The profile of patients with atrial fibrillation scheduled for cardioversion or catheter ablation hospitalized in a Romanian rehabilitation hospital

Autor: BLAGA Sorin Nicolae,, TODOR Nicolae, ZDRENGHEA Dumitru,, ROȘU Radu, CISMARU Gabriel, PUIU Mihai, GUȘETU Gabriel, POP Dana
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Balneo and PRM Research Journal, Vol 12, Iss 4, Pp 306-313 (2021)
Druh dokumentu: article
ISSN: 2734-8458
DOI: 10.12680/balneo.2021.455
Popis: Objectives - Structural cardiac, mainly atrial remodeling in non-valvular atrial fibrillation (NVAF) creates conditions for thromboembolic complications, despite the optimization of oral anticoagulant treatment over the past years. This study aims to provide a comparative analysis of patients with NVAF, with and without atrial thrombotic masses, in an integrated approach using clinical, electrocardiographic, anatomohemodynamic cardiac findings assessed by echocardiography, as well as an evaluation of the inflammatory status based on the usual screening blood markers. Methods – The study was based on the anonymous analysis of the medical records of 50 patients with NVAF monitored in a center of cardiology in Cluj-Napoca between March 2019 – February 2020, who received optimal oral anticoagulant treatment, all undergoing transesophageal ultrasound prior to cardioversion or ablation therapy. The statistical data processing methods were based on the “chi square” test and overall model fit logistic regression. Results – Atrial thrombotic complications were found in 7 (14%) patients with NVAF. These had, compared to patients without thrombotic masses, a mean CHA2DS2-VASc scale of 3 versus 2.76 (p=0.05), more frequently other atrial tachyarrhythmias (p
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