Abstract

The purpose of this study is to investigate the numerous predisposing circumstances and clinical presentations that are seen in cardiology department. Material & Method: A tertiary hospital served as the location for this research, which was of the observational kind and included patients who had nonvalvular atrial fibrillation. The database for the research was generated via the process of prospectively recording patients who presented to the outpatient section of the hospital's Department of Cardiology with a diagnosis of atrial fibrillation, either chronic or paroxysmal. Results: In our study majority of the patients presented with heart failure (47%) followed by myocardial infarction (12%), and cerebrovascular accidents (10%). There were 4 patients presented with fast ventricular response, 3 patients had acute chest infection and 3 patients had syncopal attacks. 1 patient presented with bleeding due to warfarin overdose and 1 with peripheral embolism. 11% of patients were symptomatic during presentation. Other presentations are Infective endocarditis, Ventricular tachycardia, acute febrile illness, diabetes, Koch’s abdomen, aluminum phosphide poisoning and upper respiratory tract infection. Conclusion: In conclusion, we came to the realisation that the vast majority of patients with atrial fibrillation in the population of central India presented with heart failure. Myocardial infarction and cerebro vascular accidents were other important clinical presentations that patients had. We discovered that valve heart disease, namely the involvement of the mitral valvular, is the most frequent condition that puts a person at risk for developing atrial fibrillation in this region of the nation. Other co-morbidities included heart failure and hypertension, both of which were in line with the data from the whole world

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