FIBRILLATION, APPROACH AND TREATMENT CONTROVERSIES IN MOSTAR
M. Hadžiomerović and E. Fazlibegović
Hospital Mostar, Mostar, Bosnia and Herzegovina
(AF) and ventricular extrasystoles are the commonest rhythm disturbances.
It can be found in 0.4% patients younger than 60, 2-4% in elder
than 60, 11% in elder than 70 and 17% in patients over age 84.
In Framingham study on 5209 patients, age 32-62, incidence and
prognosis of AF was followed. Incidence of AF was higher in male
patients with incidence increasing with age in both genders. We
analyzed 255 patients from cardiology department of Mostar Clinical
Hospital, 122 (48%) male and 133 (52.2%) female patients. Patients
were divided by latest classification and treated in accordance
to Sicilian Gambit recommendations. In 71 (27.84%) patients conversion
to sinus rhythm was achieved successfully. The commonest complication
of AF was brain stroke in 32 (12.5%) patients, lethal in 14 (5.4%).
There is still an controversy: which is the way to prevent thromboembolic
complications in AF, how and how long patients on the risk should
be followed on clinical, echocardiographical and laboratory parameters
as a predictors of brain stroke and sudden death.
Keywords: atrial fibrillation, brain stroke, Sicilian Gambit approach,