Journal of AdvancedMedical and Dental Sciences Research

Aim: The study's goal is to analyse individuals with atrial fibrillation clinically and through echocardiography. Methods: The current research was carried out at the Department of Cardiology. A total of 80 patients were clinically assessed and documented A cardiovascular and neurological examination was performed to determine the cause and look for signs of thromboembolism. An echocardiogram was also performed. Results: Dyspnoea was the most prevalent symptom. Palpitation came in second at 58.75 percent, followed by 76.25 percent. 12.5 percent of patients had a history of mild to severe chest discomfort. 18.75% of patients reported a history of syncope or dizzy episodes. Fatigability was seen in 21.25 percent of the patients, and congestive heart failure was observed in 68.75 percent of the cases. RHD was the underlying aetiology of atrial fibrillation in 53.75 percent of individuals. This group was made up of 42.5 percent girls and 15 percent men. One-tenth of the patients had coronary artery disease. Only hypertension was found in 7.5 percent of individuals. COPD was a risk factor for 10% of the patients. Cardiomyopathy affected 8.75 percent of individuals. 2.5 percent of patients had hyperthyroidism. Heart rates were higher than 100 in 68.75% of patients. A fibrillary P wave was found in 22.5 percent of patients, whereas p waves were missing in 77.5 percent. LVH was found in 10% of patients, RVH in 31.25 percent, RBBB in 6.25 percent, and LBBB in 7.5 percent, with ST depression and T wave inversion in 60% of patients. As seen in the table above, the majority of patients, 37.5 percent, had LA dimensions ranging from 4.1 to 5.0 cm2. Conclusion: In our analysis, dyspnea was the most prevalent symptom of atrial fibrillation, and rheumatic heart disease was the leading cause. A patient with a left atrial diameter greater than 4.0 cm experienced persistent atrial fibrillation. The thromboembolic phenomena was more prevalent in chronic AF patients, and all of them had mitral valve dysfunction.