WJCD  Vol.5 No.10 , October 2015
Pulse Pressure as a Risk Factor of Atrial Fibrillation in Black African Elderly Patients
ABSTRACT
Objective: The aim of this study was to show the prognostic role of High Pulse Pressure (PP) in the occurrence of atrial fibrillation in Black African elderly patients. Materials and Methods: In a comparative retrospective study related to 2000 patients admitted to the Institute of Cardiology of Abidjan, from January 1991 to December 2010 for atrial fibrillation, we matched pulse pressure and atrial fibrillation in Black African elderly patients. Results: The mean age of patients was 65 ± 10 years. Patients with high pulse pressure were 4.8 times more at risk to present atrial fibrillation than those with normal pulse pressure. The threshold of high risk pulse pressure was 65 mmHg. Conclusion: Pulse pressure is a factor of bad prognosis of atrial fibrillation in Black African elderly patients.

Cite this paper
Koffi, J. , Coulibaly, I. , Gnaba, A. , Boka, B. , Koffi, F. , Tanoh, M. , Pinin and Guikahue, M. (2015) Pulse Pressure as a Risk Factor of Atrial Fibrillation in Black African Elderly Patients. World Journal of Cardiovascular Diseases, 5, 303-306. doi: 10.4236/wjcd.2015.510034.
References
[1]   Wolf, P.A., Abbott, R.D. and Kannel, W.B. (1991) Atrial Fibrillation as an Independent Risk Factor for Stroke: The Framingham Study. Stroke, 22, 983-988.
http://dx.doi.org/10.1161/01.STR.22.8.983

[2]   Stewart, S., Hart, C.L., Hole, D.J. and McMurray, J.J. (2002) A Population-Based Study of the Long-Term Risks Associated with Atrial Fibrillation: 20-Year Follow-Up of the Renfrew/Aisley Study. The American Journal of Medicine, 113, 359-364.
http://dx.doi.org/10.1016/S0002-9343(02)01236-6

[3]   Coulibaly, I., Anzouan-Kacou, J.B., Kouao, K.C., Kouadio, S.C. and Abouo-N’Dori, R. (2010) Fibrillation auriculaire: Epidémiologie à l’institut de cardiologie d’Abidjan. Médecine Tropicale, 70, 371-374.

[4]   Go, A.S., Hylek, E.M., Phillips, K.A., et al. (2001) Prevalence of Diagnosed Atrial Fibrillation in Adults: National Implications for Rhythm Management and Stroke Prevention: The Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. Journal of the American Medical Association, 285, 2370-2375.
http://dx.doi.org/10.1001/jama.285.18.2370

[5]   Benjamin, E.J., Levy, D., Vaziri, S.M., D’Agostino, R.B., Belanger, A.J. and Wolf, P.A. (1994) Independent Risk Factors for Atrial Fibrillation in a Population-Based Cohort: The Framingham Heart Study. Journal of the American Medical Association, 271, 840-844.
http://dx.doi.org/10.1001/jama.1994.03510350050036

[6]   Wang, T.J., Parise, H., Levy, D., et al. (2004) Obesity and the Risk of New-Onset Atrial Fibrillation. Journal of the American Medical Association, 292, 2471-2477.
http://dx.doi.org/10.1001/jama.292.20.2471

[7]   Mitchell, G.F., Parise, H., Benjamin, E.J., et al. (2004) Changes in Blood Stiffness and Wave Reflection with Advancing Age in Healthy Men and Women: The Framingham Heart Study. Hypertension, 43, 1239-1245.
http://dx.doi.org/10.1161/01.HYP.0000128420.01881.aa

[8]   Benetos, A., Temmar, M. and Safar, M. (2001) Rigidité artérielle, pression pulsée et risque cardio-vasculaire. Médecine Maghreb, 92, 9-12.

[9]   Gary, F.M., Ramachandran, S.V., Michelle, J.K., Helen, P., Thomas, J., Wang, Martin, G.L. (2007) Pulse Pressure and Risk of New-Onset Atrial Fibrillation. Journal of the American Medical Association, 297, 709-715.
http://dx.doi.org/10.1001/jama.297.7.709

[10]   Doumont, D., Libion, Fr. and Deccache, A. (1999) Les personnes agées et leur santé: Besoins, représentations, comportements (2ème partie). UCL-RESO, Unitéd’Education pour la santé, 6.

[11]   Albrecht, S., Peter, R. and Thomas, Z. (2006) Etiologie et traitement médicamenteux de la fibrillation/du flutter auriculaire. Forum Med Suisse, 6, 145-153.

[12]   Gardin, J.M., Arnold, A., Gottdiener, J.S., et al. (1997) Left Ventricular Mass in the Elderly: The Cardiovascular Health Study. Hypertension, 29, 1095-1103.
http://dx.doi.org/10.1161/01.HYP.29.5.1095

[13]   Hundley, W.G., Kitzman, D.W., Morgan, T.M., et al. (2001) Cardiac Cycle-Dependent Changes in Aortic Area and Distensibility Are Reduced in Older Patients with Isolated Diastolic Heart Failure and Correlate with Exercise Intolerance. Journal of the American College of Cardiology, 38, 796-802.
http://dx.doi.org/10.1016/S0735-1097(01)01447-4

[14]   Leite-Moreira, A.F., Correia-Pinto, J. and Gillebert, T.C. (1999) Afterload Induced Changes in Myocardial Relaxation: A Mechanism for Diastolic Dysfunction. International Journal of Cardiovascular Research, 43, 344-353.
http://dx.doi.org/10.1016/S0008-6363(99)00099-1

[15]   Vaziri, S.M., Larson, M.G., Lauer, M.S., Benjamin, E.J. and Levy D. (1995) Influence of Blood Pressure on Left Atrial Size: The Framingham Heart Study. Hypertension, 25, 1155-1160.
http://dx.doi.org/10.1161/01.HYP.25.6.1155

[16]   Tsang, T.S., Gersh, B.J., Appleton, C.P., et al. (2002) Left Ventricular Diastolic Dysfunction as a Predictor of the First Diagnosed Non Valvular Atrial Fibrillation in 840 Elderly Men and Women. Journal of the American College of Cardiology, 40, 1636-1644.
http://dx.doi.org/10.1016/S0735-1097(02)02373-2

[17]   Vasan, R.S., Larson, M.G., Levy, D., Galderisi, M., Wolf, P.A. and Benjamin, E.J. (2003) Doppler Transmitral Flow Indexes and Risk of Atrial Fibrillation (The Framingham Heart Study). American Journal of Cardiology, 91, 1079-1083.
http://dx.doi.org/10.1016/S0002-9149(03)00152-8

 
 
Top