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    Mogildea Cristian
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    This study analyzed 104 patients hospitalized for paroxysmal atrial fibrillation to identify associated symptoms and correlations with clinical data. The most common pre-existing conditions were congestive heart failure (50%), coronary artery disease (37.5%), and stroke (11.5%). The dominant symptoms were palpitations (65.38%), dyspnea (56.73%), and angina (44.23%). Angina was statistically significantly associated with conduction disturbances on ECG and syncope with ischemic changes. Echocardiographic analysis found 51.92% of patients had preserved ejection fraction, 29.8% had enlarged left atrium, and 44.23% had left ventricular hypertrophy. D

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    This study analyzed 104 patients hospitalized for paroxysmal atrial fibrillation to identify associated symptoms and correlations with clinical data. The most common pre-existing conditions were congestive heart failure (50%), coronary artery disease (37.5%), and stroke (11.5%). The dominant symptoms were palpitations (65.38%), dyspnea (56.73%), and angina (44.23%). Angina was statistically significantly associated with conduction disturbances on ECG and syncope with ischemic changes. Echocardiographic analysis found 51.92% of patients had preserved ejection fraction, 29.8% had enlarged left atrium, and 44.23% had left ventricular hypertrophy. D

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    Associated Symptoms

    Uploaded by

    Mogildea Cristian
    This study analyzed 104 patients hospitalized for paroxysmal atrial fibrillation to identify associated symptoms and correlations with clinical data. The most common pre-existing conditions were congestive heart failure (50%), coronary artery disease (37.5%), and stroke (11.5%). The dominant symptoms were palpitations (65.38%), dyspnea (56.73%), and angina (44.23%). Angina was statistically significantly associated with conduction disturbances on ECG and syncope with ischemic changes. Echocardiographic analysis found 51.92% of patients had preserved ejection fraction, 29.8% had enlarged left atrium, and 44.23% had left ventricular hypertrophy. D

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    of 1

    ASSOCIATED SYMPTOMS AND THE CORRELATIONS BETWEEN THEM IN PATIENTS

    HOSPITALIZED FOR PAROXYSMAL ATRIAL FIBRILLATION

    Introduction Cardiac structural changes, clinically or paraclinically


    expressed, may be complicated with paroxysmal, persistent or
    permanent atrial fibrillation (AF). The severity of the symptoms in
    the acute episode of AF may reveal severe, subclinical diseases.
    Purpose and General: Identifying the symptoms associated with an
    acute episode of paroxysmal AF that required hospitalization and
    their correlations with clinical, ECG and echocardiographic data.
    Material and Method: Retrospective study of 104 patients hospitalized for an paroxysmal AF
    episode in the Cardiology Department of the “St. Pantelimon” Emergency Hospital,
    over a 1-year and 2 months period, from 23.04.2015 to 22.06.2016. Different data
    were collected and evaluated (e.g. clinical and anamnesis) by review of records.
    Symptoms have been correlated with these.
     Results: We included 104 patients with a median age of 70.3 years.68% were
    female. Congestive heart failure (CHF) was the most common pre-
    existing cardiovascular disease (50%), followed by coronary artery
    disease (CAD) (37.5%) and stroke (11.5%). The dominant symptoms were
    palpitations(65.38%), dyspnea(56.73%) and angina (44.23%). Ischemia
    and conduction disturbances were the most frequently encountered ECG
    changes (53.84%,20.19%). Angina was statistically significant
    associated with conduction disturbances(p <0.01) and syncope with
    ischemic changes (p = 0.04) . Echocardiographic: 51.92% pts with
    preserved ejection fraction, 29.8% with left atrium diameter> 40 mm,
    44.23% with left ventricle hypertrophy (LVH). Dyspnea (p = 0.02) and
    angina (p = 0.05) were statistically significant associated with left
    atrium diameter > 40 mm; angina (p = 0.06) with LVH and dyspnea (p =
    0.02) with left ventricle end-diastolic diameter (LVED)> 45 mm.
    Conclusions: Pre-existing cardiovasculardiseases were frequently
    involved, the most common was CHF. Dyspnea, angina, palpitations and
    syncope were the dominant symptoms and were statistically significant
    associated with ECG and echocardiographic changes.

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