A patient with atrial fibrillation and comorbidities in clinical practice

This article focuses on the etiology and pathogenesis of nonvalvular atrial fibrillation in patients with comorbidities such as coronary artery disease, heart failure, type 2 diabetes, and chronic kidney disease. The authors discuss the interconnection of atrial fibrillation and these diseases, and...

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Published inRossiĭskiĭ kardiologicheskiĭ zhurnal Vol. 25; no. 11; p. 4178
Main Authors Skotnikov, A. S., Algiyan, E. A., Sizova, Zh. M.
Format Journal Article
LanguageEnglish
Published FIRMA «SILICEA» LLC 05.12.2020
Subjects
atrial fibrillation
comorbidity
new oral anticoagulants
old age
rivaroxaban
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Summary:This article focuses on the etiology and pathogenesis of nonvalvular atrial fibrillation in patients with comorbidities such as coronary artery disease, heart failure, type 2 diabetes, and chronic kidney disease. The authors discuss the interconnection of atrial fibrillation and these diseases, and also note the need for protection of such patients (prevention of cardioembolic stroke and other systemic embolism, reduction of coronary risk, improvement of prognosis, slowing the progression of renal dysfunction, increasing medical adherence, etc.) by adequate antithrombotic therapy that does not lose effectiveness and/or safety in presence of multiple diseases and polypharmacy.
ISSN:1560-4071
2618-7620
DOI:10.15829/29/1560-4071-2020-4178