SUP ERVISION OF PATIENTS WITH ATRIAL FIBRILLATION IN THE SHORT-STAY EMERGENCY DEPARTMENT

  • A.A. Kholkina Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation https://orcid.org/0009-0003-7070-9795
  • A.A. Bobyleva Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation
  • E.K. Irklienko City Mariinsky Hospital. Liteyny Ave., 56, Saint Petersburg, Russian Federation, 191014
  • V.A. Isakov Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation
  • Ya.V. Sousova Saint Petersburg State Pediatric Medical University. 2 Lithuania, Saint Petersburg 194100 Russian Federation
Keywords: epidemiology, atrial fibrillation, emergency medical care

Abstract

Introduction. Atrial fibrillation remains the most common type of arrhythmia among adults. Aim. To determine the clinical and epidemiological characteristics of treated patients with atrial fibrillation in the short-stay emergency department in St. Petersburg State Budgetary Institution “City Mariinsky Hospital” for 2022–2023. Mater ials and methods. A single- stage epidemiological retrospective study of cases of medical care provided to patients with atrial fibrillation in the structure of a short-stay emergency medical department was conducted. Resul ts. The main form of atrial fibrillation in patients hospitalized at the St. Petersburg City Mariinsky Hospital is paroxysmal (75% of the total number of admissions). More than half of these patients are treated in the OSMP KP, restoring the rhythm against the background of drug cardioversion or spontaneously on the first day of hospitalization. Concl usion. The study demonstrates the effectiveness of treatment of patients with paroxysmal atrial fibrillation in a short-term emergency department, which reduces the length of hospitalization of patients with urgent cardiac pathology in the hospital structure.

References

Аракелян М.Г., Бокерия Л.А., Васильева Е.Ю. и др. Фибрилляция и трепетание предсердий. Клинические рекомендации 2020. Российский кардиологический журнал. 2021; 26(7): 4594. DOI: 10.15829/1560-4071-2021-4594.

Багненко С.Ф., Алимов Р.Р., Александрова Г.А. и др. Динамика работы коек скорой медицинской помощи в Российской Федерации. Скорая медицинская помощь. 2017;18(3):4–8. DOI: 10.24884/2072-6716-2017-18-3-4-8.

Парфенов В.Е. Багненко С.Ф., Мирошниченко А.Г. и др. Первый опыт работы отделения скорой медицинской помощи краткосрочного пребывания многопрофильного стационара. Скорая медицинская помощь. 2013;14(3):061–065.

Joglar J.A., Chung M.K., Armbruster A.L. et al. 2023 ACC/AHA/ACCP/HRS guideline for the diagnosis and management of atrial fibrillation: a report of the American College of Cardiology. American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024;149(1):12–15. DOI: 10.1161/cir.0000000000001218.

Kirchhof P., Camm A.J., Goette A. et al. Early rhythm-­control therapy in patients with atrial fibrillation. New England Journal of Medicine. 2020;383(14):1305–1316. DOI: 10.1056/nejmoa2019422.

Published
2025-02-25
How to Cite
Kholkina, A., Bobyleva, A., Irklienko, E., Isakov, V., & Sousova, Y. (2025). SUP ERVISION OF PATIENTS WITH ATRIAL FIBRILLATION IN THE SHORT-STAY EMERGENCY DEPARTMENT. Medicine: Theory and Practice, 9(4), 25-28. https://doi.org/10.56871/MTP.2024.29.80.004
Section
ORIGINAL PAPERS

Most read articles by the same author(s)