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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Army Medical College Rawalpindi
2021
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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) |
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atrial fibrillation cha2ds2-vasc risk factor profile Medicine R Medicine (General) R5-920 |
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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 |
work_keys_str_mv |
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