Evaluation of The Relationship Between Atrial Fibrillation Patients and The Echocardiographic Findings of Iraqi Patients

Rusul Mahdi  Abid

doi:10.51699/cajmns.v6i4.2927

Authors

Rusul Mahdi Abid Iraqi Ministry of Higher Education and Scientific Research, Thi Qar University, Medical College, Thi Qar, Iraq; Iraqi Ministry of Health, Thi Qar Health Directorate, Al-Nasiriyah Teaching Hospital, Thi Qar, Iraq

DOI:

https://doi.org/10.51699/cajmns.v6i4.2927

Keywords:

Participants, Left Atrial Enlargement, LVEF, AF, Wall Thickness

Abstract

The current study aimed to evaluate the relationship between clinical features and echocardiographic measures on a group of 150 AF patients. The research was conducted as a cross-sectional study of an observational study at a cardiology outpatient clinic during a year. A total of one hundred and fifty patients who were recently diagnosed with AF were recruited based on preset inclusion criteria. Demographic data, medical history, time of the AF and the presence of comorbidities were documented. Transthoracic echocardiography was employed to measure left atrial dimensions and left ventricular ejection fraction (LVEF) and left ventricular wall thickness and also reveal valvular lesions and left atrial appendage thrombus. Pearson correlation coefficients and chi-square tests, as statistical tests, were used to identify the relationships between echocardiographic and AF features. 60 per cent of participants of the study were men and the average age of the participants was 72 years. It was found that left atrial enlargement existed in 66.7 percent of the subjects with atrial diameters of more than 40mm. where found also Only 30 per cent showed an LVEF were over 60%, and which is indicative of significant systolic dysfunction in addition to found The 43.3 percent of patients had valvular abnormalities, most of which were mitral regurgitation. In 13.3 per cent cases left atrial appendage thrombus was detected. AF duration correlated with LVEF (r -1= -0.32, p= -0.01) statistically significantly, and the protracted AF episodes were linked to the impairment of cardiac performance. The results highlight significant structural and functional changes of people with AF. Regular echocardiographic monitoring is essential to ensure that patients who are at high risk of adverse events are identified earlier and their therapeutic decision-making is informed. Subsequently, the cardiovascular sequelae can be mitigated by the active management of AF to improve clinical outcomes.

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