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AF was associated with chronic diseases, such as hypertension (73.01%). The high percentage of patients distributed among old age group. The result find the age is important risk factor for atria patient. The study included (126) Atrial Fibrillation Jordanian patients. A special standardized question form is designed and to be filled by researcher after patient signing his consent paper. A non-probability (Convenience) sample of (126) patients with atrial fibrillation who are admitted to the cardiac unit at Prince Hamzah Hospital. The study was begun from January 2018 to July 2019. A cross-sectional study involving total-126-AF patients who admitted to Prince Hamzah Hospital with diagnosis of AF. To estimate the rate of atrial fibrillation (AF) among Jordanian patients, and to identify the clinical data of signs and symptoms, diagnostic criteria, complications, prognosis and management. Providers should be aware of the increased burden of atrial arrhythmia in PLWH and continue to encourage treatment of HIV infection while managing cardiovascular risk factors and screening for arrhythmias in symptomatic patients. HIV infection is a risk factor of atrial arrhythmia. Black race (RR 0.68 95% CI 0.47–0.97) was associated with decreased risk, whereas lower CD4 counts (RR 1.80 95% CI 1.18–2.77) and increased viral load (RR 1.57 95% CI 1.19–2.09) suggested increased risk of atrial arrhythmia in PLWH. Sex had no association with the risk of incidental atrial arrhythmia in PLWH (RR 1.47 95% CI 0.95–2.28). Risk of atrial arrhythmia was significantly higher in PLWH than in the general population (RR 1.35 95% CI 1.19–1.53). PRISMA standardized meta-analysis guidelines were followed.Īnalysis of 94,928 PLWH had an averaged incidence rate of 6.4 cases of atrial arrhythmia per 1000 person-years. Incidence rate, risk, and potential risk factors of atrial arrhythmia in PLWH were catalogued, after which random-effects models were used to estimate pooled summary statistics. Atrial arrhythmia was defined as atrial fibrillation or atrial flutter. This study aims to collectively analyze these studies to elucidate the incidence and risk factors of atrial arrhythmia in PLWH.įull-text assessments and data extraction were performed from available literature. Previous studies suggested that HIV infection is an independent risk factor for atrial arrhythmia. These findings highlight the need for combat casualty surveillance to further understand the AF/AFL risk within the military population and to elucidate the potential underlying pathophysiologic mechanisms.Īrrythmia atrial combat fibrillation flutter military service member.Cardiovascular diseases in people living with HIV (PLWH) are becoming increasingly relevant as HIV/AIDS has become more treatable with the advent of highly efficacious antiretroviral therapy. The association did not remain significant after adjustment for cardiovascular-related covariates. Higher AF/AFL incidence rate was observed among deployed service members with combat injury compared to servicemembers without injury. Additional adjustment for obesity, hypertension, diabetes, and vascular disorders, the association between injury and AF/AFL was no longer statistically significant (HR = 1.51 95% CI = 0.99, 2.52). After adjustment demographics and tobacco use, the association did not appreciably decrease (HR = 1.90 95% CI = 1.23, 2.93). The estimated cumulative incidence rates of AF/AFL for injured was higher compared to non-injured patients (hazards ratio = 2.04 95% confidence interval = 1.44, 2.87). There were 130 reported AF/AFL cases, 90 of whom were injured and 40 were non-injured. Competing risk regressions based on Fine and Gray subdistribution hazards model with were utilized to assess the association between injury and AF/AFL. The primary outcome was AF/AFL diagnosis identified using ICD-9-CM and ICD-10-CM codes. Sampled from the Department of Defense (DoD) Trauma Registry (n = 10,000), each injured patient in this retrospective cohort study was matched with a non-injured service member drawn from the Veterans Affairs/DoD Identity Repository. In this study, we investigated the impact of traumatic injury on AF/AFL among service members with deployment history. Atrial fibrillation and atrial flutter (AF/AFL), the most common atrial arrhythmias, have never been examined in combat casualties.
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