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ISSN 0188-2198 (Print)

2011, Number 3

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Rev Mex Cardiol 2011; 22 (3)

Atrial fibrillation in a general hospital

Cortés-Ramírez JM, Cortés-de la Torre JMJ, Cortés-de la Torre RA, Cisneros-Contreras JU, Méndez-Reyes BJ, Salazar-de Santiago A, Aceves MC, Mayorga-García E, Jiménez A, Barajas-Prieto P, Guerrero-Martínez G, Hernández-Trujillo ML, de la Torre-Murillo R

Language: Spanish
References: 17
Page: 145-148
PDF size: 64.61 Kb.


ABSTRACT

The atrial fibrillation (AF) is present in 2% of the population will double in the next 50 years due to aging of the same, with high rates of death, thromboembolic events, reduced quality of life, increases 5 times the stroke, because third hospitalizations. Heart failure agrees 30% of these patients. Valvulopathy found in 30% of rheumatic was common, now rare. Thyroid dysfunction can cause subclinical dysfunction can still contribute. Of the patients attending cardiology outpatient some arrhythmia between June 1, 2010 through March 28, 2011, 19 (34.5%) were diagnosed with AF, 12 women (62.5%) and 7 (37.5%) men, 79% are over 60 years. The most antiarrhythmic beta-blocker used was the 57.8%, followed by 36.8% digoxin and amiodarone in 21%. Monotherapy in 52.6% dual therapy in 36.8% only in 10.5 triple. To embolism prophylaxis with acid acetylsalicylic was used in 63% and oral anticoagulants in 36.8%. The AF is asymptomatic and undiagnosed for a long time, patients are not going to go to hospital and therefore not going to change its natural history, systematic search diagnosis will help to early diagnosis. The new antithrombotic and antiarrythmic emerging safer, helping to improve clinical outcome. Hence the importance of early diagnosis.


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