NON-CARdIOGENIC THROMOEMBOLIC COMPLICATIONS IN ATRIAL FIBRILLATION


Cite item

Full Text

Abstract

Intracardiac thrombus of the left atrial appendage or left ventricular apex are considered to be the causes of thromboembolic complications in atrial fibrillation. However, in many cases it is difficult to reveal the source of embolism despite thorough examination of the patient. In this article, we analyze other potential sources of thromboembolic complications in atrial fibrillation. Changes in the main parameters of heart biomechanics and main arteries hemodynamics (speed, acceleration, power, work) in case of permanent atrial fibrillation are described. The most dangerous type of atrial fibrillation from the perspective of the development of thromboembolic complications was determined. The article describes the mechanisms of the development of thromboembolic complications in patients without left appendage thrombus and thrombosis of heart apex. The need to perform 24-hours ECG monitoring and sphygmography of main arteries in order to evaluate the risk of thromboembolic complications is justified in the article.

About the authors

A V Germanov

Samara State Medical University

Email: olga_germ@mail.ru
Candidate of Medicine, Associate Professor, Chair of Propedeutic Therapy, Samara State Medical University

O A Germanova

Samara State Medical University

Email: olga_germ@mail.ru
Candidate of Medicine, Functional diagnostic doctor of the Functional and Ultrasound Diagnostic Department, Clinics of Samara State Medical University

O V Tereshina

Samara State Medical University

Email: ovpis@yandex.ru
Candidate of Medicine, Associate Professor, Chair of Functional Diagnostics, Head of the Department of Functional and Ultrasound Diagnostics of the Clinics of Samara State Medical University.

V A Germanov

Samara State Medical University

Email: reanimator2323@gmail.com
Specialist in X-ray-endovascular diagnostics and treatment, Faculty Surgery Clinics of Samara State Medical University.

M V Piskunov

Samara State Medical University

Email: maksim.piskunov@list.ru
Candidate of Medicine, Associate Professor, Department of Propedeutical Therapy, Samara State Medical University, Head of Cardiological Department of the Clinics of Samara State Medical University.

M Yu Stepanov

Samara State Medical University

Email: mich_stepanov@mail.ru
Neurologist, Department of Surgical Vascukar Neurology of the Faculty Surgery Department Clinic of Samara State Medical University.

References

  1. Бокерия Л.А. Профилактика инсульта при фибрилляции предсердий // Анналы аритмологии. - 2005. - Т. 2. - № 3. - С. 45-54
  2. Германов А.В., Борзенкова Г.А., Германова О.А., Щукин Ю.В. Особенности гемодинамики и кинетики магистральных артерий при экстрасистолии // Конгресс «Сердечная недостаточность»; Декабрь 9-10, 2016; Москва
  3. Германов А.В., Германова О.А., Борзенкова Г.А. Гемодинамика и кинетика магистральных артерий как фактор риска тромбоэмболических осложнений при фибрилляции предсердий // VII Всероссийский съезд аритмологов; Июнь 1-3, 2017; Москва
  4. Германова О.А., Германов А.В., Крюков Н.Н., и др. Функциональная классификация экстрасистолии // VII Всероссийский съезд аритмологов; Июнь 1-3, 2017; Москва
  5. Кушаковский М.С. Фибрилляция предсердий (причины, механизмы, клинические формы, лечение и профилактика). - СПб., 1999
  6. Cerebral Embolism Task Force. Cardogenic brain embolism. The Second Report of the Cerebral Embolism Task Force. Arch Neurol. 1989;46(7):727-743. doi: 10.1001/archneur.1989.00520430021013
  7. Fiore LD. Anticoagulation: risks and benefits in atrial fibrillation. Geriatrics. 1996;51(6):22-24, 27-28, 31
  8. Fisher CM. Reducing risks of cerebral embolism. Geriatrics (Basel, Switzerland). 1979;34(2):59-61

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2018 Germanov A.V., Germanova O.A., Tereshina O.V., Germanov V.A., Piskunov M.V., Stepanov M.Y.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).