A STUDY OF RISK FACTOR PROFILE OF ATRIAL FIBRILLATION APPLYING CHA2DS2-VASC SCORE

Objective: To identify the risk factor profile of Atrial Fibrillation applying CHA2DS2-VASC scoring system Study Design: Descriptive cross-sectional study. Place and Duration of Study: The study was conducted in outdoor patient and emergency departments of Armed Forces Institute of Cardiology/...

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Autores principales: Ahmed Mustafa, Imtiaz Ali Khan, Hafiza Sonia Iqbal, Anam Fatima Janjua, Faraz Ahmad, Saadat Ullah Khan, Sohail Aziz, Abdul Hameed Siddiqui, Farhan Tuyyab
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Publicado: Army Medical College Rawalpindi 2021
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spelling oai:doaj.org-article:1daddc52baa64e5cace2d5b1de738faf2021-12-02T18:51:57ZA STUDY OF RISK FACTOR PROFILE OF ATRIAL FIBRILLATION APPLYING CHA2DS2-VASC SCORE0030-96482411-884210.51253/pafmj.v70iSuppl-4.6001https://doaj.org/article/1daddc52baa64e5cace2d5b1de738faf2021-01-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6001https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To identify the risk factor profile of Atrial Fibrillation applying CHA2DS2-VASC scoring system Study Design: Descriptive cross-sectional study. Place and Duration of Study: The study was conducted in outdoor patient and emergency departments of Armed Forces Institute of Cardiology/National Institute of Heart Diseases in 4 months duration after approval of synopsis, from Sep 2019 to Dec 2019. Methodology: All patients with symptoms of palpitation and dyspnea were evaluated with detailed history, physical examination, electrocardiogram and 2-D echocardiography for collection of data. Patients who were found with Atrial Fibrillation on electrocardiogram and non-valvular on 2-D echocardiography were enrolled. Detailed History regarding CHA2DS2-VASC scoring system was taken. Patients with age <18 years, those with moderate rheumatic stenos is, hypertrophic cardiomyopathy and Atrial Fibrillation with prosthetic valves were excluded. Data was entered and analyzed with SPSS-23. Results: Out of 100 patients enrolled, frequencies of male and female patients were 60 (60%) and 40 (40%) respectively. The age varied from 25 years to 89 years with a mean age of 64.27 ± 12 years. Maximum number of patients was between 65-74 years (31%). Hypertension (57%) was the most common risk factor after gender followed by age. Frequencies of other risk factors were congestive heart failure (33%), diabetes mellitus (18%), vascular disease (14%) and stroke/TIA/thrombo-embolism (13%). Paroxysmal atrial fibrillation was the most common type of atrial fibrillation observed (67%) followed by persistent atrial fibrillation (31%). The number of patients having CHA2DS2-VASC score 2 and greater than 2 were 76 (76%) and less than 2 were 24%. Conclusion: Our findings highlighted the prevalence of non-modifiable as well as modifiable predictors of thromboembolic phenomena in atrial fibrillation using CHA2DS2-VASC scoring system in our population.Ahmed MustafaImtiaz Ali KhanHafiza Sonia IqbalAnam Fatima JanjuaFaraz AhmadSaadat Ullah KhanSohail AzizAbdul Hameed SiddiquiFarhan TuyyabArmy Medical College Rawalpindiarticleatrial fibrillationcha2ds2-vascrisk factor profileMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss Suppl-4, Pp S674-78 (2021)
institution DOAJ
collection DOAJ
language EN
topic atrial fibrillation
cha2ds2-vasc
risk factor profile
Medicine
R
Medicine (General)
R5-920
spellingShingle atrial fibrillation
cha2ds2-vasc
risk factor profile
Medicine
R
Medicine (General)
R5-920
Ahmed Mustafa
Imtiaz Ali Khan
Hafiza Sonia Iqbal
Anam Fatima Janjua
Faraz Ahmad
Saadat Ullah Khan
Sohail Aziz
Abdul Hameed Siddiqui
Farhan Tuyyab
A STUDY OF RISK FACTOR PROFILE OF ATRIAL FIBRILLATION APPLYING CHA2DS2-VASC SCORE
description Objective: To identify the risk factor profile of Atrial Fibrillation applying CHA2DS2-VASC scoring system Study Design: Descriptive cross-sectional study. Place and Duration of Study: The study was conducted in outdoor patient and emergency departments of Armed Forces Institute of Cardiology/National Institute of Heart Diseases in 4 months duration after approval of synopsis, from Sep 2019 to Dec 2019. Methodology: All patients with symptoms of palpitation and dyspnea were evaluated with detailed history, physical examination, electrocardiogram and 2-D echocardiography for collection of data. Patients who were found with Atrial Fibrillation on electrocardiogram and non-valvular on 2-D echocardiography were enrolled. Detailed History regarding CHA2DS2-VASC scoring system was taken. Patients with age <18 years, those with moderate rheumatic stenos is, hypertrophic cardiomyopathy and Atrial Fibrillation with prosthetic valves were excluded. Data was entered and analyzed with SPSS-23. Results: Out of 100 patients enrolled, frequencies of male and female patients were 60 (60%) and 40 (40%) respectively. The age varied from 25 years to 89 years with a mean age of 64.27 ± 12 years. Maximum number of patients was between 65-74 years (31%). Hypertension (57%) was the most common risk factor after gender followed by age. Frequencies of other risk factors were congestive heart failure (33%), diabetes mellitus (18%), vascular disease (14%) and stroke/TIA/thrombo-embolism (13%). Paroxysmal atrial fibrillation was the most common type of atrial fibrillation observed (67%) followed by persistent atrial fibrillation (31%). The number of patients having CHA2DS2-VASC score 2 and greater than 2 were 76 (76%) and less than 2 were 24%. Conclusion: Our findings highlighted the prevalence of non-modifiable as well as modifiable predictors of thromboembolic phenomena in atrial fibrillation using CHA2DS2-VASC scoring system in our population.
format article
author Ahmed Mustafa
Imtiaz Ali Khan
Hafiza Sonia Iqbal
Anam Fatima Janjua
Faraz Ahmad
Saadat Ullah Khan
Sohail Aziz
Abdul Hameed Siddiqui
Farhan Tuyyab
author_facet Ahmed Mustafa
Imtiaz Ali Khan
Hafiza Sonia Iqbal
Anam Fatima Janjua
Faraz Ahmad
Saadat Ullah Khan
Sohail Aziz
Abdul Hameed Siddiqui
Farhan Tuyyab
author_sort Ahmed Mustafa
title A STUDY OF RISK FACTOR PROFILE OF ATRIAL FIBRILLATION APPLYING CHA2DS2-VASC SCORE
title_short A STUDY OF RISK FACTOR PROFILE OF ATRIAL FIBRILLATION APPLYING CHA2DS2-VASC SCORE
title_full A STUDY OF RISK FACTOR PROFILE OF ATRIAL FIBRILLATION APPLYING CHA2DS2-VASC SCORE
title_fullStr A STUDY OF RISK FACTOR PROFILE OF ATRIAL FIBRILLATION APPLYING CHA2DS2-VASC SCORE
title_full_unstemmed A STUDY OF RISK FACTOR PROFILE OF ATRIAL FIBRILLATION APPLYING CHA2DS2-VASC SCORE
title_sort study of risk factor profile of atrial fibrillation applying cha2ds2-vasc score
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doaj.org/article/1daddc52baa64e5cace2d5b1de738faf
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