scholarly journals Psychological charactheristics of personality and internal pattern of the disease in patients with different types of heart rhythm disorders

2021 ◽  
Vol 25 (2(98)) ◽  
pp. 96-102
Author(s):  
O. Polishchuk ◽  
T. Amelina ◽  
N. Zhyriada
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Arrhythmias ◽  
Heart Rhythm ◽  
Dispositional Optimism ◽  
Psychological Characteristics ◽  
Cardiac Conduction ◽  
Anxiety And Depression ◽  
Paroxysmal Tachycardia ◽  
Heart Rhythm Disorders ◽  
Different Types

Abstacts. We investigated psychological characteristics: anxiety, depression rate, hostility and aggression, subjective control level, dispositional optimism, and types of attitude to the disease in patients with different types of heart rhythm disorders.Objective. To determine psychological characteristics of personality, characteristics of the internal pattern of the disease, and quality of life in patients with different types of heart rhythm disorders.Results. 352 patients were examined. They were divided into 4 groups depending on the type of heart rate disorders: extrasystole (frequent – over 30 per 1 hour), atrial fibrillation, paroxysmal tachycardia, and deterioration of impulse conductivity, accompanied by bradycardia (sinoatrial block and sinus node dysfunction syndrome). All patients underwent a comprehensive psychodiagnostic study using the Toronto Alexithymia Scale, the Spielberger-Khanin Personal and Reactive Anxiety Scale, the Hospital Anxiety and Depression Scale (HADS), the Depression, Anxiety and Stress Questionnaire (DASS-21), the Bass-Darky test for aggressiveness and hostility diagnostics, study of the type of attitude to the disease (LOBI), the Rotter's Locus of Control Scale and the Dispositional Optimism Scale. It was found that with the same level of personality anxiety, patients with atrial fibrillation and life-threatening heart block demonstrated high levels of situational anxiety and depression. The index of aggression was the highest in patients with bradyarrhythmias and paroxysmal tachycardias. Harmonious, anxious and sensitive types of attitude to the disease are more common within all studied groups of patients with cardiac arrhythmias. Low levels of internality in health are observed in patients with extrasystole, especially in patients with atrial fibrillation. The Dispositional Optimism Test demonstrated a medium level of optimism among patients with extrasystole and paroxysmal tachycardia and a low level in patients with atrial fibrillation and cardiac conduction disorders.Conclusion. As a result of a comprehensive psychodiagnostic study, the psychological characteristics of the individual and the type of attitude to the disease in patients with various types of cardiac arrhythmias were determined. Mentioned disparities form the relevant internal pattern of the disease, which should be taken into account when planning treatment and rehabilitation measures.

scholarly journals Holter Monitoring and Loop Recorders: From Research to Clinical Practice

2016 ◽  
Vol 5 (2) ◽  
pp. 136 ◽  
Author(s):  
Alessio Galli ◽  
Francesco Ambrosini ◽  
Federico Lombardi ◽  
◽  
◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Arrhythmias ◽  
Cardiac Rhythm ◽  
Cryptogenic Stroke ◽  
Heart Rhythm ◽  
Holter Monitoring ◽  
Cardioverter Defibrillator ◽  
Proven Efficacy ◽  
Prolonged Monitoring ◽  
Monitoring Technologies

Holter monitors are tools of proven efficacy in diagnosing and monitoring cardiac arrhythmias. Despite the fact their use is widely prescribed by general practitioners, little is known about their evolving role in the management of patients with cryptogenic stroke, paroxysmal atrial fibrillation, unexplained recurrent syncope and risk stratification in implantable cardioverter defibrillator or pacemaker candidates. New Holter monitoring technologies and loop recorders allow prolonged monitoring of heart rhythm for periods from a few days to several months, making it possible to detect infrequent arrhythmias in patients of all ages. This review discusses the advances in this area of arrhythmology and how Holter monitors have improved the clinical management of patients with suspected cardiac rhythm diseases.

scholarly journals HAS-BLED scor system for the assessment of risk of breathing of patients on oral anticoagulant therapy // HAS-BLED skor sistem bodovanja za procjenu rizika od krvarenja pacijenata na oralnoj antikoagulantnoj terapiji

