Atrial Fibrillation in Patients with Alcoholic Cardiomyopathy：Clinical Characteristics and Risk Factors
10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2021.0421
- VernacularTitle:酒精性心肌病合并心房颤动的临床特征及影响因素分析
- Author:
Ke-mei LIU
1
;
Ze-feng CHEN
1
;
Xing SHUI
1
;
Yuan-yuan ZHANG
1
;
Zhen WU
1
Author Information
1. Department of Cardiovascular Medicine， The Third Affiliated Hospital， Sun Yat-sen University， Guangzhou 510630， China
- Publication Type:Journal Article
- Keywords:
alcoholic cardiomyopathy （ACM）;
atrial fibrillation （AF）;
age;
left atrial diameter;
risk factors
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2021;42(4):635-640
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the clinical characteristics of alcoholic cardiomyopathy （ACM） combined with atrial fibrillation （AF） and risk factors for AF in ACM patients. MethodsA retrospective analysis was performed on 42 cases of ACM （ACM group） and 17 cases of ACM combined with AF （ACM-AF group） hospitalized in our hospital from January 2013 to April 2020. The clinical data， laboratory findings and echocardiographic results were compared between ACM group and ACM-AF group. Multivariate Logistic regression analysis was used to detect the risk factors for AF in ACM patients. ResultsUnivariate analysis showed significant difference in age ［（56.82±9.48）years vs. （50.55±10.60）years， P=0.038］， left atrial diameter ［（48.29±8.76） mm vs. （44.38±5.03） mm， P=0.035］ and serum creatinine ［80 （73~95.45） μmol/L vs. 98.5 （84~108.25） μmol/L， P=0.032］ between ACM-AF group and ACM group （P＜0.05）. Multivariate Logistic regression analysis revealed that age and left atrial diameter were the influencing factors of AF in ACM patients （P＜0.05）， while serum creatinine has no effect on the incidence of AF in ACM patients （P＞0.05）. ConclusionThe older age and enlarged left atrial diameter are the risk factors for AF in patients with ACM.
