Department of Internal Medicine, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Reproductive Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Cardiovasc Disord. 2024 Aug 19;24(1):434. doi: 10.1186/s12872-024-04092-7.
Atrial fibrillation (AF) is a supraventricular arrhythmia associated with uncoordinated atrial activation. Atrial fibrillation is complication of rheumatic heart disease and is associated with substantial morbidity and mortality. It is a growing public health problem and economic and social burden. Studies investigating the prevalence and factors associated with atrial fibrillation among chronic rheumatic heart disease patients in Ethiopia are scarce. Therefore, this study aimed to determine the prevalence and factors associated with atrial fibrillation in patients with chronic rheumatic heart disease.
A hospital-based cross-sectional study was conducted. A total of 410 patients were selected using a systematic random sampling method. The data were entered into Epi-Data version 4.6 and subsequently exported to SPSS version 26 software for analysis. A binary logistic regression model was applied to identify significant variables related to AF.
In this study, 410 patient charts were reviewed. The prevalence of atrial fibrillation was 43% (95% CI of 38% up to 48%). Male (AOR = 3.81, 95% CI 2.00-7.26), age greater than 30 years (AOR = 7.26, 95% CI 3.93-13.41), heart failure (AOR = 4.65, 95% CI 2.39-9.04), mitral valve stenosis (AOR = 6.36, 95% CI 2.92-13.87), and left atrial diameter enlargement (AOR = 3.41, 95% CI 1.64-7.09) were associated with atrial fibrillation.
Atrial fibrillation leads patients to frequent hospital admission and increases hospital mortality. As a result, health care professionals need to pay more attention to and apply more clinical treatment for older patients, those with heart failure, those with mitral valve stenosis, and those with left atrial diameter enlargement-associated causes of atrial fibrillation.
心房颤动（AF）是一种与不协调的心房激活相关的房性心律失常。心房颤动是风湿性心脏病的并发症，与大量的发病率和死亡率有关。它是一个日益严重的公共卫生问题，也是经济和社会负担。在埃塞俄比亚，研究风湿性心脏病慢性患者心房颤动的患病率和相关因素的研究很少。因此，本研究旨在确定慢性风湿性心脏病患者心房颤动的患病率和相关因素。
这是一项基于医院的横断面研究。采用系统随机抽样法选择了 410 名患者。将数据输入 Epi-Data 版本 4.6，然后导出到 SPSS 版本 26 软件进行分析。应用二元逻辑回归模型来确定与 AF 相关的显著变量。
在这项研究中，共回顾了 410 份患者病历。心房颤动的患病率为 43%（95%置信区间为 38%至 48%）。男性（AOR=3.81，95%CI 2.00-7.26）、年龄大于 30 岁（AOR=7.26，95%CI 3.93-13.41）、心力衰竭（AOR=4.65，95%CI 2.39-9.04）、二尖瓣狭窄（AOR=6.36，95%CI 2.92-13.87）和左心房直径增大（AOR=3.41，95%CI 1.64-7.09）与心房颤动相关。
心房颤动导致患者频繁住院，并增加了医院死亡率。因此，医疗保健专业人员需要更加关注并对老年患者、心力衰竭患者、二尖瓣狭窄患者以及左心房直径增大相关的心房颤动原因患者进行更多的临床治疗。
