Health Care : Current Reviews

Arterial hypertension as a risk factor for arrhythmia progression in patients with recurrent atrial fibrillation

Joint Event on 3^rd International Conference on Medical Sciences, Hypertension and Healthcare and World Congress on Organ Transplantation and Artificial Organs

August 24-25, 2018 Tokyo, Japan

Kurbanov R D

Republican Specialized Cardiology Center, Uzbekistan

Posters & Accepted Abstracts: Health Care Current Reviews

Abstract:

Objective: To assess the effect of uncontrolled Arterial Hypertension (AH) on the progression of arrhythmia for 1 year in patients with recurrent forms of Atrial Fibrillation (AF). Material & Methods: 131 patients with restored sinus rhythm were retrospectively studied. AH was regarded as uncontrolled, in patients who did not achieve the target blood pressure. Results: Depending on the control of the level of hypertension, patients were divided into two groups to determine the effect of hypertension on AF progression within 1 year. The first group consisted of 50 patients with uncontrolled hypertension, the second group-81 patients with controlled hypertension. In 32 (24.42%) patients progression of AF was observed. A comparative analysis revealed that a group of patients with uncontrolled AH are more prone to AF progression. So, in the 1st group the percentage of patients with AF progression was 46% and in the second group this index was 11.1% (p<0.0001). We identified correlations between uncontrolled hypertension and other risk factors for AF progression. Thus, a direct correlation was found between uncontrolled hypertension and the presence of HF (r=-0.359, p <0.0001), the history of stroke or TIA (r=-0.221, p<0.05), the history of a persistent AF (r=-0.205, p<0.05) and obesity (r=-0.175, p<0.05). Conclusion: The presence of uncontrolled hypertension in patients with recurrent forms of AF 4-fold increases the risk of AF progression. In addition, uncontrolled hypertension is more often associated with the presence of other factors of AF progression.

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