Open AccessAtrial fibrillation in old age: current treatment options
Author(s) -
S. G. Kanorskii
Publication year - 2022
Publication title -
ûžno-rossijskij žurnal terapevtičeskoj praktiki
Language(s) - English
Resource type - Journals
ISSN - 2712-8156
DOI - 10.21886/2712-8156-2022-3-1-7-14
Subject(s) - atrial fibrillation , medicine , catheter ablation , sinus rhythm , randomized controlled trial , stroke (engine) , cardiology , clinical trial , medline , ablation , intensive care medicine , mechanical engineering , political science , law , engineering
In older age, patients with atrial fibrillation (AF) have a high risk of stroke, bleeding, and death, but such patients have been underrepresented in randomized clinical trials. A search and analysis of 4 176 literature sources from the MEDLINE/ PubMed and eLIBRARY databases was carried out for the keywords «atrial fibrillation», «old age», «older», «elderly». The review includes the most important studies reflecting the current understanding of risk factors for development, complications and treatment of AF in old age. The results of therapy to control the ventricular rate, to control sinus rhythm in AF with drugs and catheter ablation are discussed. The data of studies on the prevention of thromboembolic complications in patients with AF by the use of anticoagulants and implantable devices are considered.