Factors associated with the development of atrial fibrillation in COVID-19 patients
https://doi.org/10.21886/2712-8156-2025-6-4-87-92
Abstract
Objective: to determine predictors of atrial fibrillation (AF) development in the long-term period in patients who had suffered from COVID-19.
Materials and methods: the prospective study included 112 patients with no significant history of cardiovascular disease who were hospitalized with moderate to severe COVID-19. Upon admission, all patients underwent a general clinical examination, as well as determination of the concentration of NT-proBNP and the level of highly sensitive troponin T (HCTT). The patients were monitored for 366 [365; 380] days after discharge from the COVID-hospital.
Results: the patients were divided into 2 groups: group 1 consisted of 103 (92%) patients who did not have AF and group 2 included 9 (8%) patients who were diagnosed with AF paroxysm for the first time in the long-term follow-up period;. According to the results of the multifactorial analysis, statistically significant predictors associated with the development of AF after COVID-19 were: age 60 years, male gender, risk on the SCORE-2 scale, smoking index 20 pack/year, GFR value <70 ml/min/1.73 m2 and the sum of the points of the psychological component of health according to the SF questionnaire-36 less than 75.
Conclusion: traditional cardiovascular risk factors (old age, male gender, smoking, GFR), as well as a reduced psychological status during hospitalization have a significant impact on the development of AF in the long-term period in patients who have undergone COVID-19.
About the Authors
T. V. Kanaeva
Saratov State Medical University n. a. V. I. Razumovsky
Russian Federation
Russian Federation
Tatyana V. Kanaeva, assistant of hospital therapy department
Saratov
L. A. Nemtseva
Saratov State Medical University n. a. V. I. Razumovsky
Russian Federation
Russian Federation
Lada A. Nemtseva, 6th year student of the 1st group of the Institute of Clinical Medicine
Saratov
N. A. Karoli
Saratov State Medical University n. a. V. I. Razumovsky
Russian Federation
Russian Federation
Nina A. Karoli, MD, professor of hospital therapy department
Saratov
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Review
For citations:
Kanaeva T.V., Nemtseva L.A., Karoli N.A. Factors associated with the development of atrial fibrillation in COVID-19 patients. South Russian Journal of Therapeutic Practice. 2025;6(4):87-92. (In Russ.) https://doi.org/10.21886/2712-8156-2025-6-4-87-92
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