ATRIAL FIBRILLATION AND LEFT VENTRICLE SYSTOLIC FUNCTION IN MODERATE HYPERTENSIVE PATIENTS WHO COME TO THE EMERGENCY ROOM DUE TO INADEQUATE CONTROL OF BLOOD PRESSURE

Abstract

Objective: To determine the percentage of cases of atrial fibrillation (AF) and left ventricular systolic function (LVEF) documented in hypertensive patients (PH) who come to the emergency room due to poor blood pressure control and those who do not attend. Design and method: From July 2020 to July 2021, we have studied 100 patients with hypertension, 60 women and 40 men with an average age of 72±8 years, who have previously been diagnosed and treated for hypertension. Of these PH, 22 had gone to the emergency room due to poor control of the BP. All underwent a standard echocardiogram and ABPM within 6 months of being seen in consultation with the cardiology specialist. The following parameters were measured: systolic and diastolic blood pressure (TAS, TAD), left ventricle systolic function (LVEF), left atrial size (LA) -The results were compared between those who went to the Emergency Department (PHER) and those who did not attend (PH) and we showed them. Results: TABLE: Conclusions: The PH that come to the Emergency Department have higher blood pressures and a higher frequency of atrial fibrillation, although the LVEF does not present significant differences. The size of the LA is also larger in the worst controlled patients, which indicates that we should follow this PH group more closely because of the important risk they have.