Article 3421

Title of the article

Comprehensive assessment of life quality of elderly and senile patients with tachysystolic atrial fibrillation and senile asthenia 

Authors

Mikhail V. Petrov, Assistant of the sub-department of internal medicine, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: mikh.petrov1@yandex.ru
Tat'yana N. Belugina, Candidate of medical sciences, associate professor of the sub-department of internal medicine, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: beluginatn@gmail.com
Larisa F. Burmistrova, Candidate of medical sciences, associate professor of the sub-department of internal medicine, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: lamax-69@mail.ru 

Index UDK

616.125-008.313 

DOI

10.21685/2072-3032-2021-4-3 

Abstract

Background. Atrial fibrillation is currently an extremely common arrhythmia, according to forecasts, the proportion of this pathology will only increase in the future. Mortality from cardiovascular pathology occupies one of the leading positions, as well as this problem causes a significant decrease in the quality of life. Senile asthenia syndrome is symptom complex that leads to a decrease in the body’s tolerance to minor stressful effects, as well as an increase in the likelihood of an unfavorable outcome in the form of disability and mortality. At the same time, a fairly simple, economical and effective way to assess the physical and psychosocial aspects of the treatment of such patients is to determine the quality of life. Materials and methods. 123 patients with atrial fibrillation and senile asthenia syndrome were selected, two groups were formed, group 1 included patients who underwent sinus rhythm restoration, group 2 included patients with therapy aimed at controlling heart rate. Further, the assessment of the quality of life in both groups was carried out. Results. When analyzing the quality of life, it is noted that in the AF with normal ventricular response group, physical indicators are lower, such as physical functioning, role functioning associated with physical condition, general health and vital activity, while mental health indicators are at the level of the restored sinus rhythm group. Most likely, the data obtained are related to the specifics of senile asthenia syndrome, a significant difference in the duration of atrial fibrillation and a relatively small sample of patients. Conclusions. The combination of senile asthenia syndrome and atrial fibrillation significantly reduces the quality of life of patients. Patients using the sinus rhythm restoration technique have a better quality of life associated with physical indicators compared to the method of establishing a permanent form of atrial fibrillation with heart rate control, while mental indicators in these groups are comparable. 

Key words

atrial fibrillation, senile asthenia syndrome, quality of life 

Download PDF
References

1. Stewart S., Hart C.L., Hole D.J., McMurray J.J. A populationbased study of the longterm risks associated with atrial fibrillation: 20-year follow-up of the Renfrew/Paisley study. Am. J. Med. 2002;113:359–364.
2. Demenko T.N., Chumakova G.A. Psychological status and quality of life of patients with different forms of atrial fibrillation. Sibirskoe meditsinskoe obozrenie = Siberian medical review. 2017;(4):23–30. (In Russ.)
3. Zoni-Berisso M., Lercari F., Carazza T., Domenicucci S. Epidemiology of atrial firillation: European perspective. J Clinical Epidemiology. 2014;62:213–220.
4. Petrova G.A., Gilyarov M.Yu., Andreev D.A. [et al.]. Influence of treatment strategy on the quality of life of patients with paroxysmal and persistent atrial fibrillation. Vestnik aritmologii = Bulletin of arrhythmology. 2015;(80):17–25. (In Russ.)
5. Groenveld H.F., Crijns H.J. Van den Berg MP, Van Sonderen E. [et al.]. RACE II Investigators. The effect of rate control on quality of life in patients with permanent atrial fibrillation: data from the RACE II (Rate Control Efficacy in Permanent Atrial Fibrillation II) study. J Am CollCardiol. 2011;58:1795-803.

 

Дата создания: 22.02.2022 13:47
Дата обновления: 24.02.2022 13:18