Key result
Patients with persistent atrial fibrillation received anticoagulants at a higher percentage (88.8%) than those with paroxysmal (69.4%) or permanent AF (69.6%), and patients with permanent AF had a higher rate of previous hospitalization (69.6%).
Cross-Sectional (n=170)
No
Patients with persistent AF due to hypertension have higher rates of anticoagulant and antiarrhythmic use but poorer blood pressure control compared to those with paroxysmal or permanent AF.
May indicate type-specific anticoagulation gaps in hypertensive AF; leaves open whether patterns reflect risk stratification or care disparities needing prospective study.
BACKGROUND: The most common risk factor for Atrial Fibrillation (AF) development is hypertension. PURPOSE: to explore patients' characteristics associated with AF caused by hypertension. METHODS: The sample of the study included 170 patients with AF caused by hypertension. Data collection was performed by the method of interview using a questionnaire developed by the researchers of the study for the collection of demographic, clinical and other patients' characteristics. RESULTS: Regarding type of AF, 21.9% of the patients had paroxysmal AF while 64.5% and 13.6% had persistent and permanent AF, respectively. Patients who had persistent AF were receiving anticoagulants and antiarrhythmics at a higher percentage (88.8% and 82.2%,respectively) than patients with paroxysmal (69.4% and 72.2%, respectively) or permanent AF (69.6% and 56.5%, respectively). Patients with persistent AF had at a lower percentage their blood pressure controlled than patients with paroxysmal or permanent AF (85.3% vs. 97.3% and 95.7%, respectively). Patients with permanent AF had at a higher percentage >5 years onset of their heart problem (47.8%) than patients with paroxysmal or persistent AF (10.8% and 8.3%, respectively). Patients with permanent AF had at a higher percentage previous hospitalization due to AF (69.6%) than patients with paroxysmal (40.5%) or persistent AF (62%). Lastly, patients with persistent AF were very informed about the state of their health at a higher percentage (33%) compared patients with paroxysmal or permanent AF (13.5% and 26,1%, respectively). CONCLUSIONS: The present study revealed patients' characteristics that may be helpful when planning nursing interventions or guiding clinical decision-making.
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Koutsaki et al. (2018) conducted a cross-sectional in Atrial fibrillation and hypertension (n=170). Patient characteristics was evaluated on Association of patient characteristics with type of atrial fibrillation. Patients with persistent atrial fibrillation received anticoagulants at a higher percentage (88.8%) than those with paroxysmal (69.4%) or permanent AF (69.6%), and patients with permanent AF had a higher rate of previous hospitalization (69.6%).
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