The prognosis of the patients with violations of rhythm of the heart

The effect of an active 2-year outpatient regimen in patients with persistent cardiac rhythm disturbances in terms of cardiovascular prognosis was studied. The clinical status and outcomes of treatment in patients with ventricular, supraventricular, and combined cardiac arrhythmias were compared for 2 years. During this time, the patients did not reveal significant differences in the number of non-fatal complications (acute cerebrovascular accident, acute myocardial infarction, thromboembolism of the branches of the pulmonary artery, etc.).So, in the group with predominantly supraventricular rhythm disorders identified 5 strokes and 1 pulmonary embolism in the group with a primarily ventricular rhythm disturbances recorded 2 cases of acute myocardial infarction and 1 stroke and in the group with combined ventricular and supraventricular rhythm disorders in 4 patients who developed stroke. Meanwhile, deaths registered significantly more frequently only in patients with predominantly supraventricular rhythm disorders (7 cases vs. 1 and 0 respectively, p<0,05). And five of them had permanent atrial fibrillation, one paroxysmal and one female patient were fixed frequent supraventricular premature beats. Six died from stroke and one from thrombosis of mesenteric vessels. In the analysis of treatment in 7 patients of the above, it was revealed that five had attended kardiomagnil and trombas, and twowarfarin, and the indices of international normalized ratio of the last blood sampling of both were less than the acceptable range from 2 to. In addition, patients with predominantly supraventricular rhythm disorders were significantly more frequently hospitalized for urgent indications (45 hospitalizations compared with 18 and 11, respectively, p<0,05). The most frequent reason of hospitalization was another paroxysm of atrial fibrillation and new-onset atrial fibrillation. In 3,3%, frequent supraventricular premature beats during 2 years of follow-up documented transition of this arrhythmia in a more aggressive form-in atrial fibrillation, a dangerous thromboembolic complications. Frequent supraventricular extrasystoles a predictor atrial fibrillation.

heart rhythm disturbances, arrhythmias, atrial fibrillation, supraventricular extrasystoles ventricular extrasystoles, clinical outcomes, observation, thromboembolic complications