Cargando…

Non-Valvular Atrial Fibrillation in Young Adults in Eastern India: A Clinico-Aetiological Retrospective Analysis in a Tertiary Care Hospital

Background: The development of atrial fibrillation adds a lot to the morbidity and mortality of individual patients. The spectrum of non-valvular atrial fibrillation among young adults is less known. The present observational study aims to analyze the clinical-aetiological spectrum of non-valvular a...

Descripción completa

Detalles Bibliográficos
Autores principales: Mohanty, Satyapriya, Banerjee, Anindya, Kumar, Abhinav, Deb, Pranjit, Samantray, Humshika, Das, Debasish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148691/
https://www.ncbi.nlm.nih.gov/pubmed/37128533
http://dx.doi.org/10.7759/cureus.36918
_version_ 1785035027072942080
author Mohanty, Satyapriya
Banerjee, Anindya
Kumar, Abhinav
Deb, Pranjit
Samantray, Humshika
Das, Debasish
author_facet Mohanty, Satyapriya
Banerjee, Anindya
Kumar, Abhinav
Deb, Pranjit
Samantray, Humshika
Das, Debasish
author_sort Mohanty, Satyapriya
collection PubMed
description Background: The development of atrial fibrillation adds a lot to the morbidity and mortality of individual patients. The spectrum of non-valvular atrial fibrillation among young adults is less known. The present observational study aims to analyze the clinical-aetiological spectrum of non-valvular atrial fibrillation among young adults between 18 and 40 years of age. Methods: A retrospective observational study was carried out to analyze the clinical-aetiological spectrum of non-valvular atrial fibrillation among young adults less than 40 years of age attending the cardiac outpatient department in a tertiary care hospital in Eastern India over a period of two years. Patients with any form of organic valvular heart disease and patients more than 40 years of age were excluded from the study. One hundred and seventeen patients under 40 years of age were analysed with respect to demographic, aetiological, and clinical profiles. Results: Most common aetiologies behind non-valvular atrial fibrillation in young adults (<40 years) were hypertension (40%) and the presence of left ventricular systolic dysfunction (31%). Thyrotoxicosis, obesity, obstructive sleep apnoea, the presence of congenital heart disease, coronary artery disease, myopericarditis, chronic kidney disease, dyselectronemia, diabetes mellitus, and the presence of chronic obstructive pulmonary disease contributed towards the development of non-valvular atrial fibrillation in the young population in less proportion of cases. Most of the cases were symptomatic with palpitation, shortness of breath, or diaphoresis. Less number of cases (17%) had left atrial thrombus which may be due to early clinical attention with the proper therapeutic anticoagulation regimen. Conclusions: Hypertension and the presence of left ventricular systolic dysfunction contribute to the majority towards the development of non-valvular atrial fibrillation among young adults. Accurate measurement and monitoring of blood pressure among young adults and careful assessment of left ventricular systolic dysfunction with subsequent appropriate management of hypertension and left ventricular systolic dysfunction in young can decrease the burden of non-valvular atrial fibrillation among the young population.
format Online
Article
Text
id pubmed-10148691
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-101486912023-04-30 Non-Valvular Atrial Fibrillation in Young Adults in Eastern India: A Clinico-Aetiological Retrospective Analysis in a Tertiary Care Hospital Mohanty, Satyapriya Banerjee, Anindya Kumar, Abhinav Deb, Pranjit Samantray, Humshika Das, Debasish Cureus Cardiac/Thoracic/Vascular Surgery Background: The development of atrial fibrillation adds a lot to the morbidity and mortality of individual patients. The spectrum of non-valvular atrial fibrillation among young adults is less known. The present observational study aims to analyze the clinical-aetiological spectrum of non-valvular atrial fibrillation among young adults between 18 and 40 years of age. Methods: A retrospective observational study was carried