PS 02-26 ATRIAL FIBRILLATION: PRIORITY TRIGGERS IN WOMEN (CLINICAL REVIEW)

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Abstract

Objective:

Atrial fibrillation (AFib) is particularly topical for its incidence in general Georgian population. At the same time, there is a direct evidence of the priority of the development of this disease in women in terms of statistics (56% in women, 44% on men). Many people who have AFib suffer from episodes brought on by a specific trigger. Recognizing triggers and avoiding them can help to manage atrial fibrillation effectively. The purpose of this study is that AFib development, so called trigger priority factors assessment in women.

Design and Method:

Retrospective qualitative study of hospital medical documentation; study instrument - Medical Document Audit Questionnaire; Sample Frame – case histories of patients registered in 2013-2015; Sample size – randomly selected 260 case histories (131 women, 129 men) – with the diagnosis of atrial fibrillation (40% of paroxysmal, 35% of permanent and 25% of persistent form).

Results:

Trigger priority factors in women include: Sleep disturbance, Permanent stress situations, Somatic diseases (nosologies of thyroid gland , esophageal diaphragmatic hernia), Complicated reproductive anamnesis, Excessive consumption of caffeine-containing drinks, and Dehydration. As regards hypertension, it was identified as a trigger factor in the absolute majority of both sexes.

Conclusions:

Identification and assessment of priority trigger factors of atrial fibrillation in women is another evidence of possible preventability of said clinical state and defines the vector of interventions to be carried out in this direction.

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