References

therapeutic

Южно-Российский журнал терапевтической практики

South Russian Journal of Therapeutic Practice

2712-81563033-8344

РостГМУ

10.21886/2712-8156-2022-3-1-7-14

therapeutic-208

Research Article

ОБЗОРЫ

REVIEWS

Фибрилляция предсердий в старческом возрасте: современные возможности лечения

Atrial fibrillation in old age: current treatment options

https://orcid.org/0000-0003-1510-9204

Канорский

С. Г.

Kanorskii

S. G.

Канорский Сергей Григорьевич, — доктор медицинских наук, профессор, заведующий кафедрой терапии №2 факультета повышения квалификации и профессиональной переподготовки специалистов.

Краснодар.

Sergey G. Kanorskii — Dr. Sci. (Med.), Professor, Head of the Department of Internal Medicine № 2 of the Faculty of Advanced Training and Professional Retraining, Kuban State Medical University.

Krasnodar.

kanorskysg@mail.ru

Кубанский государственный медицинский университетРоссияKuban State Medical UniversityRussian Federation

2022

16032022

31714

2022

Канорский С.Г.

Kanorskii S.G.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.therapeutic-j.ru/jour/article/view/208

В старческом возрасте у больных с ФП сочетаются высокий риск инсульта, кровотечения и смерти, но такие пациенты были недостаточно представлены в рандомизированных клинических исследованиях. Проведены поиск и анализ 4176 литературных источников из баз данных MEDLINE/PubMed и eLIBRARY по ключевым словам «atrial fibrillation», «old age», «older», «elderly», «фибрилляция предсердий», «старческий возраст». В обзор включены важнейшие исследования, отражавшие современные представления о факторах риска развития, осложнениях и лечении ФП в старческом возрасте. Обсуждаются результаты терапии с целью контроля частоты желудочковых сокращений, для контроля синусового ритма при ФП с помощью лекарственных средств и катетерной аблации. Рассматриваются данные исследований предупреждения тромбоэмболических осложнений у больных с ФП путем применения антикоагулянтов и имплантируемых устройств.

In older age, patients with atrial fibrillation (AF) have a high risk of stroke, bleeding, and death, but such patients have been underrepresented in randomized clinical trials. A search and analysis of 4 176 literature sources from the MEDLINE/ PubMed and eLIBRARY databases was carried out for the keywords «atrial fibrillation», «old age», «older», «elderly». The review includes the most important studies reflecting the current understanding of risk factors for development, complications and treatment of AF in old age. The results of therapy to control the ventricular rate, to control sinus rhythm in AF with drugs and catheter ablation are discussed. The data of studies on the prevention of thromboembolic complications in patients with AF by the use of anticoagulants and implantable devices are considered.

обзорфибрилляция предсердийстарческий возрастлечениефакторы рискаконтроль частотыконтроль ритмакатетерная аблацияантикоагулянтыокклюзия ушка левого предсердия

reviewatrial fibrillationold agetreatmentrisk factorsrate controlrhythm controlcatheter ablationanticoagulantsleft atrial appendage occlusion

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The authors declare that there are no conflicts of interest present.