Abstract

Background: Atrial fibrillation (AF) is the most common clinical arrhythmia worldwide and is expected to increase in the coming decades. It currently affects up to 3 % of Western populations aged 20 years or older, and the number of affected individuals in the EU will increase from about 7 million to almost 13 million by 2030. This growing epidemic is not only caused by the natural ageing of the population, but also by the accumulation of chronic cardiovascular diseases and risk factors, and thus at least in part is caused by inadequate lifestyle. AF is a chronic condition and is independently associated with increased morbidity and mortality, including ischaemic stroke, dementia, cognitive dysfunction, heart failure (HF), MI and all-cause mortality. Aim & Objective:1. To study Echocardiography finding in atrial fibrillation.2. To study various risk factors of atrial fibrillation.3. To study clinical profile of atrial fibrillation. Methods: Study design: Prospective Observational Study. Study setting: Cardiology department of tertiary care centre. Study duration: from January 2016 to December 2016 Study population: The study population included all the cases with Atrial fibrillation admitted at a tertiary care center. Sample size: 100 Results: majority of cases were found in above 60 years group 34 (34%) followed by 46-60 years group 30 cases, 24 and 12 cases were found in 31-45 and 18-30 years age group respectively. majority of study participants were Males contributing 65 (65%) and Females 35 (35%). majority of cases had a history of Hypertension 86, followed by Smoking were present in 40 cases, Alcohol history reported by 37 cases, 23 cases were found with DM, Rheumatic heart disease in 17 cases and metabolic syndrome found in 15 cases. Ejection Fraction (EF) was found to be more than 44% in 72 cases (72%) and less than 44% in 28 cases (28%) as evaluated in the study. Left ventricular hypertrophy (LVH) was seen in 58 cases. Diastolic Dysfunction was seen in 24 cases (24%) out of 100. Regional wall motion abnormalities (RWMA) were present in 15 cases and LA (left atrial) clot was seen in 3 cases (3%) and that too in cases of Valvular AF. majority of cases had a complaint of Dyspnea 76, followed by Palpitations in 67 cases, pedal edema were found in 35 cases, 17 cases complained chest pain and 8 cases were asymptomatic and diagnosed during other diseases investigations. majority of cases Discharged after treatment 65, followed by 27 cases DAMA and 8 cases Death during treatment. Conclusions: Majority of cases were found in above 60 years group. Most of study participants were Males. Most common Risk factors were Hypertension. Majority of cases presented with Ejection Fraction (EF) was found to be more than 44%.The integrated use of echocardiography will be an important component in the optimal management of the looming AF epidemic

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