Atrial Fibrillation During High Blood Pressure at the Cardiology Department of Ignace Deen National Hospital CONAKRY CHU

Abstract

Summary: Atrial fibrillation (AF) is a supraventricular arrhythmia characterized by anarchic atrial electrical activity with the main consequence of impaired mechanical function of the atria. Patients and Methods: Descriptive, prospective cross-sectional study conducted over six (6) months, 1stOctumbre 2015 to 31st March 2016. All patients admitted and hospitalized in the department for atrial fibrillation and arterial hypertension were eligible for the study. Sociodemographic, diagnostic and evolutionary data were studied. Results: The study included 49 patients during the period. There were 27 men (55%) and 22 women (45%), sex ratio H / F = 1.23). The frequency of AF and hypertension was 43%. The average age of our patients was 72.16 years old with extremes of 51-97 years. The most represented age groups were between 61-70 years old, ie 31%. Dyspnea and palpitations were the major symptoms in our sample with frequencies of 45 cases 92% and 43 cases 88% respectively. Heart failure and stroke were complications ie 49 cases 100% and 8 cases 16.33%. Conclusion: Atrial fibrillation during hypertension is common in the cardiology department of the Ignace DEEN National Hospital mainly related to cavitary hypertrophy. Early discovery associated with effective management of hypertension would prevent or slow the progression of atrial fibrillation in hypertensive patients.