Clinical-epidemiological Characterization of Patients with a First Event of Atrial Fibrillation
<strong>Foundation:</strong> despite the importance of the first event of atrial fibrillation as one of the most treated medical emergencies, in Cienfuegos, there are insufficient studies describing the clinical-epidemiological characteristics of these patients. <strong><br />...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de las Ciencias Médicas de Cienfuegos
2024-03-01
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| Series: | Revista Finlay |
| Subjects: | |
| Online Access: | https://revfinlay.sld.cu/index.php/finlay/article/view/1355 |
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| Summary: | <strong>Foundation:</strong> despite the importance of the first event of atrial fibrillation as one of the most treated medical emergencies, in Cienfuegos, there are insufficient studies describing the clinical-epidemiological characteristics of these patients. <strong><br />Objective:</strong> to clinically and epidemiologically characterize patients with the first event of atrial fibrillation in Cienfuegos between the years 2020-2022.<br /> <strong>Method:</strong> a descriptive and cross-sectional study was carried out. The universe was made up of 54 patients diagnosed with a first event of atrial fibrillation admitted to the Cardiology Service of the Dr. Gustavo Aldereguía Lima General University Hospital in Cienfuegos between the years 2020-2022. The variables studied were: age, sex, skin color, toxic habits, personal pathological history, clinical manifestations, echocardiographic parameters and treatment. The absolute and relative frequencies of the variables were calculated. The results were presented in tables. <br /><strong>Results:</strong> the male sex, the age group of 36-55 years, white skin color, and smoking predominated. The most common personal pathological history was: high blood pressure (74.1 %), type 2 diabetes mellitus (16.7 %) and valvular heart disease (11.1 %). The most frequent clinical manifestations were: palpitations (77.8 %), followed by dyspnea (12.9 %). Echocardiographic parameters were within the normal range. Pharmacological treatment was applied to 68.5 % followed by pharmacological and electrical cardioversion in 16.7 %. <br /><strong>Conclusions:</strong> the largest number of patients with a first event of atrial fibrillation have a structurally healthy heart, so the prevention of recurrences is considered of vital importance, this will avoid the creation of electrical and anatomical conditions that perpetuate the arrhythmia. |
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| ISSN: | 2221-2434 |