Dr. Herculano Seixas Dos Santos1 , MSc.Dra. Esther Leal Balón1 , Dra. Ista A. Arjona
Rodríguez1 , MSc.Dra. Juliette Massip Nicot2 , Dra. Haydeé Fernández Massip1 ,
Dra. Maylen Anido Bada1 , Dr. Leandro Reyes Fernández1 , Dr. Alexei López Fontanills1 ,
Dr. Alfredo Guadalupe Suárez1 , Dra. Ingrid M. Peña Céspedes1 , Dra. Lisandra Machín
Martínez1
y Dra. Lianet Ocaña Aragón
1 Servicio de Cardiología y 2 Departamento de Bioestadística Médica del Hospital Universitario Clínico Quirúrgico General Calixto García. La Habana, Cuba.
English Version
ABSTRACT
Introduction: Atrial fibrillation is one of the most important causes of stroke, heart
failure, sudden death and cardiovascular morbidity worldwide.
Objective: To describe the relationship of coronary risk factors with complications
of patients with atrial fibrillation.
Method: Descriptive, cross-sectional study; including 102 patients with a diagnosis
of atrial fibrillation, admitted to the department of Cardiology of the Hospital Universitario Clínico Quirúrgico General Calixto García, from January 2019 to July
2020.
Results: Males prevailed (65.7%). A total of 77.5% of patients were hypertensive,
41.2% were overweight and 38.2% were obese. A 21.6% referred personal history of
diabetes mellitus and 64.7% had increased fasting blood glucose. Some complication was observed in 58 patients, with heart failure (42.2%) and cerebral embolism
(7.8%) standing out. An association between the increased risk of complications
and the presence of coronary risk factors was observed. In patients with high
blood pressure, the risk of complications was 7.66 times higher.
Conclusions: More than half of the patients studied presented some complication
related to arrhythmia, the most frequent being heart failure. Coronary risk factors
were present in most of these patients with a predominance of high blood pressure, obesity and diabetes mellitus. The presence of coronary risk factors was
associated with an increased risk of complications in patients with atrial fibrillation.
Keywords: Atrial fibrillation, Coronary risk factors, High blood pressure, Diabetes
mellitus, Obesity
Reference of the Full Article in Spanish Version
