Abstract
This article presents the results of the clinical and statistical evaluation of the calls of patients with atrial fibrillation (AF) by the data of the emergency medical service in Moscow. Ambulance teams was performed a voluntary questionnaire survey of 5003 patients with AF. There were 17% of emergency calls for heart rhythm disturbances from the total number of cardiovascular diseases and 88% of these arrhythmias was AF. A clear trend was observed in the prevalence of AF in men of working age and in women in the older age group. Among the respondents prevails paroxysmal form of AF in 70.1% of cases. The average score on the risk scale of thromboembolic complications in patients with atrial fibrillation/flutter CHA2DS2-VASc was 3.56±1.71. The average score on the scale of risk assessment of ischemic stroke in patients with nonrheumatic atrial fibrillation/flutter CHADS2 was 1.85±1.13. The number of patients with a score of two or more on both scales was 87.7% and 59.3% respectively. 28% of patients with AF asked for medical help at least 48 hours after the onset of the paroxysm. Regular observation by a cardiologist is carried out in 50.5% of cases, by a therapist in 62.8%, jointly by a therapist and a cardiologist in 45% respectively. Continuous oral anticoagulant therapy is performed in 29.8% of patients with AF. The percentage of medical evacuations of patients with AF increased from 23.8% in 2015 to 27.1% in 2016. The study showed that regular clinical and statistical analysis of the effectiveness of medical care for patients with AF at all stages of medical surveillance is necessary.
Highlights
This article presents the results of the clinical and statistical evaluation of the calls of patients with atrial fibrillation (AF) by the data of the emergency medical service in Moscow
A clear trend was observed in the prevalence of AF in men of working age and in women in the older age group
The number of patients with a score of two or more on both scales was 87.7% and 59.3% respectively. 28% of patients with AF asked for medical help at least 48 hours after the onset of the paroxysm
Summary
2 — ГБУ «Станция скорой и неотложной медицинской помощи им. Представлены результаты клинико-статистического анализа вызовов пациентов с фибрилляцией предсердий (ФП) по данным скорой медицинской помощи г. Проведено добровольное анкетирование 5003 пациентов с ФП бригадами скорой медицинской помощи. Средний балл по шкале оценки риска тромбоэмболических осложнений у больных с фибрилляцией/трепетанием предсердий CHA2DS2-VASc составил 3,56±1,71. Средний балл по шкале оценки риска ишемического инсульта у больных с неревматической фибрилляцией/трепетанием предсердий CHADS2 составил1,85±1.13. Процент медицинской эвакуации пациентов с ФП увеличился с 23,8% в 2015 г. Исследование показало, что необходим регулярный клинико-статистический анализ эффективности оказания медицинской помощи пациентам с ФП на всех этапах медицинского наблюдения. Ключевые слова: скорая медицинская помощь, нарушения сердечного ритма, фибрилляция предсердий Для цитирования: Плавунов Н.Ф., Гапонова Н.И., Кадышев В.А., Абдрахманов В.Р., Акимов А.Е., Кулик А.И.
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