Relationship between structural remodeling and the high risk of recurrence in auricular fibrillation

Annalie Fidelina Rondón-Vázquez, Wilber Jesús Riverón-Carralero, Adel Elio Peña-Carballosa, Onelis Góngora-Gómez, Mervin Aguilera-Mastrapa
2020 Universidad Médica Pinareña  
atrial fibrillation is a supraventricular tachycardia characterized by disorganized, uncoordinated atrial activation, with negative consequences on atrial mechanical function. Objective: to determine the relationship between structural remodeling and the high risk of recurrence of atrial fibrillation. Method: a cross-sectional analytical observational study was carried out at the "Vladimir Ilich Lenin" General Teaching Hospital during 2018. The universe consisted of the 200 patients with atrial
more » ... fibrillation who attended the consultation, working with all Results: The predominance of male patients (54,50 %), and of the age group over 54 years (75 %) was found. All predictive factors are increased in patients with high risk of recurrence, especially in those with a history of cerebrovascular disease (62,5 %). The patients with moderate recurrence irrigation presented as the main remodeling factor, the dilated left atrium (37,5 %); while patients with acquired mitral valve disease (42,30 %) and decreased left ventricular ejection fraction (53,57 %) presented a high risk of recurrence. A statistically significant association (p <0,05) was found between the predictors of structural remodeling and the risk of high recurrence. Conclusions: in patients with arterial fibrillation, over 55 years of age, with coronary artery disease, high blood pressure levels and a history of cerebrovascular disease there was a high risk of recurrence. Structural remodeling is related to a high risk of recurrence.
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