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Antiarrhythmic therapy effectiveness evaluation in patient with atrial fibrillation and high ventricular rate before hospitalization

Polyakov Igor Alexeevich  (assistant lecturer of the Department of Anesthesiology, intensive care and emergency medicine I, VE Federal State Budgetary Educational Institution of Higher Education «Samara State Medical University» of the Ministry of Healthcare of the Russian Federation)

Trukhanova Inna Georgievna  (Grand PhD of Medical Science, Professor, Head of the Department of Anesthesiology, intensive care and emergency medicine IVE Federal State Budgetary Educational Institution of Higher Education «Samara State Medical University» of the Ministry of Healthcare of the Russian Federation)

Zinatullina Dilara Sabirovna  (PhD of Medical Science, associate professor, associate professor of Anesthesiology, intensive care and emergency medicine IVE Federal State Budgetary Educational Institution of Higher Education «Samara State Medical University» of the Ministry of Healthcare of the Russian Federation)

Alkova Diana Pavlovna  (student Federal State Budgetary Educational Institution of Higher Education «Samara State Medical University» of the Ministry of Healthcare of the Russian Federation)

The aim of this work was to study the effectiveness of antiarrhythmic therapy in paroxysmal atrial fibrillation in patients with a high rate of ventricular contractions before hospitalization. Documentation retrospective content analysis was carried out in 398 patients with paroxysmal AF who were treated with a rhythm control strategy. The assessment of the functional status of the cardiovascular system before and after the treatment was carried out using blood pressure measurement, electrocardiography and pulse oximetry. It has been proven that with a heart rate of less than 142 beats the antiarrhythmic therapy was less effective. In patients with an initial heart rate of 160 beats and above, a significantly higher frequency AF paroxysms shift was revealed, in comparison with patients whose heart rate was less than the specified level.

Keywords:atrial fibrillation, high heart rate, rhythm control, antiarrhythmic therapy, adults.

 

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Citation link:
Polyakov I. A., Trukhanova I. G., Zinatullina D. S., Alkova D. P. Antiarrhythmic therapy effectiveness evaluation in patient with atrial fibrillation and high ventricular rate before hospitalization // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2022. -№08. -С. 219-223 DOI 10.37882/2223-2966.2022.08.31
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