INFLUENCE OF PROPAFENONE ON THE DIASTOLIC FUNCTION OF THE LEFT VENTRICULAR MYOCARDIUM IN HYPERTENSION DISEASE COMPLICATED BY THE PAROSSYSMAL FORM OF АTRIAL FIBRILLATION
https://doi.org/10.29001/2073-8552-2018-33-1-40-44
Abstract
The aim of this work is to assess the effect of propafenone on the diastolic function of the left ventricle in hypertensive disease complicated by paroxysmal atrial fibrillation.
Materials and Methods. The study involved 86 patients with hypertonic disease, complicated by the paroxysmal form of atrial fibrillation. All patients underwent echocardiography with the definition of a set of generally accepted morphofunctional parameters. All patients were divided into 2 groups according to their age characteristics: 41–60 years old and over 60 years old. When included in the study, propafenone was administered at a dose of 600 mg to restore the rhythm, then after restoring the rhythm in it was administered at a dose of 450 mg per day during the year of observation.
Results and Conclusions. Propaphenone preserves the diastolic function of the left ventricle at its initial normal values for hypertensive disease complicated by the paroxysmal form of atrial fibrillation in patients aged 41–60 years and over 60 years. The drug does not cause progression of diastolic left ventricle dysfunction with its initial altered parameters in hypertensive disease complicated by paroxysmal atrial fibrillation.
About the Authors
I. S. DikRussian Federation
Therapist of the Highest Category, Cardiologist of the Highest Category
17/1, Kommunisticheskaya str., Novosibirsk, 630007
V. P. Drobysheva
Russian Federation
Dr. Sci. (Med.), Professor, Professor of Hospital Therapy Department, Physiotherapy Faculty
52, Krasny prospect, Novosibirsk, 630007
E. L. Poteryaeva
Russian Federation
Dr. Sci. (Med.), Professor, Head of Department of Emergency Therapy with Endocrinology and Occupational Pathology
52, Krasny prospect, Novosibirsk, 630007
L. A. Parnicova
Russian Federation
Physician of Functional Diagnostics of the Highest Category, Doctor of Ultrasound of the Highest Category
17/1, Kommunisticheskaya str., Novosibirsk, 630007
References
1. Бокерия Л. А., Шенгелия Л. Д. Механизмы фибрилляции предсердий: от идей и гипотез к эффективному пониманию проблемы. Анналы аритмологии. 2015; 1(11): 4–9 [Bokeria L.A., Shengelia L.D. Mechanisms of atrial fibrillation: from ideas and hypotheses to an effective understanding of the problem. Annals of Arrhythmology. 2015; 1(11): 4–9] (In Russ).
2. Nattel S., Guasch E., Savelieva I., Cosio G.F., Valverde I., Halperin J., Conroy J., Al-Khatib S., Hess P., Kirchhof P. Early management of atrial fibrillation to prevent cardiovascular complications. European Heart Journal. 2014; 35(22): 1448–1456.
3. Melduni R., Cullen M. Role of Left Ventricular Diastolic Dysfunction in Predicting Atrial Fibrillation Recurrence after Successful Electrical Cardioversion. Atrial Fibrillation. 2012; 5(4): 87–94.
4. Татарский Б. А., Баталов Р. Е., Попов С. В. Фибрилляция предсердий: патофизиологические подходы к выбору антиаритмической терапии. Томск: STT, 2013: 483 [Tatarsky B. A., Batalov R. E., Popov S. V. Atrial fibrillation: pathophysiological approaches to the choice of antiarrhythmic therapy. Tomsk: STT, 2013: 483] (In Russ).
5. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. European Heart Journal. 2016; 37: 2893–2962.
6. Тарзиманова А. И., Подзолков В. И., Лорья И. Ж., Макхоммади И. Н. Влияние пропафенона на иннотропную функцию у пациентов с гипертонией и фибрилляцией предсердий. Журнал Доктор.Ру. 2012; 6(74) [Tarzimanova A. I., Podzolkov V. I., Loria I. Zh., Makhomadi I. N. Influence of propafenone on the inotropic function in patients with hypertension and atrial fibrillation. Journal of Doctor.Ru. 2012; 6(74)] (In Russ).
7. Подзолков В. И., Тарзиманова А. И. Пропафенон в лечении нарушений ритма сердца. Кардиология. 2012; 5: 70–73 [Podzolkov V. I., Tarzimanova A. I. Propafenone in the treatment of heart rhythm disturbances. Cardiology. 2012; 5: 70–73] (In Russ).
Review
For citations:
Dik I.S., Drobysheva V.P., Poteryaeva E.L., Parnicova L.A. INFLUENCE OF PROPAFENONE ON THE DIASTOLIC FUNCTION OF THE LEFT VENTRICULAR MYOCARDIUM IN HYPERTENSION DISEASE COMPLICATED BY THE PAROSSYSMAL FORM OF АTRIAL FIBRILLATION. Siberian Journal of Clinical and Experimental Medicine. 2018;33(1):40-44. (In Russ.) https://doi.org/10.29001/2073-8552-2018-33-1-40-44