THE FIRST CASE OF ATRIAL FIBRILLATION: APPROACH ISSUES

  • M. V. Lutsyk V.N. Karazin Kharkiv National University, Kharkiv, Ukraine
  • N. I. Nesterenko V.N. Karazin Kharkiv National University, Kharkiv, Ukraine
  • N. E. Tselik V.N. Karazin Kharkiv National University, Kharkiv, Ukraine https://orcid.org/0000-0002-6658-8359
  • L. O. Martymianova V.N. Karazin Kharkiv National University, Kharkiv, Ukraine
Keywords: ischemic heart disease, atrial fibrillation

Abstract

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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Author Biographies

M. V. Lutsyk, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Svobody sq., 6, Kharkiv, 61022, Ukraine

 
N. I. Nesterenko, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Svobody sq., 6, Kharkiv, 61022, Ukraine

 
N. E. Tselik, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Svobody sq., 6, Kharkiv, 61022, Ukraine

 
L. O. Martymianova, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Svobody sq., 6, Kharkiv, 61022, Ukraine

 

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Published
2017-09-11
How to Cite
Lutsyk, M. V., Nesterenko, N. I., Tselik, N. E., & Martymianova, L. O. (2017). THE FIRST CASE OF ATRIAL FIBRILLATION: APPROACH ISSUES. The Journal of V. N. Karazin Kharkiv National University, Series "Medicine", (33), 71-75. Retrieved from https://periodicals.karazin.ua/medicine/article/view/9145
Section
Clinical case