Open AccessFactors associated with atrial fibrillation in patients with hypertension and preserved left ventricle systolic function
Author(s) -
Zhenisgul Tlegenova,
Bekbolat Zholdin,
Gulmira Kudaiberdieva,
Ayan Abdrakhmanov
Publication year - 2019
Publication title -
kardiologiâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.159
H-Index - 16
eISSN - 2412-5660
pISSN - 0022-9040
DOI - 10.18087/cardio.2617
Subject(s) - medicine , atrial fibrillation , cardiology , ventricle , logistic regression , population , stepwise regression , alcohol intake , alcohol , biochemistry , chemistry , environmental health
The objective of our study was to define factors associated with atrial fibrillation (AF) in patients with hypertension (HTN) and preserved left ventricle systolic function. Material and methods . Overall, 273 consecutive patients with HTN residing in urban area were included in the study. Patients were divided into 2 groups: the first – 60 patients with paroxysmal and persistent AF (33% men, age 62, 28 (10,02), the second – 213 patients without AF (33% men, age 59,37 (8,27). Results . Stepwise logistic regression analysis demonstrated AF presence was associated with alcohol intake ≥ 7 drinks per week (OR 4,12; 95%CI: 1,04–16,35), low physical activity (OR 3,18; 95% CI: 1,32–7,68), higher hip circumference (OR 1,19; 95% CI: 1,08–1,31) and history of HTN (OR 1,10; 95% CI: 1,04–1,17). BMI was not associated with presence of AF (OR 0,75; 95% CI: 0,61–0,91). Conclusion . Thus in our urban population with hypertension, AF is associated with alcohol intake ≥ 7 drinks per week, low physical activity, increased hip circumference and history of hypertension.AF prevention should include modification of lifestyle.