Atrial Fibrillation among Patients Admitted to the Department of Internal Medicine in a Tertiary Care Centre: A Descriptive Cross-sectional Study
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Published:2022-08-31
Issue:253
Volume:60
Page:756-760
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ISSN:1815-672X
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Container-title:Journal of Nepal Medical Association
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language:
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Short-container-title:J Nepal Med Assoc
Author:
Shah Surendra Prasad,Sah Ram Pratap,Panthi Sagar,Shah Rakesh Kumar,Acharya Rochana,Neupane Durga,Puri Reecha,Poudel Sulaksha,Basnet Lila Bahadur
Abstract
Introduction: Atrial fibrillation is one of the commonest arrhythmias with an overall prevalence estimated to be 0.4-1% in the general population. The objective of this study was to find out the prevalence of atrial fibrillation among patients admitted to the Department of Internal Medicine in a tertiary care centre.
Methods: A descriptive cross-sectional study was conducted among patients admitted to the Department of Internal Medicine of a tertiary care centre from 01 March 2021 to 01 March 2022. Ethical approval was obtained from the Institutional Review Committee (Reference number: IRC-478/2021). Convenience sampling method was used. Data were collected from the hospital records using a semi-structured study proforma including demography, clinical presentation, laboratory investigations, electrocardiogram, 2-dimension echocardiography, and CHA2DS2VASc score. Point estimate and 95% Confidence Interval were calculated.
Results: Among 27,980 patients, atrial fibrillation was found in 185 (0.66%) (0.58-0.77, 95% Confidence Interval). Among them 66 (35.67%) were in the age group of 61-70 years and 97 (52.43%) were females. Dyspnea was present in 149 (80.54%), palpitation in 137 (74.05%) and pedal edema in 117 (63.27%). Valvular atrial fibrillation was seen in 101 (54.59%) and non-valvular atrial fibrillation was seen in 84 (45.41%) patients.
Conclusions: The prevalence of atrial fibrillation was found to be similar when compared to other studies conducted in similar settings.
Publisher
Journal of Nepal Medical Association (JNMA)
Cited by
1 articles.
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