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THE EFFECT OF SOCIAL FACTORS ON THE PREVALENCE OF ATRIAL FIBRILLATION IN HYPERTENSIVE PATIENTS

Liakos, C.1; Karpanou, E.2; Grassos, C.3; Markou, M.4; Vyssoulis, G.1; Tousoulis, D.1

Journal of Hypertension: June 2018 - Volume 36 - Issue - p e15
doi: 10.1097/01.hjh.0000539002.53285.8c
ORAL SESSION 2B: ATRIAL FIBRILLATION AND HEART FAILURE: PDF Only
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Objective: Atrial fibrillation (AF) is a common arrhythmia in hypertensive patients. Several conditions are deemed to be associated with AF. This study examined the effect of social factors (sex, age, obesity, smoking, alcohol consumption and marital status) on AF prevalence in a large cohort of hypertensive patients.

Design and method: The study comprised 30785 hypertensives (52.4% men, 58.8 ± 12.9 years, 165.2 ± 10.6/99.1 ± 9.8 mmHg). Sex, age (years), smoking status (current, former, never), alcohol consumption (rare, light, moderate, heavy), and marital status (married, single, divorced) were recorded. Body mass index (BMI, kg/m2), body surface area (BSA, m2), waist-to-hip ratio (WHR), waist-to-stature ratio (WSR) and sphericity index (SI = BMI/BSA, kg/m4) were calculated.

Results: Sinus rhythm (SR) was prevalent in 90.1%, paroxysmal AF (PAF) in 5.5% and sustained AF (SAF) in 4.4% of patients. In SR, PAF, SAF groups, men were 52.1%, 52.7%, 57.3% and women were 47.9%, 47.3%, 42.7%, respectively (p for trend < 0.01). In SR, PAF, SAF male and female subgroups, mean age was 56.1, 65.9, 73.2 and 59.1, 68.5, 75.1, mean BMI 28.04, 28.71, 30.07 and 29.19, 31.32, 30.67, mean WHR 0.919, 0.942, 0.968 and 0.845, 0.889, 0.896, mean WSR 0.574, 0.600, 0.635 and 0.562, 0.603, 0.614, mean SI 13.99, 14.34 14.96 and 16.39, 17.33, 17.58, current smokers were 38.3%, 26.5% 26.3% and 29.7%, 20.0%, 25.0% of patients, former smokers 14.4%, 29.4% 35.1% and 7.8%, 12.9%, 20.8% of patients, light alcohol consumption was present in 56.7%, 46.6% 23.8% and 38.0%, 65.1%, 53.5% of patients, moderate alcohol consumption in 14.9%, 42.2%, 56.4% and 3.1%, 25.3%, 21.4% of patients, heavy alcohol consumption in 3.0%, 9.9%, 18.3% and 0.4%, 1.4%, 4.6% of patients, married were 82.1%, 87.4% 90.4% and 86.6%, 81.4%, 90.9% of patients, single 13.7%, 8.2%, 4.0% and 9.4%, 14.0%, 4.5% of patients and divorced 4.2%, 4.4%, 5.6% and 4.0%, 4.6%, 4.6% of patients, respectively (in men all p for trend < 0.01, in women p for trend < 0.01 only for age, WHR, WSR, SI, former smoking, heavy alcohol consumption).

Conclusions: All the examined social factors (sex, age, obesity, smoking, alcohol consumption and marital status) are associated with AF prevalence in hypertensive patients, especially in men.

11st Cardiology Department, Hippokration Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece

21st Cardiology Clinic, Antihypertension Center, Onassis Cardiosurgery Center, Athens, Greece

3ESH Center of Excellence for Hypertension, Cardiology Department, KAT General Hospital of Attica, Athens, Greece

4Cardiology Department, Hippokration Hospital, Athens, Greece

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