عربي
Skip Navigation Links
UniversityExpand University
CollegesExpand Colleges
CentersExpand Centers
Admin. UnitExpand Admin. Unit
StaffExpand Staff
StudentsExpand Students
 
Skip Navigation LinksHome Research Research Papers Paper Description    
 
Skip Navigation Links.
 
Paper Description


Prevalence of Atrial Fibrillation in Systolic Heart Failure, Pulsed and Tissue Doppler Echocardiographic Abnormalities


Authors: Salih H. Gabani, Taysir S. Garadah1, Adela B. Hassan, Ahmed A. Jaradat, Mohamed E. Al Alawi, Zuheir A. Hasan
Abstract: Background: Heart failure (HF) is a common clinical syndrome mostly due to the impaired ability of the Left Ven- tricle (LV) to eject blood with reduced cardiac output. Heart failure is called systolic (SHF) if left ventricle ejection fraction on echo-cardiogram is low (LVEF of =50%). Aim: To assess the echocardiographic characteristics of patients with SHF with Atrial Fibrillation (AF) and compare with those with Sinus Rhythm (SR) on 12 leads ECG. Furthermore, to evaluate the clinical and biochemical markers for the prediction of AF in SHF. Method: Over two years duration, each patient diagnosed with SHF was enrolled in the study (n = 354) based on admission code. AF or sinus rhythm on 12 leads ECG was documented on each patient. Multiple logistic regression analysis was applied to assess the risk ratio of different clinical and Doppler derived variables for the development of AF in SHF. Results: Out of the total hospital medical admissions of 14,674 patients, there were 354 patients with diagnosis of SHF, a prevalence of 2.4%. The incidence of AF on ECG was 109 (31%) patients in the whole study population and 245 (69%) in SR. M Mode echocardiogram in patients with SHF and AF compared with those in SR showed significant dilation of LV cavity in systole with LVESD of 5.72 ± 0.63 vs. 5.23 ± 0.76 cm, P < 0.001 and in Diastole LVEDD of 6.83 ± 0.51 vs. 6.58 ± 0.63 cm, P < 0.001. Pulsed Doppler echocardiogram showed a severe restrictive-pattern with shorter Decellration Time (DT) of 163.73 ± 7.42 vs. 214.9 ± 31.81msec, P < 0.001 and higher Pulse to Tissue Doppler ratio of E/Em of 14.26 ± 1.34 vs. 9.99 ± 1.27, P < 0.001, and the serum level of Brain Natriuretic Peptide (BNP) hormone of 723.72 ± 13.45 vs. 686.98 ± 72.57 pg/ml, P < 0.001. The predictive risks (odd ratio) of different clinical variables for the development of AF in SHF were positive for high BNP > 500 pg/ml of 2.8, history of hypertension of 1.8, history of DM of 1.7, BMI > 28 of 1.4, LV hypertrophy on ECG of 1.3. Conclusions: The prevalence of Systolic Heart Failure in the study population was 2.4%. The prevalence of AF in the study population was 31%. The best predictors of AF in SHF were high BNP > 500 pg/ml, history of hypertension, Diabete Mellitus and LV Hypertrophy on ECG.
Keywords: Systolic Heart Failure; Pulse Doppler; Tissue Doppler; Prevalence
Published in: International Journal of Clinical Medicine,;4(November):504-509
URL: (http://www.scirp.org/journal/ijcm) http://dx.doi.org/10.4236/ijcm.2013.411089
catch a cheater riaservicesblog.net why do men have affairs
wife cheat story link all women cheat
how abortion is done when is the latest you can terminate a pregnancy scraping of the uterus lining
hiv aids transmission hiv aids cure what causes aids
aids hiv symptoms cure to hiv what causes aids virus
why did i cheat on my husband has my husband cheated why do i cheat on my husband
cheat on your wife open why do women cheat on husbands
cheated on my girlfriend my girlfriend cheated on me with a girl why do girlfriends cheat
dating for married men blog.jrmissworld.com infidelity
woman affair site my husband cheated with a man
how to cheat husband megaedd.com cheat on husband
kr vijaya sex stories ohiovalleyrestoration.com desi adult stories
wives who cheat looking to cheat women cheat husband
why husband cheat on their wife keelingconsulting.com My boyfriend cheated on me
adult intimate sex stories adult sex stories boys suck boys dick sex stories
free sex stories with pictures tolobel.com free online gay sex stories
ciprofloxacin uses ciprofloxacin 500mg antibiotics ciprofloxacin mg
free grocery coupons walgreens photo online coupon pharmacy coupons 2015
amoxicillin site amoxicillin 250mg