out to analyze the clinical-aetiological spectrum of non-valvular atrial fibrillation among young adults less than 40 years of age attending the cardiac outpatient department in a tertiary care hospital in Eastern India over a period of two years. Patients with any form of organic valvular heart disease and patients more than 40 years of age were excluded from the study. One hundred and seventeen patients under 40 years of age were analysed with respect to demographic, aetiological, and clinical profiles. Results: Most common aetiologies behind non-valvular atrial fibrillation in young adults (<40 years) were hypertension (40%) and the presence of left ventricular systolic dysfunction (31%). Thyrotoxicosis, obesity, obstructive sleep apnoea, the presence of congenital heart disease, coronary artery disease, myopericarditis, chronic kidney disease, dyselectronemia, diabetes mellitus, and the presence of chronic obstructive pulmonary disease contributed towards the development of non-valvular atrial fibrillation in the young population in less proportion of cases. Most of the cases were symptomatic with palpitation, shortness of breath, or diaphoresis. Less number of cases (17%) had left atrial thrombus which may be due to early clinical attention with the proper therapeutic anticoagulation regimen. Conclusions: Hypertension and the presence of left ventricular systolic dysfunction contribute to the majority towards the development of non-valvular atrial fibrillation among young adults. Accurate measurement and monitoring of blood pressure among young adults and careful assessment of left ventricular systolic dysfunction with subsequent appropriate management of hypertension and left ventricular systolic dysfunction in young can decrease the burden of non-valvular atrial fibrillation among the young population. Cureus 2023-03-30 /pmc/articles/PMC10148691/ /pubmed/37128533 http://dx.doi.org/10.7759/cureus.36918 Text en Copyright © 2023, Mohanty et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Mohanty, Satyapriya
Banerjee, Anindya
Kumar, Abhinav
Deb, Pranjit
Samantray, Humshika
Das, Debasish
Non-Valvular Atrial Fibrillation in Young Adults in Eastern India: A Clinico-Aetiological Retrospective Analysis in a Tertiary Care Hospital
title Non-Valvular Atrial Fibrillation in Young Adults in Eastern India: A Clinico-Aetiological Retrospective Analysis in a Tertiary Care Hospital
title_full Non-Valvular Atrial Fibrillation in Young Adults in Eastern India: A Clinico-Aetiological Retrospective Analysis in a Tertiary Care Hospital
title_fullStr Non-Valvular Atrial Fibrillation in Young Adults in Eastern India: A Clinico-Aetiological Retrospective Analysis in a Tertiary Care Hospital
title_full_unstemmed Non-Valvular Atrial Fibrillation in Young Adults in Eastern India: A Clinico-Aetiological Retrospective Analysis in a Tertiary Care Hospital
title_short Non-Valvular Atrial Fibrillation in Young Adults in Eastern India: A Clinico-Aetiological Retrospective Analysis in a Tertiary Care Hospital
title_sort non-valvular atrial fibrillation in young adults in eastern india: a clinico-aetiological retrospective analysis in a tertiary care hospital
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148691/
https://www.ncbi.nlm.nih.gov/pubmed/37128533
http://dx.doi.org/10.7759/cureus.36918
work_keys_str_mv AT mohantysatyapriya nonvalvularatrialfibrillationinyoungadultsineasternindiaaclinicoaetiologicalretrospectiveanalysisinatertiarycarehospital
AT banerjeeanindya nonvalvularatrialfibrillationinyoungadultsineasternindiaaclinicoaetiologicalretrospectiveanalysisinatertiarycarehospital
AT kumarabhinav nonvalvularatrialfibrillationinyoungadultsineasternindiaaclinicoaetiologicalretrospectiveanalysisinatertiarycarehospital
AT debpranjit nonvalvularatrialfibrillationinyoungadultsineasternindiaaclinicoaetiologicalretrospectiveanalysisinatertiarycarehospital
AT samantrayhumshika nonvalvularatrialfibrillationinyoungadultsineasternindiaaclinicoaetiologicalretrospectiveanalysisinatertiarycarehospital
AT dasdebasish nonvalvularatrialfibrillationinyoungadultsineasternindiaaclinicoaetiologicalretrospectiveanalysisinatertiarycarehospital