2018 ◽  
Vol 5 (1) ◽  
pp. 11
Author(s):  
Daniela Dobrovoljski
Keyword(s):  
Atrial Fibrillation ◽  
Oral Anticoagulant ◽  
Oral Anticoagulant Therapy ◽  
Vitamin K Antagonists ◽  
Oral Anticoagulants ◽  
Heart Rhythm ◽  
Clinical Problem ◽  
Coagulation Factors ◽  
Heart Rhythm Disorders ◽  
Anticoagulant Drugs

Oral anticoagulant drugs (OALs) are effective agents in the prevention and treatment of thromboembolic complications. However, despite standardization and application progression, OALs represent a significant clinical problem because they are small-therapeutic medicines that easily interact with food and medicine, which can substantially affect the increased or weakened therapeutic effect. Oral anticoagulants are 4-hydroxycoumarin derivatives and vitamin K antagonists, and their pharmacological activity is based on inhibition of the synthesis of coagulation factors in the liver. These drugs are effective in the prevention of venous thromboembolism, acute myocardial infarction (AIM), heart rhythm disorders by type of atrial fibrillation, stroke prevention, and the like. The most important and clinically commonly undesirable effect of OAL is bleeding. The risk of bleeding is greatest during the introduction of the drug in therapy and for the first few months of the onset of therapy. HAS-BLED scor is a skoring system developed to estimate the 1-year risk of major bleeding in patients with atrial fibrillation and is also used for other indications.

scholarly journals Problem of prescribing anticoagulant therapy in patients with atrial fibrillation on the regional level

2020 ◽  
pp. 19-25
Author(s):  
M. G. Nazarkina ◽  
V. V. Stolyarova ◽  
D. A. Karpova
Keyword(s):  
Atrial Fibrillation ◽  
Anticoagulant Therapy ◽  
Oral Anticoagulants ◽  
Significant Proportion ◽  
Heart Rhythm ◽  
Regional Level ◽  
Thromboembolic Complications ◽  
Constant Form ◽  
Heart Rhythm Disorders ◽  
The Republic

Introduction. Cardiovascular diseases are the leading cause of morbidity and mortality worldwide, with heart rhythm disorders accounting for a significant proportion of them. Atrial fibrillation (AF) is an arrhythmia that poses a risk of thromboembolic complications and is difficult to treat with ongoing preventive anticoagulant therapy. Aim of the study. To analyze the prescription of anticoagulant therapy to patients with AF on the regional level. Methods and results. The study included 72 patients with the nonvalvular form of AF (from 41 to 82 years old) of the Department of Rhythm and Conductivity Abnormalities of the State Budgetary Institution of the Republic of Mordovia RCH № 4 for 2019. Three groups were singled out depending on the AF form: the first one – patients with the constant form (n = 22), the second one (n = 24) – with the persistent form, the third one (n = 24) – with the paroxysmal form. The risk of thromboembolic complications was assessed using the CHA2DS2-VASc scale and hemorrhagic complications using the HAS-BLED scale. All patients had a high risk of thromboembolism (index above 2 points), which reflects multiple risk factors and indicates the need for oral anticoagulants (OAC). According to HAS-BLED scale calculations, the risk of haemorrhagic complications was low in most patients (2 or less points) – there was no significant increase in the risk of bleeding, but careful monitoring is required. Analysis of the results revealed that only 54% of patients took OAC, despite the fact that all patients were shown anticoagulant therapy. When analyzing the cases of patients who did not take anticoagulants, it was found that 23% of patients, despite the doctor’s recommendations, refused to take the drugs, 47% of patients justified the inability to control IHR and 30% were unable to purchase expensive new OAC. Conclusion. Despite the recommendations for the management of patients with atrial fibrillation, only 54% were prescribed oral anticoagulants.

scholarly journals Apelin and Atrial Fibrillation: The Role in the Arrhythmia Recurrence Prognosis

