Author/Editor		Grom, Igor; Kariž, Stojan; Marušič, Dorjan; Černič-Šuligoj, Nataša; Ambrožič, Jana; Požar, Klara
Title		Obravnava bolnikov z novonastalo atrijsko fibrilacijo v Splošni bolnišnici Izola
Translated title		Management of patients with new onset atrial fibrillation in General hospital Izola
Type		članek
Source		In: Kenda MF, Rakovec P, editors. Sodobna obravnava motenj srčnega ritma. 9. kardiološki dnevi; 2000 okt 20-21; Šmarješke toplice. Ljubljana: Združenje kardiologov Slovenije,
Publication year		2000
Volume		str. 169-73
Language		slo
Abstract		Atrial fibrillation is the most common arrhythmia seen in clinical practice. Almost 10 % of all admissions to the department of internal medicine of General Hospital Izola are due to the new onset of atrial fibrillation. There is therefore a need for further and more detailed information on the management of this arrhythmia. We retrospectively analyzed all patients with a new onset of atrial fibrillation presented to our hospital over a six month period. The information was collected from hospital notes on the patients' age, sex, duration of atrial fibrillation, hospital stay, etiology, echocardiographic measurements, methods and success of cardioversion, and complications. The hospital admitted 141 patients (mean age 64 +- 11 years) with a new onset of atrial fibrillation who were evaluated 176 times over the study period. In 90 (51 %) cases the duration of atrial fibrillation was shorter than 48 hours. The mean length of hospital stay was 4,8 +- 6,3 days. Atrial fibrillation was most commonly associated with hypertensive heart disease (31 %), ischaemic heart disease (15 %) and valvular disease (13 %). Lone atrial fibrillation was present in 20 %. Cardioversion was attempted in 138 cases with 89 % success rate. Electrical cardioversion was successful in 84 %, propafenone 68 %, amiodarone 65 % and quinidine in 70 % of cases. The success rate of cardioversion performed in the first 48 hours after the onset of atrial fibrillation was significantly higher compared to a delayed cardioversion (96 % to 78 %, p <0,01). The overall major complication rate was 1,1 %.
Descriptors		ATRIAL FIBRILLATION PATIENT CARE PLANNING HOSPITALIZATION SLOVENIA TREATMENT OUTCOME