Issue: 2021, Vol. 26, No. 4
ESTIMATION OF PULSE-REDUCED THERAPY EFFECTIVENESS IN PATIENTS WITH PERMANENT FORM OF ATRIAL FIBRILLATION: POSSIBILITIES OF ECG DAILY MONITORING
- Keywords
- atrial fibrillation, ECG daily monitoring, heart rate monitoring
- Abstarct
- Heart rate (HR) monitoring is one of the basic trends of atrial fibrillation (AF) treatment. Objective – to present clinical evaluation of the effectiveness of HR monitoring in patients with AF permanent form with duration of normosystole upon the results of ECG daily monitoring (ECG DM). Material and methods. 124 patients with permanent AF were examined, average age – 59,3 ± 10,9 years. The effectiveness of treatment was evaluated by traditional clinical criteria (HR in rest and in physical load) and by EHRA scale. ECG DM was performed by hardware and software complex “Polyspectrum” (“Neurosoft”, Ivanovo, licence № 00008164). Results and discussion. The definition technique of normosystole duration per day, in the day-time and in the nighttime upon ECG AF data is described. Upon the clinical criteria HR effective monitoring was marked in 87,1 % examined persons, and upon ECG DM by the suggested technique application – in 65,3 % cases. In 15 (12,1 %) patients more than 720 ventricular extrasystoles were registered, in 7 among them – episodes of unstable ventricular tachycardia; pauses more than 3 seconds – in 29 patients (23,4 %), minimal HR less than 37 beats per minute – in 27 (21,8 %). Conclusions. In patients with AF permanent form the estimation of normosystole duration per day according to ECG DM results might be used as supplementary evaluation method for pulse-reduced therapy effectiveness and it allows to reveal the groups of patients who need the correction of medication treatment
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