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September 2021 -
Volume 19, Issue 9


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From the Editor

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Incidence prevalence and management of different types of arrhythmia in patients with ischemic heart disease in Taif city
Ali M. AlabdaliMohammed N. Elganainy, Waad S. Alzahrani,
Abdulelah A. Asiri, Hanan R. Alhuthali, Hussain S. Alqahtani, Danah K. Kabrah
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94118


Knowledge, Attitude and Practice Toward the Use of Emergency Contraception Methods Among Women in the Kingdom of Saudi Arabia
Rehab Alsaleh, Nouf Khaleel Althagafi, Siba Nasser Algaidy, Noura Ali Alhasawi, Raffal Abdulwahab Algaedy
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94119

Knowledge, attitude and practice towards heat related illnesses of the general public of Jeddah, Saudi Arabia
Fathi El-Gamal, Ahmed Ghandoura, Abdullah Alammari, Bushra Alghamdi,
Lama Babhair, Sali alsabhani
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94120

Intertrochanteric Fracture Treated by Dynamic Hip Screw, Aden, Yemen
Abdulsalam Abdullah Hadi Mohsen
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94122

Regional Covid Issues

Essentials to prevent and live with COVID-19: An Explanatory Mixed Method Study at Bisha, Kingdom of Saudi Arabia
Muffarah Hamid Alharthi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94123

Anxiety and Perceived Stress among Physicians Working at Cairo University Hospitals Amid COVID-19 Pandemic
Eman Elsayed Sedik Ebrahim, Marwa Mostafa Ahmed, Dalia Mohamed Gaber,
Heba Galal Elnahas
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94125

Review

Semaglutide for the treatment of obesity - a review
Abubakar Bham, Mohsin Allah Ditta
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94116

Population and Community Studies

Burden of hypothyroidism in the primary care population in Qatar
Sabana Shaikh, Prince Christopher Rajkumar Honest
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94126

Knowledge, Attitudes, and Practice of mothers toward permanent and temporal contraindications of Breast Feeding in Taif city, Saudi Arabia
Manal El Nashar, Atheer Mohammed Al-fuhayd, Razan Abadel Algethami,
Abeer hammad Alharthi, Huda Abdullah Alessa, Areej mohmammed Abdullah
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94129

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
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September 2021 - Volume 19, Issue 9

Incidence prevalence and management of different types of arrhythmia in patients with ischemic heart disease in Taif city

(1) Consultant of internal medicine and cardiovascular medicine, Alhada Armed Forces hospital, Taif city, KSA.
(2) Consultant cardiovascular medicine, National Heart Institute, Egypt.
(3) Medical student, Taif university, KSA.

Corresponding author:
Dr. Waad S. Alzahrani
Faculty of medicine, Taif University, College of medicine,
Taif, Kingdom of Saudi Arabia
Tel.: 0555029952
Email: Waadaledwani@hotmail.com

Received: July 2021; Accepted: August 2021; Published: September 1, 2021. Citation: Ali M. Alabdali et al. Incidence prevalence and management of different types of arrhythmia in patients with ischemic heart disease in Taif city. World Family Medicine. 2021; 19(9): 6-13 DOI: 10.5742/MEWFM.2021.94118

Abstract


Background:
Despite considerable progress in management over the recent years, coronary artery disease (CAD) remains the leading cause of death.
Objectives: to assess the different types of arrhythmias in patients with ischemic heart diseases in Taif city.

Methods: A retrospective study was done on 529 patients from Taif, Saudi Arabia aged 30 to >75 years, of both genders and who had CAD, through the review of medical records of cardiac patients in AL Hada armed forces hospital. A checklist was used that included demographic features and risk factors for ischemic heart disease, symptoms of heart failure, medications that patients who had CAD used and types of arrhythmias.

Results: All patients had a type of arrhythmia during their hospital stay. The main types of arrhythmias were AF (26.8 %), conduction disturbance (38.2%) and first-degree heart block (9.1 %). Patients who had STEMI with symptoms of heart failure and arrhythmias had a significantly higher percentage for the need of DC shock compared to other patients. Patients with UA who developed low EF were shown to be significant as regards arrhythmias rather than normal EF. The number of affected vessels had no effect on the development of arrhythmias during the acute stage. The development of arrhythmia that required DC shock was more common in STEMI patients especially those who developed heart failure symptoms.

Conclusion: The need of assessment of heart failure symptoms and EF in patients with UA is essential to determine the need for implantable device insertion. Also, early administration of b-blocker decreases the risk of development of arrhythmia during an acute ischemic event.

Key words: arrhythmias, patients, ischemic, heart, disease, Taif







 


 

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