一家三级医疗机构中的心房颤动——一项前瞻性研究。
Atrial fibrillation in a tertiary care institute - a prospective study.
作者信息
Bhardwaj Rajeev
机构信息
Indira Gandhi Medical College, Shimla, India.
出版信息
Indian Heart J. 2012 Sep-Oct;64(5):476-8. doi: 10.1016/j.ihj.2012.07.014. Epub 2012 Aug 2.
Abstract
OBJECTIVE
Atrial fibrillation is the commonest sustained arrhythmia. In western countries the common causes of atrial fibrillation are hypertensive heart disease, dilated cardiomyopathy, and coronary heart disease. Rheumatic heart disease being still common in India, we studied its contribution to atrial fibrillation.
MATERIAL AND METHODS
137 consecutive patients of atrial fibrillation coming to our hospital were subjected to echocardiography to determine the cause.
RESULTS
Out of 137 patients with atrial fibrillation, 76 were female (55.47%) and 61 were male (44.43%). Mean age was 51.24±15.36 years. Commonest cause of AF was rheumatic heart disease found in 84 (61.31%) patients. Next common causes were hypertensive heart disease in 14 (10.2%) patients and chronic obstructive pulmonary disease (COPD) in 14 (10.2%) patients. Mean left atrial size was 47.8±12.25mm.
CONCLUSION
In our study of patients coming from a rural back ground of North India, more than 60% patients of AF are due to RHD. Hypertensive heart disease and COPD are the next common causes.
摘要
目的
心房颤动是最常见的持续性心律失常。在西方国家，心房颤动的常见病因是高血压性心脏病、扩张型心肌病和冠心病。由于风湿性心脏病在印度仍然很常见，我们研究了其在心房颤动中的作用。
材料与方法
对我院连续收治的137例心房颤动患者进行超声心动图检查以确定病因。
结果
137例心房颤动患者中，女性76例（55.47%），男性61例（44.43%）。平均年龄为51.24±15.36岁。心房颤动最常见的病因是风湿性心脏病，有84例（61.31%）患者。其次常见的病因是高血压性心脏病，有14例（10.2%）患者，以及慢性阻塞性肺疾病（COPD），有14例（10.2%）患者。平均左心房大小为47.8±12.25mm。
结论
在我们对来自印度北部农村地区患者的研究中，超过60%的心房颤动患者病因是风湿性心脏病。高血压性心脏病和慢性阻塞性肺疾病是其次常见的病因。
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