[Occurrence of atrial fibrillation and cerebrovascular insult in patients at the Emergency Center of the General Hospital in Konjic].
Atrial fibrillation (AF) presents disorganized activity of atrium with irregular ventricular striking. It is observed in paroxysmal and persisting form. Paroxysmal form is more risky for embolism (about 6 times). Aim of this research was to determine frequency of atrial fibrillation as increased risk for cerebrovascular insult (CVI). We conducted our research in general hospital Konjic and all patients who were treated in the period 1998-1999 are included. The results of the research are the following: 1. Total number of CVI patients was 126 what compared with total number of hospitalized patients indicates increased prevalence of 8.8% in relation to world parameters (2-5%). 2. 55.7% CVI patients had verified persistent AF what also represents increased percentage compared to the world parameters. 3. The following cardiovascular diseases are involved in the etiology of AF where CVI was a result: *atherosclerosis of heart 84.9%, *coronary disease 15.6%, *heart malformations, 4.76%, *other diseases (hyperthyroidism 1.5%, idiopathic AF). 4. Incidence of other risk factors at the patients with CVI and AF: *hypertension 63.4%, *diabetes mellitus 23.8%, *smoking 9.5%, *hyperlipoproteinemia 5.5%, *2 and more risk factors 97.8%. 5. Patients with CVI and AF are more often women and more than 60 years old. According to the results of this research, an incidence of AF in CVI is lager in comparison to the world parameters. AF in persisting form occurs mostly at arteriosclerosis of heart. Women more than 60 years old are the most jeopardized category. Concerning that CVI is in the first place as a cause of invalidity and in the third place as a cause of death, AF as a risk for CVI has important place in the prevention and treatment together with other risk factors.
Buturović
N
N
Opsća bolnica Konjic.
Jusufbegović
A
A
Radulović
S
S
Mulić
S
S
D001281:Atrial Fibrillation / Q000150:complications*; D017522:Bosnia and Herzegovina; D004636:Emergency Service, Hospital; D006801:Humans; D012307:Risk Factors; D020521:Stroke / Q000209:etiology*