Caracterización clínica-epidemiológica en pacientes con fibrilación auricular en el Hospital IESS Los Ceibos Norte de Guayaquil de enero 2021 a diciembre 2022.

Abstract

Introduction: In recent years, atrial fibrillation (AF) has become a true public health and economic problem both in Ecuador and in the world. Although AF is not an arrhythmia with high mortality, it significantly influences the quality of life of those who are diagnosed. Objective: To determine the clinical/epidemiological characteristics of patients with atrial fibrillation treated at the Hospital General del Norte de Guayaquil IESS Los Ceibos during the year 2021-2022. Materials and Methods: It is a quantitative study, with an analytical design, and observational method, cross-sectional, retrospective and non-experimental according to time, which includes a sample of 202 patients (95% CI, margin of error 0.05) who They were treated with a diagnosis of atrial fibrillation. Results: The average age was 74 years, the male sex was more frequent, the history of arterial hypertension was the most important, an echocardiographically demonstrated LVEF of 50% on average. According to the CHA2DS2-VASc scale, it was a High result in 90% of the patients. The most frequent symptoms are palpitations, dyspnea, and angina, and the most common type of AF was paroxysmal. The most common complication is congestive heart failure. Conclusion: Age over 70 years, male gender and arterial hypertension are the most important risk factors for the development of AF. The most common AF complication in this study is CHF.