THE PROBLEM OF DIAGNOSTICS OF ATRIAL FIBRILLATION IN THE REPUBLIC OF KAZAKHSTAN. CONSENSUS OF THE BOARD OF EXPERTS.
Atrial fibrillation is one of the most common and persistent cardiac rhythm disorders. Its prevalence is 1-2% in the general population. This abnormality not only aggravates the course of the main disease, but also leads to the development of such conditions as systemic thromboembolism, progression of heart failure, angina rest and tension. The problem of early diagnosis of atrial fibrillation is greatly complicated by the often latent course of arrhythmia. An earlier diagnosis of atrial fibrillation will allow timely treatment and reduce the risk of complications, as well as slowing the progression of arrhythmia itself, thereby reducing premature mortality, poor quality of life, the strain on the health system. Without screening, it is not possible to detect the asymptomatic course of arrhythmia before complications develop. The effectiveness of atrial fibrillation screening depends on the target population, the specificity of diagnostic tests and the duration of ECG registration. In order to structure and determine the optimal sequence of actions for the detection of this arrhythmia, the board of experts was held and the algorithm for the diagnosis of atrial fibrillation in the Republic of Kazakhstan was developed.
Gulnara A. Junusbekova1,2,
Meiramgul K. Tundybayeva1,2,
Tatiana N. Leonovich1,2
1 JSC “Asfendiyarov Kazakh National Medical University”, Almaty c., Republic of Kazakhstan;
2 “Society of specialists in arterial hypertension and cardiovascular prevention” PA,
Almaty c., Republic of Kazakhstan;
1. Анализ положения в области народонаселения в Республике Казахстан. 16.01.2020 Министерство национальной экономики Республики Казахстан Комитет по статистике и ЮНФПА Казахстан, стр.54-56 https://kazakhstan.unfpa.org/sites/default/files/pub.pdf, в свободном доступе, дата обращения 19.02.2022;
2. Клинический протокол диагностики и лечения «Фибрилляция и трепетание предсердий», протокол 105 от 09.07.2020. Республиканский центр развития здравоохранения Министерства Здравоохранения Республики Казахстан, https://diseases.medelement.com/disease/, в свободном доступе, дата обращения 19.02.2022;
3. Тулепбергенова А.А., Текебаева Л.А. Приверженность врачей общей практики к антикоагулянтной терапии при фибрилляции предсердий // Вестник КазНМУ, 2019, стр 249-250.
4. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS) European Heart Journal (2020) 00, 1—126;
5. Ben Freedman Screening for Atrial Fibrillation. A Report of the AF-SCREEN International Collaboration // Circulation. 2017. 135:1851–1867 doi.org/10.1161/CIRCULATIONAHA.116.026693.
6. Freedman B., Hindricks G. Banerjee A., Baranchuk A., Ching C.K., Du X., et al. World Heart Federation Roadmap on Atrial Fibrillation – A 2020 Update // Global Heart. 2021. 16(1):41. DOI: http://doi.org/10.5334/gh.1023;
7. Global Health Estimates 2020: Deaths by Cause, Age, Sex, by Country and by Region, 2000-2019. Geneva, World Health Organization; 2020, https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death, in the public domain, accessed 02/19/2022;
8. Gregory A. Roth, George A. Mensah et al. Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2019: Update From the GBD 2019 Study // Journal of the American College of Cardiology, Volume 76, Issue 25, 2020, Pages 2982-3021, ISSN 0735-1097, https://doi.org/10.1016/j.jacc.2020.11.010
9. Giuseppe Lippi, Global epidemiology of atrial fibrillation: An increasing epidemic and public health challenge, International Journal of Stroke, 2021 Feb;16(2):217-221. doi: 10.1177/1747493019897870
10. Haijiang Dai, Quanyu Zhang, Arsalan Abu Much, Elad Maor, et al., regional, and national prevalence, incidence, mortality, and risk factors for atrial fibrillation, 1990–2017: results from the Global Burden of Disease Study 2017 // European Heart Journal - Quality of Care and Clinical Outcomes, 2020, qcaa061, https://doi.org/10.1093/ehjqcco/qcaa061;
11. Hylek E.M., Phillips K.A. et al. Prevalence of diagnosed atrial fibrillation in adults // JAMA. 2001. 285(18):2370–2375.3, doi: 10.1001/jama.285.18.2370.
12. Salim S. Virani, et al. Heart Disease and Stroke Statistics— 2021 Update A Report From the American Heart Association // Circulation. 2021. 143:e254–e743. DOI:10.1161/CIR.0000000000000950;
13. Svennberg E. et al. Clinical outcomes in systematic screening for atrial fibrillation (STROKESTOP): a multicentre, parallel group, unmasked, randomised controlled trial // The Lancet, Volume 398, Issue 10310, 1498 – 1506;
References:
1. Analiz polozheniya v oblasti narodonaseleniya v Respublike Kazakhstan. 16.01.2020 Ministerstvo natsional'noi ekonomiki Respubliki Kazakhstan Komitet po statistike i JuNFPA Kazahstan [1. Analysis of the situation in the field of population in the Republic of Kazakhstan. 16.01.2020 Ministry of National Economy of the Republic of Kazakhstan Committee on Statistics and UNFPA Kazakhstan], str.54-56 https://diseases.medelement.com/disease/, v svobodnom dostupe, (accessed: 19.02.2022);
2. Klinicheskii protokol diagnostiki i lecheniya «Fibrillyatsija i trepetanie predserdii», protokol 105 ot 09.07.2020. Respublikanskii tsentr razvitiya zdravookhraneniya Ministerstva Zdravookhraneniya Respubliki Kazakhstan [Clinical protocol for the diagnosis and treatment of "Atrial fibrillation and flutter", protocol 105 of 07/09/2020. Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan], https://diseases.medelement.com/disease v svobodnom dostupe, (accessed:19.02.2022);
3. Tulepbergenova A.A., Tekebaeva L.A. Priverzhennost' vrachei obshhei praktiki k antikoagulyantnoi terapii pri fibrillyatsii predserdii [Tulepbergenova A.A., Tekebaeva L.A. Adherence of general practitioners to anticoagulant therapy in atrial fibrillation] // Vestnik KazNMU [Vestnik KazNMU], 2019, pp. 249-250;
Number of Views: 125
Category of articles:
Conference Report
Bibliography link
Junusbekova G.A., Tundybayeva M.K., Leonovich T.N. The problem of diagnostics of atrial fibrillation in the Republic of Kazakhstan. Consensus of the Board of Experts // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 2, pp. 240-248. doi: 10.34689/SH.2022.24.2.030Related publications:
THE PROBLEM OF DIAGNOSTICS OF ATRIAL FIBRILLATION IN THE REPUBLIC OF KAZAKHSTAN. CONSENSUS OF THE BOARD OF EXPERTS.
RESULTS OF THE 1ST INTERNATIONAL SCIENTIFIC AND PRACTICAL CONFERENCE: "MULTIDISCIPLINARY APPROACH IN THE PROVISION OF OBSTETRIC AND GYNECOLOGICAL CARE AT THE OUTPATIENT STAGE"