16th international congress of update in cardiology and cardiovascular surgery , Ankara, Türkiye, 30 Ekim - 01 Kasım 2020, ss.466-467
Objective: The aim of the present study is to investigate the differences in demographic and clinical findings of patients with paroxysmal
and permenant/persistent atrial fibrillation in south-eastern region of Turkey
Methods: Two-hundred consecutive patients without exclusion criteria who had admitted to cardiology clinic of an university hospital with
the diagnosis of AF between January 2012 and October 2013 constituted our study population. Patients with valvular AF were excluded
from the study. Demographic and clinical data of the patients were retrospectively reviewed from patient files.
Results: Clinical and demographic findings of patients with paroxysmal and persistent/permanent AF are persented on table 1. Patients
with persistent/permanent AF were older and higher prevalence of congestive heart failure, ischemic dilated cardiomyopathy, history of
stroke/transient ischemic attack (TIA). There were no significant differences between groups regarding body-mass index and prevalence of
hypertension, diabetes and coronary artery disease. CHA2DS2 VASc score of patients with persistent/permanent AF was significantly higher
compared to patients with paroxysmal AF.
Conclusion: Patients with persistent/permanent AF displayed a higher clinical risk profile compared to patients with paroxysmal AF in our
study. Persistent/permenant atrial fibrillation may be considered as a representative of the higher risk of the patient and therapy should be
intensified with special emphasis on anticoagulation.