Fine versus coarse atrial fibrillation in rheumatic mitral stenosis: The impact of aging and the clinical significance
| Autor: | Naser Aslanabadi, Leili Pourafkari, Arezou Tajlil, Raziyeh Parizad, Samad Ghaffari, Elgar Enamzadeh, Aidin Baghbani-Oskouei, Safa Savadi-Oskouei, Nader D. Nader, Ali Mosavi Sadigh |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Aging medicine.medical_specialty Population Rheumatic mitral stenosis 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Rheumatic Diseases Physiology (medical) Internal medicine Mitral valve Atrial Fibrillation Humans Mitral Valve Stenosis Medicine Clinical significance Sinus rhythm In patient 030212 general & internal medicine education Retrospective Studies education.field_of_study business.industry Atrial fibrillation Original Articles General Medicine Middle Aged medicine.disease Independent factor Cross-Sectional Studies medicine.anatomical_structure Echocardiography Cardiology Mitral Valve Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Noninvasive Electrocardiology. 23:e12540 |
| ISSN: | 1082-720X |
| DOI: | 10.1111/anec.12540 |
| Popis: | Background Atrial fibrillation (AF) as the most rhythm disturbance in patients with rheumatic mitral stenosis (MS), is classified in to coarse and fine subtypes according to the height of fibrillatory wave amplitude. The aim of this study is to identify the factors associated with the presence of fine versus coarse morphology in patients with rheumatic MS. Methods In this cross-sectional study, patients with confirmed diagnosis of severe rheumatic MS admitted between March 2013 and March 2017 were screened. Patients were categorized to sinus rhythm (SR) and AF rhythm (coarse and fine subtypes) groups according to the admission electrocardiogram. The association between various clinical and echocardiographic factors and the development of fine versus coarse AF were examined. Results Among 754 patients with the diagnosis of rheumatic MS, 288 (198 female) were found to have AF (38%). Among them 206 (71.5%), and 82 (28.5%) patients had fine and coarse morphology respectively. Patient in these two groups were quite similar in terms of echocardiographic parameters and comorbidities. However, patients with fine morphology AF were significantly older. (p-Value=.007). Conclusion Coarse morphology of AF is common in patients with rheumatic MS. While echocardiographic or most clinical parameters do not seem to associate with the occurrence of coarse or fine morphology, age seems to be the only independent factor correlated with the presence of fine subtype of AF in this population. |
| Databáze: | OpenAIRE |
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