PREVALENCE OF ATRIAL FIBRILLATION AND ITS CORRELATES IN HYPERTENSIVE PATIENTS WITHOUT CORONARY HEART DISEASE IN PRIMARY CARE SETTING
Hypertension is a risk factor for atrial fibrillation (AF). Primary prevention of AF in hypertension patients is the ultimate goal of the medical and public health community.
Aim: assess the prevalence and factors associated with AF in hypertensive patients without coronary heart disease (CHD) in primary care setting.
Methods: A cross–sectional study was conducted in January-September 2018. Hypertensive patients 40 years and above visiting primary care clinics during the study period were recruited (n=1121). Exclusion criteria were rheumatic and congenital heart diseases, CHD, thyroid status disorders, and severe somatic diseases. Age, gender, weight, height, waist circumference(WC), body mass index, systolic, diastolic and pulse blood pressure, smoking, diabetes mellitus(DM), total cholesterol and serum creatinine were among potential predictors of AF. Independent associations between the abovementioned factors and AF were studied using multivariate logistic regression analysis. Prevalence estimates and odds ratios (OR) were presented with 95% confidence intervals (CI).
Results: The prevalence of AFwas 4,7% (95% CI: 3,60-6,10). DM (OR=2,80; 95% CI: 1,40-5,58), age 60-69 (OR=4,18; 95% CI: 1,32-13,26), age 70 years and above (OR=27,68; 95% CI: 7,40-103,52) and smoking (OR=5,99; 95% CI: 2,62-13,70) had increased odds of AF compared to the reference categories. Positive associations were also observed between AF and WC (OR=1,07; 95% CI: 1,04-1,10) and height (OR=1,09; 95%: 1,03-1,15) included in the model as continuous variables. Women were less likely to have AF (OR=0,11; 95% CI: 0,04-0,32).
Conclusions: The prevalence of AF among hypertensive patients without CHD in primary care setting was high. DM, age-groups 60-69 years, 70 and above years, smoking, WC and height were positively associated with AF. Women were less likely to have AF. In addition to hypertension control management of modifiable risk factors of AF is required to reduce the prevalence of AF in Kazakhstani hypertensive patients, particularly among men.
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Тлегенова Ж.Ш., Жолдин Б.К., Кудайбердиева Г.З., Абдрахманов А.С., Гржибовский А.М. Распространенность фибрилляции предсердий и ассоциированные факторы у больных артериальной гипертензией в условиях первичной медико-санитарной помощи // Наука и Здравоохранение. 2019. 2 (Т.21).С. 44-54. Tlegenova Zh.Sh., Zholdin B.K., Kudaiberdieva G.Z., Abdrakhmanov A.S., Grjibovski A.M. Prevalence of atrial fibrillation and its correlates in hypertensive patients without coronary heart disease in primary care setting // Nauka i Zdravookhranenie [Science & Healthcare]. 2019, (Vol.21) 2, pp. 44-54. Тілегенова Ж.Ш., Жолдин Б.К., Кұдайбердиева Г.З., Абдрахманов А.С., Гржибовский А.М. Біріншілік медико-санитарлық көмек беру деңгейінде артериялық гипертензиясы бар науқастардағы жүрекшелер жыбырының таралуы және байланысты факторлары // Ғылым және Денсаулық сақтау. 2019. 2 (Т.21). Б. 44-54.Related publications:
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