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[Factors associated with atrial fibrillation in patients with hypertension and preserved left ventricle systolic

Zh Sh Tlegenova1, B K Zholdin1, G Z Kudaiberdieva2

  • 1West Kazakhstan Marat Ospanov State Medical University.

Kardiologiia
|June 22, 2019
PubMed

Insights

Atrial fibrillation (AF) in hypertensive patients is linked to heavy alcohol use, low activity, larger waistlines, and a history of hypertension. Lifestyle changes are key for AF prevention.

Area of Science:

  • Cardiology
  • Public Health

Background:

  • Hypertension (HTN) is a major risk factor for cardiovascular diseases.
  • Atrial fibrillation (AF) is a common arrhythmia, often co-occurring with HTN.
  • Understanding AF predictors in hypertensive patients with preserved systolic function is crucial for targeted prevention.

Purpose of the Study:

  • To identify factors associated with atrial fibrillation (AF) in patients diagnosed with hypertension (HTN).
  • To investigate the relationship between lifestyle factors and AF prevalence in an urban hypertensive population with preserved left ventricle systolic function.

Main Methods:

  • A study included 273 consecutive hypertensive patients from an urban area.
  • Patients were categorized into two groups: 60 with AF (paroxysmal and persistent) and 213 without AF.
  • Statistical analysis, including stepwise logistic regression, was employed to determine associations.

Main Results:

  • AF presence was significantly associated with alcohol intake of 7 or more drinks per week (OR 4.12).
  • Low physical activity (OR 3.18) and higher hip circumference (OR 1.19) were also linked to AF.
  • A history of hypertension (OR 1.10) was associated with AF, while BMI showed no significant association.

Conclusions:

  • In urban hypertensive individuals with preserved systolic function, AF is associated with excessive alcohol consumption, sedentary lifestyle, increased hip circumference, and a history of HTN.
  • Lifestyle modifications, including reduced alcohol intake and increased physical activity, are recommended for AF prevention in this population.

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