Atrial Fibrillation ในโรงพยาบาลนครปฐม

บทคัดย่อ

Atrial fibrillation is the most common arrhythmia and associated with heart disease and no detectable heart disease. It had not been reported in Nakhon Pathom hospital. We studied 200 patients with AF (100 male and 100 female, age 20-100 years) from May 2000 to May 2001. There were AF 48.5 percent in age 61 to 80, 30 percent in age 41 to 60 and 9 percent in age 20 to 40. Major causes of AF were rheumatic heart disease, 47.5 percent (male : female = 1 : 1.5) and lone AF 21.5 percent. MR and TR were the most common rheumatic heart disease in patients with AF. Cerebral infarction and leg emboli were found 15 percent and 0.5 percent. The prevalence of lone AF increased with age. Systemic embolization was not found in patients with age ≤60 years. The accuracy of diagnosis in patients with valvular heart disease was 70 percent by physical examination.