Incidence of Atrial Fibrillation and Socio-demographic and Clinical Characterization and Life Habits of Cardiac Surgery Patients

Líscia Divana Carval

Abstract

Objective: Of investigating the incidence of atrial fibrillation and sociodemographic and clinical data and life habits of patients in the postoperative period at a University Hospital (UH) in Maranhao, Brazil. Method: Retrospective cross-sectional research, sample composed of 29 medical records of adult patients undergoing valve replacement and/or myocardial revascularization who developed atrial fibrillation between the years 2016 to 2017. The project was approved by the Research Ethics Committee of the UH, nº 2,855,350. Results: Atrial fibrillation had an incidence of 13.3%. There was a prevalence of patients aged 70 to 89 years (34.5%), with a mean age 62.1 years, of male sex (72.4%), brown race (79.3%), from the countryside (96.6%), in stable union (58, 6%), with low education (27.6%), rural workers (51.7%), of Catholic religion (76.0%), and with an income of 1 to 2 minimum wages (62.1%). Systemic arterial hypertension (69%) stood out among the preexisting diseases, and mitral stenosis/insufficiency (41.3%) and coronary artery disease (34.5%) among the cardiac diseases. The study found overweight (48.3%), former smokers (31%), former alcoholics (13.8%), and values of 3 or 4 in the stroke risk score (31%). The tests performed were electrocardiogram, echocardiogram, coronary angiography and Holter. Conclusion: The identification of the incidence of atrial fibrillation and the sociodemographic and clinical characterization may contribute to better understand the development of this arrh- -ythmia, providing opportunities for reflective care practice in health promotion, prevention and control of morbidity and mortality.

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