Analysis of hospitalized cases with atrial fibrillation in high altitude areas in Tibet
10.3969/j.issn.1004-8812.2018.03.006
- VernacularTitle:高原地区442例心房顫动患者的临床现状分析
- Author:
Dan REN
1
;
Qin-Hui SHENG
;
Luobu GESANG
;
Ciren DAWA
;
Luobu CIDAN
;
Yangjin BAIMA
;
Ling-Jun ZHANG
;
Lamu GUSANG
Author Information
1. 西藏自治区人民医院心血管科
- Keywords:
Atrial fi brillation;
High altitude;
Chronic mountain sickness
- From:
Chinese Journal of Interventional Cardiology
2018;26(3):154-158
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the etiological or associated factors and the treatment of patients with atrial fi brillation in high altitude areas in Tibet. Methods The clinical data of atrial fi brillation patients hospitalized in our hospital during January 2012 to Jane 2016 were analyzed retrospectively. Results (1) A total of 442 patients (male:female,1.2:1) were included in the study with ages of 30-96(65.9±12.3) years. The percentages of paroxysmal, persistent and permanent atrial fi brillation were 14.9%, 69.2%, and 15.8% respectively. The associated factors of atrial fi brillation included hypertension (53.4%), rheumatic heart disease (7.5%),chronic mountain sickness (10.6%), coronary heart disease(5.7%), hyperthyroidism (6.1%) and diabetes (9.0%).(2)Only 42 patients (9.5%) had evaluation with CHADS2score during hospitalization and actually 74.6% patients scored≥2. Twenty-one patients were restored to sinus rhythm during hospitalization and no patients had radiofrequency ablation.Conclusions The associated factors of atrial fi brillation in high altitude areas are similar to other areas. Thrombosis risk evaluation and anticoagulation therapy was not sufficient. Rhythm control rate was low and development of radio frequency ablation therapy should be considered.
