Aortic valve disease and atrial fibrillation. Report of 122 patients with electrographic, radiographic, and hemodynamic observations

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Abstract
Consecutive ante mortem patients [122] with proven severe aortic valve disease are presented with their ecg, radiologic, and hemodynamic findings. Atrial fibrillation was noted in 1 patient who had associated severe coronary arterial insufficiency resulting in an acute myocardial infarction. The rarity of atrial fibrillation in a series of patients with pure aortic valve disease is related to its poor prognostic implication and markedly shortened life span. This explains why the incidence of atrial fibrillation is much lower in this report than in previous postmortem series. Other findings in this series are consistent with earlier observations, with the exception of systemic arterial hypertension which was noted in only 4.7% of the patients with aortic stenosis, an observation lower than in previous reports.