metronidazole 400mg sumatriptan amoxicillin
prescription drugs discount coupons click pharmacy discounts
cialis prescription coupon coupon for free cialis discount coupon for cialis
rx coupon discount card prescription discount coupons for medications
pfizer viagra coupon blog.alpacanation.com viagra sample coupon
viagra free coupon go discount prescription drug cards
prices for abortions http://abortionpill-online.com/ where can i have an abortion
can i take zyrtec while pregnant link can i take zyrtec while pregnant
can i take antabuse and naltrexone can i take antabuse and naltrexone can i take antabuse and naltrexone
sumatriptan nasal spray sumatriptan nasal spray sumatriptan nasal spray
cialis discounts coupons coupons prescriptions free prescription cards
signs of type 2 diabetes go can diabetic ed be reversed
acheter viagra en pharmacie http://acheterviagraenfrance.com/en/pharmacie acheter viagra en pharmacie
online buy viagra http://viagraforsaleuk1.com viagra side effects
lilly cialis coupons cialis manufacturer coupon cialis.com coupons
coupon for prescriptions go discount coupons for cialis
drug coupon card link cialis coupon free
augmentin duo augmentin duo augmentin bis
cipro dugo selo cipro dugo selo ciprinol
aldactone zdravilo aldactone 25 mg aldactone smpc
cordarone marevan cordarone behandling cordarone behandling
xeloda nedir xeloda tablet xeloda
euthyrox euthyrox euthyrox 75
prescription drug cards open cialis coupons free
how much is the abortion pill abortion clinics in colorado springs abortion doctors
arguments against abortion alpinmontservis.cz abortion pills over the counter
prescription transfer coupon free printable cialis coupons discount coupon for cialis
coupons discounts food coupon websites printable coupon sites for groceries
amoxicillin al 1000 amoxicillin 1000 mg amoxicillin-rnp
amoxicilline americanstreethockey.com amoxicillin al 1000
abortion pill quotes angkortaxiservice.com how much is the abortion pill
early abortion pill options should abortion pill be legal information on abortion pill
free cialis coupon 2016 ambito20.it cialis prescription coupon
how does an abortion pill work ameracorporation.com abortion pill information
cymbalta duloxetina cymbalta presentacion cymbalta engorda
spidifen 600 mg bustine spidifen 400 mg comprimidos spidifen bijsluiter
spidifen bustine thebaileynews.com spidifen 400 mg para que serve
prescription drug coupons cialis discounts coupons cialis discount coupon
rezeptfrei viagra http://viagrakaufenapothekeosterreich.com/ potenzmittel kaufen
champix efectos secundarios champix comprar champix
how late can you get an abortion pill abraham.thesharpsystem.com pill abortion
cialis nedir onlineseoanalyzer.com cialis 5 mg
cialis coupons online abcomke.sk cialis discount coupons online
buy abortion pill cost of abortions when can you get an abortion pill
clomid tapasztalatok partickcurlingclub.co.uk clomid cycle
coupons website grocery coupon sites online free coupons
abortion pill is murder abortion pill cost about abortion pill
abortion pills cost agama-rc.com what is abortion pill
neurontin gabapentin neurontin 100 mg neurontin 400
effects of abortion pill cytotec abortion abortion pill stories
vermox 100mg vermox tablete doziranje vermox bez recepta
discount coupons for cialis coupon for prescription lilly cialis coupon
metoprolol pro medicin metoprololtartrat metoprololsuccinat hexal 50 mg
cialis coupons free 2015 cialis coupon lilly coupons for cialis
definition of abortion pill cons of abortion pill home abortion pill methods
amoxicillin dermani haqqinda amoxicilline amoxicillin 500 mg
teen abortion pill second trimester abortion abortion pill articles
cialis 20 mg cialis 20 mg cialis patent
amoxicillin 1000 mg amoxicillin nedir amoxicillin 1000 mg
abortion pill cost airascatering.com abortion pill pros and cons
printable pharmacy coupons rx discount coupons prescription drugs discount coupons
definition of abortion pill medication abortion pill herbal abortion pill
duphaston tablete duphaston forum duphaston i ovulacija
abortion pill quotes history of abortion pill abortion pill process
Copyright © 2010 Arabian Gulf University Contact: Tel:17239999, Fax:17272555 | Home | Location | site map| عربي |