MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, YẾU TỐ NGUY CƠ CỦA BỆNH NHÂN RUNG NHĨ KHÔNG DO BỆNH VAN TIM TẠI BỆNH VIỆN ĐẠI HỌC Y THÁI BÌNH

Abstract

Objectives: To describe clinical characteristics and cardiovascular risk factors in patients with nonvalvular atrial fibrillation (AF) treated at Thai Binh Medical University Hospital. Methods: A descriptive, cross-sectional, prospective study in 51 nonvalvular AF patients. Results:  55.0% AF patients were over 65-year-old, female/male ratio = 2/1. Chronic AF accounted for 90% of cases. The most common clinical symptoms were nervousness in 27 patients (accounted for 52.9%); dyspnea in 20 patients (accounting for 39.2%). Patients with atrial fibrillation ERHA 1 accounts for the most rate, 54.9%. Cardiovascular risk factors include 88% of patients with hyperlipidemia, 55.0% of patients aged ≥ 65 years; the rate of hypertension was 56.9%; overweight accounted for 47.0%; diabetes accounted for 33.3%; The lowest CVD risk factors were heart failure and smoking (17.6 and 19.6%). The CHA2DS2 – VASc score of the highest study patient was 6, average score was 2.92 ± 1.77. The risk of bleeding according to the HAS - BLED scale > 2 accounted for 7.8%. The results of the electrocardiogram showed that the patient's ventricular response averaged 92.2 ± 18.8 beats/min. Echocardiography showed that 25.5% of patients had increased Dd; 11.8% of patients had reduced EF, dilated left atrium in 62.8% of cases, 7 patients had left atrial thrombosis, accounting for 13.7%. Conclusion: Attention should be paid to timely control of risk factors and prevention of thrombosis in patients with atrial fibrillation.