COMPARATIVE MULTI-ASPECT CHARACTERISTICS OF PATIENTS WITH ATRIAL FIBRILLATION, OBSERVING IN MEDICAL ORGANIZATIONS OF THE KURSK CITY AND AREAS OF THE REGION

Author(s):  I.L. Polshakova, Kursk State Medical University, Kursk , Russia, potolowa@mail.ru

S.V. Povetkin, Dr., Prof., Kursk State Medical University, Kursk , Russia, psv46@kursknet.ru

Issue:  Volume 42, № 1

Rubric:  Cardiology

Annotation:  The aim of the study was to determine the differences in clinical and anamnestic indicators, the frequency of use of methods of laboratory and instrumental diagnostics and pharmacotherapy in patients with atrial fibrillation (AF), observed in medical organizations of the city of Kursk and areas of the region. 896 people were included in the REKUR-AF database, including 212 people living in rural areas. The information base of the database was data obtained from patient outpatient records observed in 14 city and district medical institutions. Statistical data processing was carried out in accordance with generally accepted methodological approaches. As a result of the analysis, it was established that there are significant differences between patients with AF in the city and districts of the region in a number of clinical and anamnestic indicators. In urban patients, significantly higher frequency of diagnostic studies and the level of use of most drugs for the treatment of cardiovascular diseases was observed. A high risk of thromboembolic complications was detected in more than 80% of regional and urban patients, despite this, anticoagulant therapy was prescribed in only 17% and 19% of patients, respectively. Vitamin K antagonists prevailed among anticoagulants in regional patients, and new oral anticoagulants prevailed in patients living in the city.

Keywords:  atrial fibrillation, urban area, rural area, regional research, anticoagulant therapy

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