| Abstract | UVOD: Aritmije podrazumijevaju širok spektar poremećaja srčanog ritma s globalnom
prevalencijom od 1,5% do 5% u općoj populaciji. Fibrilacija i undulacija atrija najčešći su
oblici srčanih aritmija te dijele čimbenike rizika kao što su starija životna dob, muški spol,
arterijska hipertenzija, kardiovaskularne bolesti i prateći kirurški zahvati te pretilost.
Kardioverzija dovodi do uspješne konverzije abnormalnog srčanog ritma u sinusni ritam u
90% slučajeva.
CILJ: Cilj istraživanja bio je prikazati broj pacijenata kod kojih je provedena planirana
kardioverzija u Thalassotherapiji Opatija, u vremenskom periodu od 01.01.2018. do
01.01.2020. godine. Sekundarni ciljevi istraživanja bili su analizirati i prikazati pacijente kod
kojih je provedena planirana kardioverzija u navedenom periodu prema spolu, dobi i
indikacijama za kardioverziju.
METODE: Podaci su prikupljeni iz medicinske dokumentacije putem bolničkog
informatičkog sustava te su obrađivani putem programa Microsoft Office Excel 2016 i
Statistica (Version 13.5.0.17, 1984-2018 TIBCO Software Inc). Kolmogorov-Smirnovljev
testom testirana je normalnost raspodjele podataka, razlike u dobi ispitanika testirane su
putem Student T-testa za nezavisne uzorke, a za usporedbu razlike frekvencija korišten je
Fisher egzaktni test. Za sve testove uzeta je razina statističke značajnosti od 0,05 (5%).
REZULTATI: Unutar navedenog vremenskog razdoblja u Thalassoterapiji Opatija planirana
kardioverzija provedena je kod ukupno 79 ispitanika, od čega je bilo 65,82% (n=52)
muškaraca i 34,18% (n=27) žena. Prosječna dob ispitanika bila je 66,22 godina, a muški
ispitanici su u prosjeku bili mlađi od žena te je njihova prosječna dob iznosila je 66,08 godina,
a prosječna dob žena 66,48 godina. Sveukupno, u istraživanju je sudjelovalo 16,46% (n=13)
ispitanika mlađih od 60 godina i 83,54% (n=66) ispitanika koji imaju 60 godina ili više.
Najčešća indikacija za provedbu kardioverzije bila je fibrilacija atrija u sveukupno 82,28%
(n=65) slučajeva, dok je undulacija atrija bila indikacija u preostalih 17,72% (n=14)
slučajeva. |
| Abstract (english) | INTRODUCTION: Arrhythmias include a wide spectrum of heart rhythm disorders with a
global prevalence of 1.5% to 5% in the general population. Atrial fibrillation and undulation
are the most common forms of cardiac arrhythmias and share risk factors such as older age,
male gender, arterial hypertension, cardiovascular diseases and accompanying surgical
interventions, and obesity. Cardioversion leads to successful conversion of abnormal heart
rhythm to sinus rhythm in 90% of cases.
OBJECTIVE: The aim of the research was to show the number of patients who underwent
planned cardioversion in Thalassotherapy Opatija, in the period from 01.01.2018. until
01.01.2020. The secondary objectives of the research were to analyze and present patients
who underwent planned cardioversion in the specified period according to gender, age and
indications for cardioversion.
METHODS: Data were collected from medical records through the hospital's IT system and
were processed using Microsoft Office Excel 2016 and Statistica (Version 13.5.0.17, 1984-
2018 TIBCO Software Inc). The Kolmogorov-Smirnov test was used to test the normality of
the data distribution, the differences in the age of the subjects were tested using the Student Ttest for independent samples, and the Fisher exact test was used to compare the difference in
frequencies. A statistical significance level of 0.05 (5%) was taken for all tests.
RESULTS: Within the specified period, planned cardioversion was performed in
Thalassotherapy Opatija in a total of 79 subjects, of which 65.82% (n=52) were men and
34.18% (n=27) were women. The average age of the respondents was 66.22 years, and the
average age of the male respondents was younger than the women, and their average age was
66.08 years, and the average age of the women was 66.48 years. Overall, 16.46% (n=13) of
respondents under the age of 60 and 83.54% (n=66) of respondents who are 60 years or older
participated in the research. The most common indication for performing cardioversion was
atrial fibrillation in a total of 82.28% (n=65) of cases, while atrial undulation was the
indication in the remaining 17.72% (n=14) of cases.
CONCLUSION: Planned cardioversion is most often performed in men over 60 years old
with a diagnosis of atrial fibrillation or undulation |
