Prevalence and Risk Factors of Arrhythmias in Patients Undergoing Percutaneous Coronary Intervention in Palestine رسالة ماجستير

Abstract

Background:Heart disease stands as one of the leading global causes of mortality. In Palestine heart attacks accounted for 11.7% of all reported deaths. Percutaneous coronary intervention is considered the primary intervention, but complications may occur, including arrhythmia. Aim:This study seeks toassess the prevalencerateandcontributing risk factors of cardiac arrhythmias in patients with acute myocardial infarction undergoing percutaneous coronary intervention. Methods:A cross-sectional design was implemented, with data collected via data collection sheet. Study participants were recruited using convenience sampling technique. Data collection was conducted from March 1, 2024, to May 1, 2024. Results:Among 484 participants (mean age 47.45 years), 10.1% experienced post Percutaneous coronary interventionarrhythmias, with atrial fibrillation being most common (2.3%). Significant associations were found between arrhythmias and smoking, family history of coronary artery disease, body mass index, mean arterial pressure, and number of affected coronary arteries. Gender, prior medical history, and reason for percutaneous coronary intervention also correlated with arrhythmia risk, emphasizing its multifactorial nature in acute myocardial infarction patients undergoing percutaneous coronary intervention. Conclusion:This study highlights a 10.1% prevalence of postpercutaneous coronary intervention arrhythmias, with atrial fibrillation being the most frequent. Key risk factors include smoking, family history of coronary artery disease, body mass index, mean Arterial pressure, and multi-vessel coronary artery disease. Gender and prior V medical conditions, such as hypertension and diabetes, further contribute to arrhythmia risk. These results highlight the critical need for early detection and management of high-risk patients undergoing percutaneous coronary intervention to mitigate arrhythmia-related complications and improve clinical outcomes.