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26684

Study of Atrial Fibrillation and Venous Thromboembolism in Critically Ill Patients in Intensive Care Unit

Article

Last updated: 24 Dec 2024

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Abstract

Bachground: atrial fibrillation (AF) is the most common arrhythmia in patient hospitalized in ICU and is associated with increased morbidity and mortality. Venous Thromboembolism (VTE), including deep venous thrombosis (DVT) and pulmonary Embolism (PE), is recognized as a common complication in critically ill patients. Risk factors including critical illness, mechanical ventilation, sedative medications and central venous catheter insertion are major contributing factors to the high risk of VTE. Objective: it was to evaluate the causes and outcomes of AF and VTE in patients admitted to intensive care unit due to non-cardiac causes. We studied 143 consecutive patients admitted to ICU for non-cardiac emergencies. Results: only 48 (33.5 %) patients were complicated. AF is the most common complication happened in 27 patients (56 %) of complicated cases; pulmonary embolism comes next with 13 patients (27.1%) of complicated cases, DVT in the third place with 8 patients (16.6 %) of complicated cases. The age of patients admitted to ICU was directly related to complication happened in ICU, the older the patient is the more he is vulnerable to complications, the increased body mass index and increased weight was directly related to complications, the hemoglobin level is strongly related to cardiac complications . There was increased risk of DVT and pulmonary embolism due to prolonged bed ridden state. Conclusion: patients of ICU who have a higher risk than other for adverse cardiac complications, the most common cardiac complications are AF, DVT and pulmonary embolism and finally cardiac complications leads to increased rate of mortality and morbidity.

DOI

10.21608/ejhm.2019.26684

Keywords

Atrial Fibrillation, Venous Thromboembolism, Intensive Care Unit

Authors

First Name

Yasser Elsayed

Last Name

Mohammed

MiddleName

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Affiliation

Cardiology Department, Faculty of Medicine, Al-Azhar University

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Volume

74

Article Issue

6

Related Issue

4763

Issue Date

2019-01-01

Receive Date

2019-02-07

Publish Date

2019-01-01

Page Start

1,287

Page End

1,297

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_26684.html

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https://ejhm.journals.ekb.eg/service?article_code=26684

Order

11

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Study of Atrial Fibrillation and Venous Thromboembolism in Critically Ill Patients in Intensive Care Unit

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Type

Article

Created At

22 Jan 2023