Известия высших учебных заведений. Поволжский регион: Медицинские науки (Feb 2022)
Comprehensive assessment of life quality of elderly and senile patients with tachysystolic atrial fibrillation and senile asthenia
Abstract
Background. Atrial fibrillation is currently an extremely common arrhythmia, according to forecasts, the proportion of this pathology will only increase in the future. Mortality from cardiovascular pathology occupies one of the leading positions, as well as this problem causes a significant decrease in the quality of life. Senile asthenia syndrome is symptom complex that leads to a decrease in the body’s tolerance to minor stressful effects, as well as an increase in the likelihood of an unfavorable outcome in the form of disability and mortality. At the same time, a fairly simple, economical and effective way to assess the physical and psychosocial aspects of the treatment of such patients is to determine the quality of life. Materials and methods. 123 patients with atrial fibrillation and senile asthenia syndrome were selected, two groups were formed, group 1 included patients who underwent sinus rhythm restoration, group 2 included patients with therapy aimed at controlling heart rate. Further, the assessment of the quality of life in both groups was carried out. Results. When analyzing the quality of life, it is noted that in the AF with normal ventricular response group, physical indicators are lower, such as physical functioning, role functioning associated with physical condition, general health and vital activity, while mental health indicators are at the level of the restored sinus rhythm group. Most likely, the data obtained are related to the specifics of senile asthenia syndrome, a significant difference in the duration of atrial fibrillation and a relatively small sample of patients. Conclusions. The combination of senile asthenia syndrome and atrial fibrillation significantly reduces the quality of life of patients. Patients using the sinus rhythm restoration technique have a better quality of life associated with physical indicators compared to the method of establishing a permanent form of atrial fibrillation with heart rate control, while mental indicators in these groups are comparable.
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