atrial appendage clot.

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Atrial fibrillation in a tertiary care institute – A prospective study

Cited by 27 publications

References 9 publications

A Study of Atrial Fibrillation in Rheumatic Heart Disease

A Study of Atrial Fibrillation in Rheumatic Heart Disease

The Study of Prevalence and Clinical Profile of Valvular Heart Diseases in a Teaching Hospital

The clinical and etiological profile of atrial fibrillation after echocardiography in a tertiary care centre from North India - a cross sectional observational study

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