The possibility of early diagnostics of atrial fibrillation in patients with high risk of it’s development

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Abstract

Atrial fibrillation (AF) is the most common rhythm disorder. The consequences of undiagnosed AF are an increased risk of developing of heart failure and thromboembolic complications. The article is devoted to study of the possibility of using the medical device MyDiagnostick 1001R® in clinical practice for patients with the risk of AF development for early stage diagnosis.

Methods. A group of subjects included 30 patients who did not have a history of AF, but who had the risk factors for its development — arterial hypertension, diabetes, obesity, ischemic heart disease (IHD). The average age of participants was 65.9 ± 12.1 years. A questionnaire containing 16 questions was developed to identify the risk factors of AF development.

Results. From 30 participants 80% had arterial hypertension, 43.3% diabetes, 3.3% were obese, 50% suffered from IHD, 16.6% had stroke in anamnesis and 23.3% were smokers. All patients had a combination of risk factors. As a result, with the help of MyDiagnostick 1001R® 26.7% (8 patients) of the group was discovered to have AF episodes. For all participants recommendations for further examination and treatment were given.

Conclusions. MyDiagnostick 1001R® is a simple device that does not require additional equipment, and allows to identify previously undiagnosed AF within 24 hours for subsequent diagnosis. It allows us to recommend this device for screening of patients with AF risk factors.

About the authors

Ksenia S. Devyashina

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: ksusha-94-spb@mail.ru

Student

Russian Federation, Saint Petersburg

Ksenia G. Oganyan

North-Western State Medical University named after I.I. Mechnikov

Email: ksu21.08@mail.ru

Student

Russian Federation, Saint Petersburg

Stella M. Panchoyan

North-Western State Medical University named after I.I. Mechnikov

Email: stella.stella1994@mail.ru

Student

Russian Federation, Saint Petersburg

Yulia A. Yakovleva

North-Western State Medical University named after I.I. Mechnikov

Email: jul712_93@mail.ru

Student

Russian Federation, Saint Petersburg

Elena V. Frolova

North-Western State Medical University named after I.I. Mechnikov

Email: elena.frolova@szgmu.ru

DSc, Professor of Family Medicine Department

Russian Federation, Saint Petersburg

References

  1. Дамулин И.В., Андреев Д.А. Фибрилляция предсердий и инсульт // Российский медицинский журнал. - 2015. - № 21 (6). - С. 41-45. [Damulin IV, Andreev DA. The fibrillation of atrium and stroke. Rossiiskii meditsinskii zhurnal. 2015;21(6):41-45. (In Russ.)]
  2. Tieleman RG, Plantinga Y, Rinkes D, et al. Validation and clinical use of a novel diagnostic device for screening of atrial fibrillation. Europace. 2014;16(9):1291-1295
  3. Сулимов В.А., Ревишвили А.Ш., Шляхто Е.В., и др. Диагностика и лечение фибрилляции предсердий. - М., 2017. - 211с. [Sulimov VA, Revishvili ASh, Shlyahto EV, et al. Diagnostika i lechenie fibrillyacii predserdij. Moscow; 2017. 211p. (In Russ.)]

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2. Fig. ECG of patient P. with fixed atrial fibrillation

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Copyright (c) 2018 Devyashina K.S., Oganyan K.G., Panchoyan S.M., Yakovleva Y.A., Frolova E.V.

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