Left atrial appendage occlusion

Medical

Abstract Background One of the most important heart diseases is mitral stenosis (MS) that can due to left atrial and left atrial appendage clot. Blood clots in the left atrial appendage (LAA) can result in emboli, which can cause ischemia damage to the brain, kidneys, or other organs. Objective To determine the left atrial appendage occlusion Methods A cross-sectional study was conducted at a Global Medical Complex, Afghanistan, which was performed between September 2021 to July 2023, The total number of patients in our study were 100. The number of Male patients were 63 and female were 37. For all patients, we did diagnostic tests, BMI. We also took parameters of Diabetes , hypertension and coronary heart disease. We excluded pregnant women and children in our study. Data was tabulated and analyzed by SPSS version 25. Result In a current study total 100 patients were enrolled. The minimum age of patients were 61 years and the maximum age of the patients were 82 years. The mean age were 71.94±5.726years. The minimum BMI of patients were 23 (Kg/m2) and the maximum BMI were 35 (Kg/m2) . The mean BMI were 28.55±3.740 (Kg/m2). The minimum Diameter of the Appendage of patients were 17 (mm) and the maximum Diameter of the Appendage were 34 (mm). The mean Diameter of Appendage were 25.94±5.705 (mm). P-values were < 0.05. The frequency of type of appendage chicken wing were 24 and its percentage were 24%. The frequency of type of appendage cauliflower were 46 and its percentage were 46%. The frequency of type of appendage wingsockg were 30 and its percentage were 30%.The frequency of diagnostic test trans-oesophageal echocardiology (TEE) were 93 and its percentage were 93%. The frequency of diagnostic test Cardiac CT were 7 and its percentage were 7%. The frequency of chest pain were present in 98 patients and its percentage were 98% and the frequency of chest pain were not present in 2 patients and its percentage were 2%. Conclusion We concluded that left arterial appendage occlusion (LAAO) is the best strategy for stroke reduction in old age people. The left arterial appendage occlusion (LAAO) procedure is more beneficial as compared to open surgery. Patients who have left arterial appendage have chest pain and hypertension. This type of disease is more common in old age people. In our study males were more as compared to females.

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