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Agata Salska ◽  
Michał Dziuba ◽  
Witold Salski ◽  
Krzysztof Chizynski ◽  
Marzenna Zielinska
Keyword(s):  
Atrial Fibrillation ◽  
Heart Rhythm ◽  
Persistent Atrial Fibrillation ◽  
Enzyme Linked Immunosorbent Assay ◽  
Direct Current Cardioversion ◽  
Heart Rhythm Disorders ◽  
Cardiology Clinic ◽  
Clinic Medical ◽  
Medical University

Apelin is a novel peptide of wide expression and multiple biological functions including the crucial role in cardiovascular homeostasis. The apelin role in the pathophysiology of heart rhythm disorders is considered, although the reports are scarce so far. The purpose of this study is to investigate the potential utility of apelin as a marker of arrhythmia recurrence after direct-current cardioversion (DC). The prospective, observational study included 60 patients (aged 41–86; 30% female) with nonvalvular, persistent atrial fibrillation from the group of 204 consecutive patients scheduled for DC during the 12-month period (from May 2010 to May 2011) in the Cardiology Clinic Medical University of Lodz, Poland. The study group was divided into SCD (successful DC), 45 (75%) patients, and NDC (nonsuccessful DC), 15 (25%) patients. Within the SCD group, the subgroups were distinguished depending on the time sinus rhythm maintenance after DC: up to 7 days (SDC-7), 11 patients; 7 to 30 days (SDC-30), 12 patients; over 90 days (SDC-90), 22 patients. Patients were evaluated during the hospitalization and within the 3-month follow-up period. The apelin level was determined within the plasma samples collected at the admission, using the commercially available enzyme-linked immunosorbent assay (ELISA) Kit for apelin-36. It was found that the median value of initial apelin in the subset of patients from groups NDC + SDC-7 + SDC-30 is significantly higher than from group SDC-90 (p=0.0463); there was no relationship between NDC and SCD overall. Neither of the compared subgroup pairs revealed statistically significant correlation between the proBNP concentration and the DC effectiveness in our population. In conclusion, in our study, proBNP was not a marker of arrhythmia recurrence whereas higher apelin concentration at the admission indicated patients in whom DC was not effective or they had an arrhythmia recurrence within a month-period observation.

scholarly journals HEART RHYTHM DISORDERS: THE IMPORTANCE OF SYSTEMIC APPROACH

2021 ◽  
Vol 19 (3) ◽  
pp. 335-343
Author(s):  
V. A. Snezhitskiy ◽  
◽  
L. V. Kalatsei ◽  
Keyword(s):  
Physical Examination ◽  
Cardiac Arrhythmias ◽  
Rapid Development ◽  
Heart Rhythm ◽  
Systemic Approach ◽  
Literature Analysis ◽  
History Taking ◽  
Conduction Disorders ◽  
Heart Rhythm Disorders ◽  
Instrumental Methods

Despite the rapid development of complex instrumental methods of diagnosis of rhythm and conduction disorders, careful history taking and physical examination do not lose their relevance and significance. Based on the literature analysis, this article reflects the methodology of complaints and history taking, and physical examination in patients with cardiac arrhythmias. Particular attention is paid to the importance of a systemic approach to the clinical examination of patients, which allows not only to suspect the presence of cardiac arrhythmias before recording an electrocardiogram, but also to suggest their character and features, which sets the direction for subsequent diagnostic search.

scholarly journals ABOUT THE ALLOCATION OF MENTAL DISORDERS RISK GROUPS IN THE PRACTICE OF CARDIOLOGY DEPARTMENT

2018 ◽  
Vol 2 (5) ◽  
pp. 114-120 ◽  
Author(s):  
Мария Дорофейкова ◽  
Mariia Dorofeikova ◽  
Сергей Задворьев ◽  
Sergey Zadvorev ◽  
Наталия Петрова ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Cardiac Arrhythmias ◽  
Emotional State ◽  
Heart Rhythm ◽  
Female Gender ◽  
Risk Groups ◽  
Cardiology Department ◽  
Heart Rhythm Disorders ◽  
Paroxysmal Hypertension ◽  
Emotional Condition

