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Arterial hypertension as a risk factor for arrhythmia progression in patients with recurrent atrial fibrillation
Joint Event on 3rd 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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