Fibrilación auricular como factor predictivo de accidente cerebrovascular en el Hospital General Liborio Panchana Sotomayor período 2018 - 2020.

Abstract

Introduction: Atrial fibrillation is a supraventricular tachyarrhythmia with great impact worldwide, which is based on uncoordinated electrical activation of the atrium resulting in inefficient contraction, associated with various conditions, which can lead to failure of various organs. Objective: To determine the prevalence of stroke in patients with atrial fibrillation or other factors at the Liborio Panchana Sotomayor General Hospital during the 2018 – 2021 period. Materials and Methods: A retrospective longitudinal descriptive study was carried out at the Liborio Panchana Sotomayor General Hospital in patients admitted through the emergency area of said hospital with cerebrovascular accident. Results: From a sample composed of 63 patients, the analysis of the distribution of cases according to the age of the patients is carried out, observing a mean of 64 years, with a standard deviation of 14 years. Of the total cases that were part of the sample, 63.5% were male patients and the remaining 36.5% were female patients. Conclusion: Individuals diagnosed with atrial fibrillation are at very high risk of developing stroke, and about 25% to 30% of all strokes are the result of embolism secondary to AF. Cardiogenic embolism is recognized as the main pathophysiological mechanism of stroke in patients with AF.