Differential diagnosis of somatic and somatoform pathology is a pressing issue in general practice. The aim of this study was to develop an algorithm for identification of the patients with indications for psychiatrist’s consultation and possible psychotropic therapy at the stage of admission to multi-disciplinary hospital. Material and methods. Regression analysis of data of 1031 patient hospitalized in the cardiology department of a multiprofile hospital was done with the aim of identifying factors determining the recommendation for receiving psychotropic therapy at discharge. Results. An algorithm for allocation among patients of cardiological profile individuals that require a multidisciplinary approach to treatment involving experts in the field of mental health is proposed. Factors included in the formula were labile or paroxysmal hypertension, the number of associated (non-cardiological) diagnosis, female gender and heart rate or heart rhythm disorders with the debut at the age below 55 or 50 years: I = 8 × L + D + 3 × F + 3 (6) × H. Conclusion. The revealed pattern may be useful in the clinic of internal diseases for screening of patients with a high contribution of the emotional state the severity of the condition. The doctors of the hospitals of somatic (therapeutic) profile should pay more attention to the psycho-emotional condition of patients with labile hypertension, early onset of cardiac arrhythmias, and large number of comorbidities. Patients that meet the criteria are likely to need a consultation of a psychotherapist or psychiatrist because of the presence of psychosomatic or other mental disorders.

scholarly journals Sex-age features of the prevalence and structure of heart rhythm disorders in the patients with severe Covid-infection

2021 ◽  
Vol 27 (1) ◽  
pp. 41-49
Author(s):  
Y.M. Mostovoy ◽  
T.D. Danilevych
Keyword(s):  
Cardiac Arrhythmias ◽  
Sinus Tachycardia ◽  
Sinus Bradycardia ◽  
Statistical Processing ◽  
Major Complication ◽  
Heart Rhythm ◽  
Left Ventricular ◽  
Heart Rhythm Disorders ◽  
Age Features ◽  
The Right

There is growing evidence that arrhythmias are a major complication of COVID-19 infection. Inflammation of the myocardium, cytokine storm, hypoxia, changes of electrolyte levels, coronary vasospasm, microcloths may be factors that contribute to the development of arrhythmias and changes of the ECG. The aim of the study was to determine the sex and age characteristics of the prevalence and structure of cardiac arrhythmias in patients with severe COVID infection. In the study were examined 133 patients with severe COVID-19 infection, who were in the intensive care unit of the city clinical hospital №1 in Vinnytsia at the period from April to December 2020 and as a result of treatment with improved health were discharged from the hospital. Statistical processing of the obtained data was performed using the statistical software package SPSS 12.0 for Windows using parametric and non-parametric methods of statistical analysis. It was found that the most common comorbid pathologies of the patients with severe COVID-19 were – arterial hypertension 90 (67.7%), coronary heart disease 91 (68.4%), chronic heart failure 65 (48.9%), obesity 47 (35.3%) and diabetes mellitus 32 (24.1%). It was found that the prevalence of cardiac arrhythmias in patients with severe COVID-19 was 86 (64.7%) patients. Among all arrhythmias, tachyarrhythmias predominated – 68 (51.1%), in the structure of which sinus tachycardia was the most common in 45 (33.8%) and atrial fibrillation (AF) – in 19 (14.3%) patients, respectively. In turn, sinus tachycardia was significantly more common among women. The prevalence of bradyarrhythmias was 60 (45.1%), in the structure of which were dominated sinus bradycardia 16 (12%) and blockade of the right branch of the His bundle 30 (22.6%). Among men, there was a tendency to the predominance of complete left bundle branch block. The prevalence of ischemic changes and/or repolarization disorders according to the ECG was 119 (89.5%), in the structure of which were dominated the presence of inversion of the T wave 91 (68.4%) and depression of the ST segment 54 (40.6%). The mean age of the patients with ischemic ECG changes was significantly higher compared to patients without signs of repolarization disorders. Among men, there was a predominance of pancreatic hypertrophy and a tendency to predominance of left ventricular hypertrophy.

scholarly journals Peripheral blood leukocyte telomere length as a possible prognostic marker for the development of atrial fibrillation

