Cardiovascular Risk Factors in Atrial Fibrillation Associated with Ischaemic Heart Disease

Abstract

Objective: To describe cardiovascular risk factors in Atrial Fibrillation (AF) in relation with ischaemic diseases in an emergency service. Methodology: Cross-sectional study of patients with AF attended in the (ES) of the HUAV during 2016. Epidemiological and clinical data and their CVRF were analysed. The statistical association was made through the Chi-Square or Mann-Whitney test. The risk factors associated with AF were adjusted with logistic regression models, calculating OR. Results: We evaluated 552 patients with 46% men and (54%) women with an average age of 72.9 years. In 57 patients (10.3%), the detection of AF was coincidental. The younger patients presented with more frequent palpitations (p <0.05) and the older patients had dyspnea (p <0.05). The older patients are the ones that take longer to consult (p <0.05). 17% (94) of patients with AF have a heart attack before, during or after the episode of AF, with a higher prevalence among men (p <0.05). The probability of diagnosing ischaemic heart disease in a male patient with AF, hypertensive and diabetic is 71%. Conclusion: In men with hypertension and DM a correct diagnostic and therapeutic management, should consider the diagnostic possibility that AF is related to the presence of ischaemic disease. AF can be considered as an anginal equivalent in patients who meet the three conditions: being male, with hypertension and DM.