The importance of age: independent risk factor for atrial fibrillation in isolated rheumatic mitral stenosis

Aim: Atrial fibrillation (AF) is frequent in patients with rheumatic mitral stenosis (MS). Numerous factors have been proposed to support the pathogenesis of AF in mitral stenosis. Because of the most leading rhythm for morbidity and mortality, the identification of independent risk factors is very...

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Main Authors: Arslan Ocal, Hakan Kartal, Taner Sarak, Ersin Saricam
Format: Article
Language:English
Published: Rabia Yılmaz 2020-06-01
Series:Journal of Contemporary Medicine
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1142936
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author Arslan Ocal
Hakan Kartal
Taner Sarak
Ersin Saricam
author_facet Arslan Ocal
Hakan Kartal
Taner Sarak
Ersin Saricam
author_sort Arslan Ocal
collection DOAJ
description Aim: Atrial fibrillation (AF) is frequent in patients with rheumatic mitral stenosis (MS). Numerous factors have been proposed to support the pathogenesis of AF in mitral stenosis. Because of the most leading rhythm for morbidity and mortality, the identification of independent risk factors is very important for the prevention, and treatment of AF. The present study investigated the risk factors for atrial fibrillations with moderate to severe mitral stenosis. Material and Methods: This retrospective study included 307 patients (217 female, 90 male) with isolated moderate to severe rheumatic mitral stenosis. The populations were organized according to the existence of atrial fibrillation. The patients separated into two groups; as Group 1 with atrial fibrillation (188 patients), as Group II without atrial fibrillation (119 patients). A comparison of two groups was made according to age, MVA, MVG, SPAP, left atrium diameter and mean valve score. Results: According to group1 (atrial fibrillation group) and group 2 (no atrial fibrillation), left atrium diameter was 4.60±0.61 vs. 4.73±0.71; respectively, p=0.132, MVA was 1.09±0.18 vs. 1.20±0.85; respectively, p=0.360), MVG was 11.31±3.86 vs. 10.78±3.32; respectively, p=0.251, SPAP was 48.41± 14.83 vs. 47.80±13,45; respectively, p=0.813, and mean mitral valve score was 7.60±1.77 vs. 7.72±1.66; respectively, p=0.613. All of them were similar in both groups. Age was significantly higher in patients with atrial fibrillation (42.45±12.37 vs. 34.77±10.50; p lt;0.001, respectively) Conclusion: This study presented that the age is an important factor for genesis of AF.
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spelling doaj.art-59b23f18df0143d1baf12bf2e63ee81a2023-03-24T19:43:23ZengRabia YılmazJournal of Contemporary Medicine2667-71802020-06-0110218618910.16899/jcm.7385021809The importance of age: independent risk factor for atrial fibrillation in isolated rheumatic mitral stenosisArslan Ocal0Hakan Kartal1Taner Sarak2Ersin Saricam3UNIVERSITY OF HEALTH SCIENCES, GULHANE FACULTY OF MEDICINEUNIVERSITY OF HEALTH SCIENCES, GULHANE FACULTY OF MEDICINEKIRIKKALE UNIVERSITY, FACULTY OF MEDICINEmedicana ankara hastanesi, ATILIM ÜNİVERSİTESİAim: Atrial fibrillation (AF) is frequent in patients with rheumatic mitral stenosis (MS). Numerous factors have been proposed to support the pathogenesis of AF in mitral stenosis. Because of the most leading rhythm for morbidity and mortality, the identification of independent risk factors is very important for the prevention, and treatment of AF. The present study investigated the risk factors for atrial fibrillations with moderate to severe mitral stenosis. Material and Methods: This retrospective study included 307 patients (217 female, 90 male) with isolated moderate to severe rheumatic mitral stenosis. The populations were organized according to the existence of atrial fibrillation. The patients separated into two groups; as Group 1 with atrial fibrillation (188 patients), as Group II without atrial fibrillation (119 patients). A comparison of two groups was made according to age, MVA, MVG, SPAP, left atrium diameter and mean valve score. Results: According to group1 (atrial fibrillation group) and group 2 (no atrial fibrillation), left atrium diameter was 4.60±0.61 vs. 4.73±0.71; respectively, p=0.132, MVA was 1.09±0.18 vs. 1.20±0.85; respectively, p=0.360), MVG was 11.31±3.86 vs. 10.78±3.32; respectively, p=0.251, SPAP was 48.41± 14.83 vs. 47.80±13,45; respectively, p=0.813, and mean mitral valve score was 7.60±1.77 vs. 7.72±1.66; respectively, p=0.613. All of them were similar in both groups. Age was significantly higher in patients with atrial fibrillation (42.45±12.37 vs. 34.77±10.50; p lt;0.001, respectively) Conclusion: This study presented that the age is an important factor for genesis of AF.https://dergipark.org.tr/tr/download/article-file/1142936yaş atriyal fibrilasyon atriyal fibrilasyonageatrial fibrillation mitral stenosis
spellingShingle Arslan Ocal
Hakan Kartal
Taner Sarak
Ersin Saricam
The importance of age: independent risk factor for atrial fibrillation in isolated rheumatic mitral stenosis
Journal of Contemporary Medicine
yaş
atriyal fibrilasyon
atriyal fibrilasyon
age
atrial fibrillation
mitral stenosis
title The importance of age: independent risk factor for atrial fibrillation in isolated rheumatic mitral stenosis
title_full The importance of age: independent risk factor for atrial fibrillation in isolated rheumatic mitral stenosis
title_fullStr The importance of age: independent risk factor for atrial fibrillation in isolated rheumatic mitral stenosis
title_full_unstemmed The importance of age: independent risk factor for atrial fibrillation in isolated rheumatic mitral stenosis
title_short The importance of age: independent risk factor for atrial fibrillation in isolated rheumatic mitral stenosis
title_sort importance of age independent risk factor for atrial fibrillation in isolated rheumatic mitral stenosis
topic yaş
atriyal fibrilasyon
atriyal fibrilasyon
age
atrial fibrillation
mitral stenosis
url https://dergipark.org.tr/tr/download/article-file/1142936
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