2020 ◽  
Vol 11 (2) ◽  
pp. 50-54
Author(s):  
Svetlana Yu. Nikulina ◽  
Ksenya Yu. Shihkova ◽  
Vladimir A. Shulman ◽  
Anna A. Chernova ◽  
Vladimir N. Maksimov
Keyword(s):  
Atrial Fibrillation ◽  
Telomere Length ◽  
Heart Rhythm ◽  
Peripheral Blood Leukocyte ◽  
Response To Therapy ◽  
Leukocyte Telomere Length ◽  
Risk Markers ◽  
Heart Rhythm Disorders ◽  
Blood Leukocyte

Atrial fibrillation is one of the most common heart rhythm disorders. The most prominent risk factor for atrial fibrillation is advanced age. Population ageing contributes to an increase in both the prevalence of this pathology and socio-economic burden of the disease for society in general and the patient in particular. Adequate therapy and prevention of atrial fibrillation requires the search for novel prognostic risk markers for disease development, progression, and patients response to therapy. One of these markers is the length of telomeres structures at the ends of chromosomes that protect them from degradation during cell division. The article provides an overview of world studies, both confirming and disproving the role of leukocyte telomere length in atrial fibrillation development.

scholarly journals Direct oral anticoagulants in atrial fibrillation patients aged 75 years or older: Efficacy and safety balance

2017 ◽  
Vol 89 (4) ◽  
pp. 4-7 ◽  
Author(s):  
V V Fomin ◽  
A A Svistunov ◽  
D A Napalkov ◽  
A A Sokolova ◽  
M A Gabitova
Keyword(s):  
Atrial Fibrillation ◽  
Elderly Patients ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Research Programme ◽  
Heart Rhythm ◽  
Scientific Data ◽  
Treatment And Prevention ◽  
Heart Rhythm Disorders ◽  
Prevention Of Thromboembolic Events

Atrial fibrillation (AF) is one of the most common heart rhythm disorders in the population. Researchers revealed a direct relationship between their incidence and a patient’s age long ago. One of the most challenging issues of clinical practice in patients with AF is anticoagulant therapy used in the so-called very elderly patients aged 75 years and older when age itself is a risk factor for developing both thromboembolic and hemorrhagic events due to anticoagulants, regardless of the mechanism of action of the latter. However, scientific data regarding the treatment and prevention of thromboembolic events in elderly and senile patients with AF are very scarce and often uninformative. The data from the EURObservational Research Programme-Atrial Fibrillation Registry Pilot Phase (EORP-AF Pilot) and the randomized clinical studies RELY, ROCKET AF, ARISTOTLE, and AVERROES were analyzed to identify the most safe and most effective anticoagulant for elderly patients (over 75 years). Relying on the analyses of literature data, the authors propose an algorithm based on clinical characteristics for choosing the anticoagulant for patients older than 75 years.

scholarly journals Drug correction of cardiac arrhythmias in patients with сoronary heart disease combined with mitral valve prolapse syndrome

2013 ◽  
Vol 17 (2 (66)) ◽  
pp. 94-96
Author(s):  
T. V. Naluzhna
Keyword(s):  
Atrial Fibrillation ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Mitral Valve ◽  
Cardiac Arrhythmias ◽  
Mitral Valve Prolapse ◽  
Prognostic Value ◽  
Sinus Tachycardia ◽  
Positive Impact ◽  
Paroxysmal Tachycardia

The paper presents data of cardiac arrhythmias in patients with coronary heart disease combined with the mitral valve prolapse syndrome. In these patients were dominated Sinus tachycardia, atrioventricular extrasystole, atrial fibrillation, paroxysmal tachycardia predominated in such patients. It has been proposed to include to the basic therapy these patients such preparations of magnesium, in particular, a domestic preparation – Rythmocor, taking into account the principal mechanisms of the development of arrhythmias. The antiarrhythmic, antiischemic, membranostabilizing action of the drug has been corroborated. A positive impact of Rhythmocor on the magnesium levels in the blood and a reduction of the duration of the interval QT has also been noteds correction of the arrhythmic syndrome has an important prognostic value in terms of reducing the risk of the onset of cardiac arrhythmias dangerous to life in patients with coronary heart disease, which occurs with the mitral valve prolapse syndrome.

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