Pattern of Tachyarrhythmias in Sulaimani Teaching Hospital, Cardiac Center/Coronary Care Unit

Sadeek Hama Aziz  Salih; Shakawan Muhamad  Ismaeel; Halgurd Fathullah  Ahmed

doi:10.56056/amj.2018.54

Authors

Sadeek Hama Aziz Salih M.B.Ch.B, KBMS/Kurdistan Emergency Medicine Board trainee, D.G.S/ PGY4
Shakawan Muhamad Ismaeel M.B.Ch.B, MRCP-UK, FRCP-UK, KBMS-Program Director of Emergency Medicine, Consultant Physician in Acute Medicine/Training Center, Hawler
Halgurd Fathullah Ahmed M.B.Ch.B, Assistant Prof. Internal Medicine Director of training/KBMS, FIBMS-medicine, Advance Specialist Internal Medicine, Hawler

DOI:

https://doi.org/10.56056/amj.2018.54

Keywords:

Tachyarrhythmia, Atrial fibrillation, Coronary care unit

Abstract

Background and objectives: Cardiac tachyarrhythmias are recurrent/chronic and mostly life-threatening conditions. Diagnosis and treatment of this condition is depending on its patterns and associated comorbidities. This study aimed to assess the pattern of tachyarrhythmia, identify the risk factors and determine the outcome of the management strategy

Methods: A prospective observational study was carried out at cardiac center in Sulaimani Teaching Hospital from Januarys 2017 to December 2017.A total of sixty three patients, aged between (20–90) years old, who presented to emergency department with tachyarrhythmia were recruited to this study

Results: The mean± SD of patients› age was 61.1 ± 16.6 years with a male: female ratio of (1.2). Atrial fibrillation was the commonest type of tachyarrhythmia (61.9%) followed by supraventricular tachycardia (25.4%) and Ventricular tachyarrhythmia (12.7%). Atrial fibrillation was more common in ages above 65 years (36.5%), and 19.1% of supraventricular tachycardia was present among females. Moreover, 14.3% of heart failure and 15.9% of ischemic heart disease were commonly associated with atrial fibrillation. In addition, 38.1% of atrial fibrillation was responded to rate control medications but most of ventricular arrhythmia (4.8%) received a combination of rate and rhythm control drugs. Higher rate of hemodynamic instability (12.7%) was recorded in patients with atrial fibrillation.

Conclusions:Atrial fibrillation, supraventricular tachycardia and ventricular arrhythmia were the commonest types of tachyarrhythmia. Moreover, aging, male gender, heart failure, and ischemic heart disease were significantly associated with atrial fibrillation. In addition, rate control drugs were used for most of patients.

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