Association of Atrial Fibrillation with Age, Gender, Hypertension, and Diabetes Mellitus in Cases of Ischemic Stroke

Aqeel Peter; Saeed Bin Ayaz; Muhammad Aadil

doi:10.51253/pafmj.v73iSUPPL-1.4267

Authors

Aqeel Peter Department of Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Saeed Bin Ayaz Department of Medicine, Combined Military Hospital, Jhelum/National University of Medical Sciences (NUMS) Pakistan
Muhammad Aadil Department of Medicine, Russells Hall Hospital, Dudley, West Midlands, United Kingdom

DOI:

https://doi.org/10.51253/pafmj.v73iSUPPL-1.4267

Keywords:

Age-dependence, Atrial fibrillation, Diabetes mellitus, Electrocardiogram, Hypertension, Ischemic stroke, Risk factors

Abstract

Objective: To determine the frequency of atrial fibrillation in patients presenting with ischemic stroke and explore association of atrial fibrillation with age, gender, diabetes mellitus, and hypertension.

Study Design: Cross-sectional analytical study

Place and Duration of Study: Department of Internal Medicine, Pak-Emirates Military Hospital, Rawalpindi Pakistan, from
Jan to Sep 2018.

Methodology: All patients diagnosed with ischemic strokes as per the World Health Organization guidelines presenting to the department were included. Information was gathered regarding age, gender, hypertension, and diabetes mellitus and
electrocardiogram was recorded for each patient within 24 hours of presentation to check for atrial fibrillation. Computed
tomographic scans of the sampled individuals were evaluated to exclude patients with intracerebral bleed, sub-arachnoid
hemorrhage or brain tumors.

Results: Ninety-five patients (mean age: 46.8±15.5 years) with ischemic stroke were included. Sixty (63.2%) patients were male and 35(36.8%) were female. Atrial fibrillation was present in 35(36.8%) patients. It was significantly more common in patients with diabetes and patients with hypertension (p=0.001 and p=0.004 respectively). No significant association of atrial fibrillation with gender or age of the patient was observed (p=0.086 and p=0.057 respectively)

Conclusion: Atrial fibrillation was quite high in our sampled patients with ischemic stroke. The frequency was more common in patients with diabetes and patients with hypertension.