Журнал кардиореспираторных исследований 2025. №4

Тема статьи

ATRIAL FIBRILLATION IN PATIENTS UNDER 40 YEARS OF AGE: CLINICAL CHARACTERISTICS AND RISK FACTORS (82-85)

Авторы

Nosirova D.A., Arshad Jan, Naveed Ahmed, Muhammad Toseef Mudassar, Ashknaz Javed

Учреждение

Samarkand State Medical University

Аннотация

Atrial fibrillation (AF) is one of the most common and clinically significant heart rhythm disorders. Despite the fact that this arrhythmia predominantly occurs in elderly people, in recent years there has been an increase in the frequency of AF among patients under 40 years of age. Although the frequency of BF in this age group remains relatively low, its clinical significance is quite high due to possible long-term cardiovascular complications, including thromboembolism, heart failure, and stroke. The purpose of this study was to study the clinical and hemodynamic features of atrial fibrillation in patients under 40 years of age, to identify leading risk factors, and to assess the influence of metabolic and modifiable behavioral determinants on the development and recurrence of AF.

Ключевые слова

Atrial fibrillation (AF), thromboembolism,hemodynamic remodeling

Литературы

1. Soliman EZ, Lopez F, O’Neal WT et al. Atrial fibrillation and risk of ST-segment–elevation versus non–ST-segment–elevation myocardial infarction: the Atherosclerosis Risk in Communities (ARIC) Study. Circulation. 2015;131(21):1843–1850. https://doi.org/10.1161/ CIRCULATIONAHA.114.014145 2. Steinberg JS, Zelenkofske S, Wong SC, et al. Value of P-wave signal-averaged ECG for predicting atrial fibrillation after cardiac surgery. Circulation. 2017;88:2618–2622 3. Tanigawa M, Fukatani M, Konoe A, et al. Prolonged and fractionated right atrial electrograms during sinus rhythm in patients with paroxysmal atrial fibrilla-tion and sinus sick node syndrome. J Am Coll Cardiol. 2018;17:403–408. 4. Tereshchenko LG, Rizzi P, Mewton N et al. Infiltrated atrial fat characterizes underlying atrial fibrillation substrate in patients at risk as defined by the ARIC atrial fibrillation risk score. Int J Cardiol. 2014;172(1):196–201. https://doi.org/10.1016/j.ijcard.2014.01.012 5. Toh N, Kanzaki H, Nakatani S et al. Left atrial volume combined with atrial pump function identifies hypertensive patients with a history of paroxysmal atrial fibrillation. Hypertension. 2020;55:1150– 1156. https://doi.org/10.1161/HYPERTENSIONAHA.109.137760 6. van Diepen S, Siha H, Fu Y et al. Do baseline atrial electrocardiographic and infarction patterns predict new-onset atrial fibrillation after ST-elevation myocardial infarction? Insights from the Assessment of Pexelizumab in Acute Myocardial Infarction Trial. J Electrocardiol. 2021;43(4):351–358. https://doi. org/10.1016/j.jelectrocard.2010.04.001 7. Vilani GQ, Piepoli M, Cripps T, et al. Atrial late potentials in patients with paroxysmal atrial fibrillation detected using a high gain, signal- averaged esophageal lead. PACE. 2016;17:1118–1123. 8. Villareal R, Hariharan R, Liu B, et al. Postoperative atrial fibrillation and mortality after coronary artery bypass surgery. J Am Coll Cardiol. 2004;43:742–748. 9. Violi F, Soliman EZ, Pignatelli P et al. Atrial fibrillation and myocardial infarction: a systematic review and appraisal of pathophysiologic mechanisms. J Am Heart Assoc. 2016;5(5):e003347. https://doi.org/10.1161/JAHA.116.003347 10. Wang J, Yang YM, Zhu J. Mechanisms of new-onset atrial fibrillation complicating acute coronary syndrome. Herz. 2015;40(S1):18–26. https://doi.org/10.1007/s00059-014-4149-3 11. Wong CX, Sullivan T, Sun MT et al. Obesity and the risk of incident, post-operative, and post-ablation atrial fibrillation: a meta-analysis of 626,603 individuals in 51 studies. JACC Clin Electrophysiol. 2015;1(3):139–152. https://doi.org/10.1016/j.jacep.2015.04.004