FIBRILATIA ATRIALA IN RELATIE CU MEDIUL DE PROVENIENTA

Autor/autori: Tudor CIOCARLIE, Rodica AVRAM, Florina PARV, Mihai BALINT, Mariana TUDORAN, Cristina TUDORAN, Lucian VASILUTA, Iulian AVRAM

Rezumat: Odata cu imbatranirea populatiei, incidenta si prevalenta atriale fibrilatiei (FA) este de asteptat sa creasca, ducand la un semnificativ impact economic. FA are ca rezultat o multime de efecte adverse, inclusiv un risc de cinci ori mai mare de accident vascular cerebral. Am studiat 100 de pacientii din mediul urban si 100 din mediul rural, internati cu fibrilatia atriala permanenta, functie de factorii de risc pentru evenimente trombo-embolie, folosind anamneza, istoria pacientului, indicele glezna-brat si ecocardiografia. Diferenta a fost statistic semnificativa in privinta pacientilor cu un scor mai mare sau egal cu 2, care au fost mai multi in mediul rural. Cu toate acestea, desi cei din mediul rural au un risc mai mare pentru accident vascular cerebral, mai putin pacienti cu fibrilatie atriala permanenta din mediul rural au primit tratament anticoagulant, diferenta fiind statistic semnificativa intre cele doua loturi.

Cuvinte cheie: fibrilatie atriala, risc tromboembolic, urban, rural.

Abstract: With an aging population, the incidence and prevalence of atrial fibrillation is expected to increase, resulting in a significant economic impact. Atrial fibrillation leads to significant side effects, including a five times higher risk of stroke, impaired quality of life with lower labor productivity and an increased rate of hospitalization. We studied 100 patients from urban and 100 rural hospitalized with permanent atrial fibrillation in 2012 Cardiology Clinic of the Emergency County Hospital Timisoara, recording the risk factors for thrombo-embolic events using history, patient history, ankle-brachial index and echocardiography. The difference was statistically significant for patients with a score greater than or equal to 2, which were more common in rural areas. However, while those in rural areas have a higher risk for stroke, less patients with permanent atrial fibrillation rural receiving anticoagulant therapy, the difference was statistically significant between the two groups.

Keywords: atrial fibrillation, thromboembolic risk, rural, urban

DOWNLOAD PDF