Presentation and Management of Cardiac arrhythmias ... an analysis of 75 referrals from Family Medicine Practitioners

Authors

  • Manzoor Mahmood Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • SA Mahmood Bangladesh Institute of Family Medicine & Research, Dhaka
  • Md Zahid Hossain Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • MA Quayum Bangladesh Institute of Family Medicine & Research, Dhaka
  • A Qader Senior Family Physician, Dhaka
  • Hasibur Rahman National Institute of Disease of the Chest & Hospital, Dhaka
  • KS Rahman United Hospitals, Dhaka
  • Md Khurshed Ahmed Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • SM Mustofa Zaman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Abu Salim Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Harisul Hoque Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka

DOI:

https://doi.org/10.3329/uhj.v5i1.3435

Keywords:

cardiac arrhythmias, family medicine practice

Abstract

Cardiac arrhythmias often present to family physicians with diverse clinical manifestations. This retrospective observational study was carried out in a private cardiology clinic in Dhaka from July 2004 to December 2008. A total of 1257 patients were referred from family physicians in the locality. 75 (5.96%) patients were diagnosed as having cardiac arrhythmia by ECG. Various types of atrial arrhythmias are more common than ventricular arrhythmias (60% vs 40%). Atrial fibrillation (N=18) and PVC (N=17) are the 2 commonest arrhythmias found in this study. This study identifies the clinical presentation, possible aetiology and management of patients having cardiac arrhythmias.

Palpitation (46.66%) and asymptomatic ECG changes (34.66%) were the 2 most common reasons for referral. Most of the patients could be managed on a out-patient basis. Most arrhythmias like 1st degree heart block, PAC & isolated PVC, RBBB, Sinus bradycardia were asymptomatic & did not need any further treatment except assurance & anxiolytics. Other arrhythmias like atrial fibrillation, LBBB, bifascicular or advanced heart block, SSS & SVT needed further evaluation. This article particularly focuses on the general approach of family physicians while dealing with patients with cardiac arrhythmias.

Key words: cardiac arrhythmias, family medicine practice  

doi: 10.3329/uhj.v5i1.3435

University Heart Journal Vol. 5, No. 1, January 2009 17-19

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Published

2009-08-18

How to Cite

Mahmood, M., Mahmood, S., Hossain, M. Z., Quayum, M., Qader, A., Rahman, H., Rahman, K., Ahmed, M. K., Zaman, S. M., Salim, M. A., & Hoque, M. H. (2009). Presentation and Management of Cardiac arrhythmias . an analysis of 75 referrals from Family Medicine Practitioners. University Heart Journal, 5(1), 17–19. https://doi.org/10.3329/uhj.v5i1.3435

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Section

Original Articles