Abstract

The study aim is to find out various pre-disposing factors and clinical presentations amongst atrial fibrillation patients attending emergency medicine department,BMC Sagar,MP. Patients underwent detailed history, clinical and physical examination to reach the diagnosis of atrial fibrillation and classify it into valvular and non-valvular category. The height & weight of the patient were noted, A 12 lead ECG with rhythm strip recorded and special investigations with echocardiography, chest x-ray, thyroid hormone test, pulmonary function test and stress tests were carried out if required. Results: During the one year follow up of the study population, 37% patients had valvular etiology and 33% patients had Non-valvular etiology.No statistical significance (p >0.05)was found between the vaivular and non-valvular group. In valvular group 2% patient had a stroke while in non-valvular group 2% had heart failure. These difference was also not statistically significant (p >0.05). Valvular disease patients were in majority 56 %. Out of total study population 51 patients had heart failure and 34 patients had hypertension, 23 patients were having coronary heart disease, 17 patients were having Stroke/TIA, 08 patients having diabetes mellitus, 5 patients with COPD, 01 patient with thyroid disease and 01 patient with ASD while 4 patients were having Lone AF. Conclusion: The medical community and the general public should be made aware regarding burden and risk associated with AF. Early recognition of AF in patients with risk factors and timely management of underlying conditions and thromboembolic prophylaxis are going to reduce the suffering associated with AF.

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