Assessment of major risk factors among abnormal cardiac rhythm patients in AL-Amyria general hospital
Dr. Raid Hamid Abulghafoor, Dr. Taha Ali Sulaiman, Dr. Sarmad Mohammed Owayed
Background: Cardiac Arrhythmia is a disturbance of the electrical rhythm of the heart (also known as arrhythmia, dysrhythmia or irregular heartbeat) is a group of conditions in which the heartbeat is irregular, too fast or too slows. Objectives: To evaluate the frequency of abnormal cardiac rhythm and assess the major risk factors among coronary heart disease patients in AL-Amyria distrect, in AL-Anbar province, western Iraq. Methods: A cross sectional study was carried out on patients with abnormal cardiac rhythm admitted in the coronary care unit in AL-Amyria General Hospital from 1st of January 2019 to 30 of October 2019.Informative and detailed history was obtained concerning the presence of risk factor(s) and essential demographic data. General, cardiovascular examination, biochemical, and laboratory investigations, in addition to chest radiograph, and echo study of the heart were performed. This study was designed to identify risk factors of these disturbances. Results: The total number of patients, admitted to the coronary care unit was 244 patients,76 patients (31.1% ) of them had abnormal cardiac rhythm. Forty two patients (74%) were more than 60 years old with a mean age of 64.2 years. Ischemic heart disease was found in 39 patients (51.3%), 21 (53.8%) were males and 18 (46.2%) were females. Hypertension was found in 35 patients (46%), 19 (54.3%) were males and 16(45.7%) were females. Dyslipidemia was found in 41 patients (53.9%), 19 (46.3%) were males and 22 (53.7%) were females. Diabetes was found in 29 patients (38.1%), 13 (44.8%) were males and 16 (55.2%) were females. Multiple risk factors were found in 44 patients (58%).The most frequent arrhythmias were Atrial fibrillation in 29 patients (38.1%), Left bundle branch block in 17 patients (22.3%), and Bradycardias in 13 patients (17.1%). Conclusion:Ischemic heart disease, Dyslipidemia, Hypertension, and Diabetes were the major risk factor for arrhythmia. People with multiple risk factors are more susceptible to develop arrhythmias.Atrial fibrillation, conduction system diseases, and Bradycardias were the most frequent types of arrhythmias.