Types, Risk Factors and Possible Mechanism of Atrial Fibrillation in Emergency Patients

doi:10.3877/cma.j.issn.2095-6568.2017.04.010

Abstract

Abstract:

Objective

Through the clinical analysis of patients with persistent atrial fibrillation and paroxysmal atrial fibrillation in Emergency Department, we provide the basis for clinical prevention and treatment.

Methods

Fifty-five cases with atrial fibrillation were continuously selected from Emergency Department of Peking University People′s Hospital from March 2016 to October 2016.According to the characteristics of atrial fibrillation, the patients were divided into persistent atrial fibrillation group and paroxysmal atrial fibrillation group, comparing and analyzing the clinical data using statistical method.

Results

There was no significant difference in clinical baseline data between patients with persistent atrial fibrillation and paroxysmal atrial fibrillation, but most of the patients with atrial fibrillation were female and older, and the proportion of hypertension and (or) coronary heart disease was higher.

Conclusions

Advanced age, female, high blood pressure and (or) coronary heart disease were the risk factor of atrial fibrillation, but there was no significant difference between the patients with persistent atrial fibrillation and paroxysmal atrial fibrillation.

Key words: Persistent atrial fibrillation, Paroxysmal atrial fibrillation, Risk factors, Mechanism

Jianguang Hao, Yuansheng Liu. Types, Risk Factors and Possible Mechanism of Atrial Fibrillation in Emergency Patients[J]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2017, 05(04): 221-224.

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References 18

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项目		持续性房颤组(n＝27)	阵发性房颤组(n＝28)	t/z/χ²值	P值
年龄(岁)		73.48±9.581	70.32±14.286	0.96	0.342
WBC(×10⁹/L)		8.49±6.223	8.37±5.432	0.077	0.939
HB(g/L)		132.56±20372	125.68±21.76	1.209	0.232
PLT(×10⁹/L)		163.85±60.729	165.68±74.262	－0.1	0.921
K^＋(mmol/L)		3.92±0.476	3.94±0.422	－0.24	0.811
BUN(mmol/L)		7.79±4.888	8.87±7.08	－0.655	0.515
CRE(μmol/L)		88.44±28.531	93.43±57.971	－0.402	0.689
ALT(U/L)		16.0±7.087	21.29±12.277	－1.946	0.057
HLD(mmol/L)		1.12±0.296	1.13±0.351	－0.144	0.886
BMI(kg/m²)		24.67±3.92	24.95±5.624	－0.212	833
性别[例(%)]		?	?	?	?
?	男	11(40.7)	13(46.4)	0.181	0.671
?	女	16(59.3)	15(53.6)	?	?
基础疾病[例(%)]		?	?	?	?
?	高血压	6(22.2)	8(28.6)	?	?
?	冠心病	6(22.2)	5(17.9)	?	?
?	高血压合并冠心病[例(%)]	7(25.9)	9(32.1)	2.038	0.729
?	无基础疾病[例(%)]	3(11.10)	4(14.3)	?	?
?	其他[例(%)]	5(18.5)	2(7.1)	?	?

项目		持续性房颤组(n＝27)	阵发性房颤组(n＝28)	t/z/χ²值	P值
年龄(岁)		73.48±9.581	70.32±14.286	0.96	0.342
WBC(×10⁹/L)		8.49±6.223	8.37±5.432	0.077	0.939
HB(g/L)		132.56±20372	125.68±21.76	1.209	0.232
PLT(×10⁹/L)		163.85±60.729	165.68±74.262	－0.1	0.921
K^＋(mmol/L)		3.92±0.476	3.94±0.422	－0.24	0.811
BUN(mmol/L)		7.79±4.888	8.87±7.08	－0.655	0.515
CRE(μmol/L)		88.44±28.531	93.43±57.971	－0.402	0.689
ALT(U/L)		16.0±7.087	21.29±12.277	－1.946	0.057
HLD(mmol/L)		1.12±0.296	1.13±0.351	－0.144	0.886
BMI(kg/m²)		24.67±3.92	24.95±5.624	－0.212	833
性别[例(%)]		?	?	?	?
?	男	11(40.7)	13(46.4)	0.181	0.671
?	女	16(59.3)	15(53.6)	?	?
基础疾病[例(%)]		?	?	?	?
?	高血压	6(22.2)	8(28.6)	?	?
?	冠心病	6(22.2)	5(17.9)	?	?
?	高血压合并冠心病[例(%)]	7(25.9)	9(32.1)	2.038	0.729
?	无基础疾病[例(%)]	3(11.10)	4(14.3)	?	?
?	其他[例(%)]	5(18.5)	2(7.1)	?	?

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