THE FIRST CASE OF ATRIAL FIBRILLATION: APPROACH ISSUES
On the example of the clinical case of newly diagnosed atrial fibrillation, against the background of ischemic heart disease, diagnostic issues, clinical diagnosis, treatment tactics were considered. The emphasis was placed on the importance of lifestyle, the need for outpatient monitoring, timely examination and correction of patient treatment, including surgical intervention.
The example of a clinical case shows the effect of excessive physical exertion and psychoemotional factors on the onset of atrial fibrillation and the progression of heart failure in a patient who underwent myocardial infarction. For the first time the emergence of atrial fibrillation, 11 years after the infarction, is not amenable to drug therapy. The further tactics of the patient's management will depend on the results of anticoagulant therapy and repeated esophageal echocardiography. Moreover, the strategy of monitoring the frequency of ventricular rhythm is not inferior to the rhythm control strategy for the effectiveness of prevention of cardiovascular mortality and morbidity
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