The prevalence of obesity in patients with non-valvular persistent atrial fibrillation during long observations
DOI:
https://doi.org/10.14739/2310-1210.2016.2.69171Keywords:
Atrial Fibrillation, Body Mass Index, ObesityAbstract
Аim: to study the prevalence of obesity in patients with non-valvular persistent atrial fibrillation (AF) who underwent electrical cardioversion (ECV) in Municipal Institution of Dnipropetrovsk regional council Dnipropetrovsk regional clinical center of cardiology and cardiac surgery.
Methods and results. 104 patients (mean age 63.2±0.4 years) with non-valvular persistent AF were included in the study. The average duration of a history of arrhythmia was 3.0±0.3 years. AF was associated with arterial hypertension (76.9%) and coronary artery disease (22.1%), 13.4% of patients had no cardiac disease. Transthoracic echocardiography (TTE) was held according to ASA recommendations before ECV.
Conclusion: obesity as a comorbid condition was diagnosed in 61% of patients with non-valvular persistent AF. Only 10% of patients had normal body weight. Most people were obese class I (33.8%) and class II (17.9%). Body mass index (BMI) above 40 kg/m2 was in 9.5% of patients. BMI is directly correlated with the level of diastolic blood pressure (r=0.35; p<0,001) and echocardiographic parameters that indicated ventricular hypertrophy: left ventricular mass (r=0,4; p<0,001), interventricular septum thickness (r=0.41; p<0.001) and left ventricular (LV) posterior wall thickness (r=0.4; p<0.001). Patients with persistent non-valvular AF and obesity need to reduce the body mass index.References
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