Category: Federal Forum Posters
Purpose: Non-communicable diseases, the major cause of death and disability, are vulnerable to many risk factors, some of which are modifiable and others non-modifiable. Atrial fibrillation increases the risk of stroke by 4-5 times and causes cardiovascular mortality. The CHA2DS2-VASc scoring system has been widely adopted as a stroke risk stratification tool in AF patients. This study was conducted to assess the association between the different sociodemographic factors and the past medical history on the CHA2DS2-VASc score among patients with atrial fibrillation.
Methods: A cross-sectional, conducted between January and June 2018, recruited patients from Lebanese community pharmacies chosen randomly from the list of pharmacies provided from the Lebanese Order of Pharmacists. Participants with a previous physician diagnosis of atrial fibrillation and documented on medical files were enrolled in this study.
Results: Out of 800 questionnaires distributed in community pharmacies, 524 (65.5%) were enrolled in the study (mean age=58.75 ± 13.59 years). The most common past medical diseases were hypertension (77.5%) and hyperlipidemia (66.8%). The majority of the patients had high risk for stroke defined with CHA2 DS2 VASc score. The results showed that both advanced age and female gender were significantly associated with higher CHA2 DS2 VASc score. In addition, retired individuals were significantly associated with higher CHA2 DS2 VASc score only when comparing compared moderate to low risk score.
Conclusion: This study highlights the fact that CHA2 DS2 VASc score is affected by the presence of concomitant disease in addition to some sociodemographic characteristics. The findings show the vital screening for all factors that can augment the high risk of cardiovascular progression among patients with atrial fibrillation.