Associated symptoms and the correlations between them in patients hospitalized for paroxysmal atrial fibrillation

Objective: Identifying the symptoms associated with an acute episode of paroxysmal AF that required hospitalization and their correlations with clinical, ECG and echocardiographic data.
Methods: Retrospective study of 104 patients hospita-lized for an paroxysmal AF episode in the Cardiology Department of the „St. Pantelimon” Emergency Hospi-tal, over a 1-year and 2 months period, from 23.04.2015 to 22.06.2016. Different data were collected and evalu-ated (e.g. clinical and anamnesis) by review of records. Symptoms have been correlated with these.
Results: We included 104 patients with a median age of 70.3 years. 68% were female. Congestive heart fai-lure (CHF) was the most common pre-existing cardi-ovascular disease (50%), followed by coronary artery disease (CAD) (37.5%) and stroke (11.5%). The domi-nant symptoms were palpitations (65.38%), dyspnea (56.73%) and angina (44.23%). Ischemia and conduc-tion disturbances were the most frequently encounte-red ECG changes (53.84%, 20.19%). Angina was sta-tistically significant associated with conduction distur-bances (p<0.01) and syncope with ischemic changes (p=0.04). Echocardiographic: 51.92% patients with pre served ejection fraction, 29.8% with left atrium diameter>40 mm, 44.23% with left ventricle hypertrophy (LVH). Dyspnea (p=0.02) and angina (p=0.05) were statistically significant associated with left atrium dia-meter >40 mm; angina (p=0.06) with LVH and dyspnea (p=0.02) with left ventricle end-diastolic diameter (LVED) >45 mm.
Conclusions: Pre-existing cardiovascular diseases were frequently involved, the most common was CHF. Dyspnea, angina, palpitations and syncope were the dominant symptoms and were statistically significant associated with ECG and echocardiographic changes.

ISSN – online: 2734 – 6382
ISSN-L 1220-658X
ISSN – print: 1220-658X
The Romanian Journal of Cardiology is indexed by:
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CODE: 379
CME Credits: 10 (Romanian College of Physicians)