Study on the Incidences of Atrial Fibrillation in Acute Coronary Syndrome Patients in Eastern Afghanistan

Abstract

Aim: Atrial fibrillation (AF) is one of the irregular and exceptionally fast heart rhythmic problems that can maintain blood clots in the heart. Therefore, AF increase the risk of stroke, heart dysfunction, and heart attack risks. The main objective of this study was to evaluate incidences of Atrial Fibrillation in Acute Coronary Syndrome in Eastern zone of Afghanistan. Methods: This cohort study recruited 828 consecutive patients and anamnesis was achieved during the data collection. Results: Atrial fibrillation increased with age in both men and women. Women with AF 57.14% (n = 16) were higher than men 42.86% (n = 12) with higher significance (p˂0, 05) value. Accordingly, the incidences of atrial fibrillation are higher in upper aged patients. In this regard incidences of lower than 30 years aged patients are zero, 31 to 45 years aged are 2(7.14%), 46-60 years aged patients are 12(42.85%), 61-75 upper aged patients are 10(35.71%) and upper than 75 years aged patients are 4(14.28%) and the studied result was higher significance (p˂0, 05).  Finally, this study found AF in acute coronary syndrome patients higher in upper aged peoples and according to gender AF is higher in female patients than male. Conclusion: Poor nourishments, long term rests, tobacco usages, serum lipid hyper level, hypertensions, obesity and diabetes are the main causes of atrial fibrillation in Afghanistan. Recommendation: The upper aged people must use quality food; unsaturated oil and less sugar in their meal and must do exercise at least one to two hours daily.