Atencion primaria
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To evaluate the aetiological understanding of auricular fibrillation, the control of ventricular frequency and treatment with anticoagulant drugs and plasmatic antiaggregants. ⋯ The predisposing factors found were as follows: arterial hypertension, 34%; alcohol intake, 23%; valvulopathy, 19%; ischaemic cardiopathy, 14%; and other cardiopathies, 10%. The average ventricular frequency found was 83 beats per minute. The most common drugs used were digitalis and amiodarone, this latter either alone or with other drugs. Out of a total of 21 patients suffering valvulopathy, 9 received treatment with coumarin. Of these 5 presented mitral valvulopathy and 3 a double mitral lesion. Eight patients (13.5%) received acetylsalicylic acid and 4 (6.8%) took other plasmatic antiaggregants. We can conclude that hyperthyroidism has little relevance as a cause of TA x AF. Each patient's possibilities for cardioversion were not assessed in depth. There were an excessive number of patients who had not had antiaggregant/anticoagulant treatment. Finally, we consider that amiodarone, given to control ventricular response, is over-used.
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To systematise primary attention to the disabled by means of a programme of specific action. To create a Risk Map for the problem of "abandonment of the elderly disabled". ⋯ 142 patients were included in the first year, and 203 in the second year, carrying out 4.66 and 5.95 programmed visits per patient per year, respectively. The Risk Map defined 28 areas ranked according to risk.