РАСПРОСТРАНЕННОСТЬ ФИБРИЛЛЯЦИИ ПРЕДСЕРДИЙ И АССОЦИИРОВАННЫЕ ФАКТОРЫ У БОЛЬНЫХ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИЕЙ В УСЛОВИЯХ ПЕРВИЧНОЙ МЕДИКО-САНИТАРНОЙ ПОМОЩИ
Введение. Артериальная гипертензия (АГ) является самым распространенным фактором риска фибрилляции предсердий (ФП). Первичная профилактика ФП признана приоритетным направлением медицинской науки и практики.
Цель: изучить распространенность ФП и основные факторы риска, ассоциированные с ней у больных АГ без перенесенного коронарного события в условиях первичной медико-санитарной помощи (ПМСП).
Методы: В одномоментное поперечное исследование включались пациенты с АГ в возрасте 40 лет и старше, посетившие клиники ПМСП с января по сентябрь 2018г (n=1121). Критерии исключения: пороки сердца, ишемическая болезнь сердца, нарушение функции щитовидной железы, тяжелые соматические заболевания. Потенциальными предикторами ФП были возраст, пол, вес, рост, окружность талии, индекс массы тела, систолическое, диастолическое и пульсовое артериальное давление, статус курения, сахарный диабет (СД), общий холестерин и креатинин сыворотки.
Ассоциации между ФП и указанными переменными изучались с использованием многофакторного логистического регрессионного анализа. Распространенность ФП и отношение шансов (ОШ) представлены с 95% доверительными интервалами (ДИ).
Результаты: Распространенность ФП составила 4,7% (95% ДИ: 3,60-6,10). СД (ОШ=2,80; 95% ДИ: 1,40-5,58), возраст 60-69 лет (ОШ=4,18; 95% ДИ: 1,32-13,26), возраст 70 лет и старше (ОШ=27,68; 95% ДИ: 7,40-103,52), курение (ОШ=5,99; 95% ДИ: 2,62-13,70), окружность талии (ОШ=1,07; 95% ДИ: 1,04-1,10) и рост (ОШ=1,09; 95% ДИ: 1,03-1,15) были значимо связаны c ФП. У женщин ФП встречалась реже (ОШ=0,11; 95% ДИ: 0,04-0,32). Площадь под ROC кривой модели составила 87,3% (p<0,001). Чувствительность и специфичность модели составили 88,7% и 69,5%, соответственно.
Выводы: Распространенность ФП у больных АГ высокая. СД, возраст 60-69 лет, возраст 70 лет и выше, курение, абдоминальное ожирение и высокий рост были значимо связаны с ФП. У женщин распространенность ФП была меньше. Для снижения распространенности ФП у больных с АГ в Казахстане, особенно у мужчин, наряду с контролем АД, целесообразно контролировать выявленные факторы риска ФП.
Женисгуль Ш. Тлегенова 1, https://orcid.org/0000-0002-3707-7365
Бекболат К. Жолдин 1, http://orcid.org/0000-0002-4245-9501
Гульмира З. Кудайбердиева 2, http://orcid.org/0000-0003-4099-8816
Аян С. Абдрахманов 3, https://orcid.org/0000-0001-6315-5016
Андрей М. Гржибовский 1, 4-6, http://orcid.org/0000-0002-5464-0498
1 Западно-Казахстанский медицинский университет имени Марата Оспанова, г. Актобе, Республика Казахстан;
2 Центр последипломного образования и научных исследований, г. Бишкек, Киргизия;
3 Отделение интервенционнойаритмологии, Национальный научный кардиохирургический центр, г. Астана, Республика Казахстан;
4 Северный Государственный медицинский университет, г. Архангельск, Российская Федерация;
5 Северо-Восточный федеральный университет, г. Якутск, Российская Федерация;
6 Казахский Национальный Университет им. Аль-Фараби, г. Алматы, Республика Казахстан
1. Акпанова Д.М., Беркинбаев С.Ф., Мусагалиева А.Т., Оспанова Д.А. Распространенность и Основные факторы риска развития фибрилляции предсердий // Вестник КазНМУ. 2016. №2. С.70-76.
2. Тлегенова Ж.Ш., Кудайбердиева Г.З., Жолдин Б.К., Абрахманов А.С. Скрининг на фибрилляцию предсердий // Клиническая медицина Казахстана. 2018. №1(47). С.18-24.doi:110.23950/1812-2892-JCMK-00542
3. Унгуряну Т.Н., Гржибовский А.М. Программное обеспечение для статистической обработки данных Stata: введение // Экология человека. 2014. №1. С. 60-63.
4. Шарашова Е.Е., Холматова К.К., Горбатова М.А., Гржибовский А.М. Применение множественного логистического регрессионного анализа в здравоохранении с использованием пакета статистических программ SPSS // Наука и Здравоохранение. 2017. № 4. С. 5-26
5. Alberti K.G., Eckel R.H., Grundy S.M., Zimmet P.Z., Cleeman J.I., Donato K.A., et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. International Diabetes Federation Task Force on Epidemiology and Prevention; Hational Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; International Association for the Study of Obesity // Circulation. 2009, 120(16), p.1640-5. doi:10.1161/CIRCULATIONAHA.109.192644.
6. Allan V., Honarbakhsh S., Casas JP., Wallace J., Hunter R., Schilling R., Perel P., Morley K., Banerjee A., Hemingway H. Are cardiovascular risk factors also associated with the incidence of atrial fibrillation? A systematic review and field synopsis of 23 factors in 32 population-based cohorts of 20 million participants // ThrombHaemost. 2017, 117(5), p.837-850. doi: 10.1160/TH16-11-0825
7. Alonso A., Krijthe B.P., Aspelund T., Stepas K.A., Pencina M.J., Moser C.B., Sinner M.F., Sotoodehnia N. et.al.Simple risk model predicts incidence of atrial fibrillation in a racially and geographically diverse population: the CHARGE-AF consortium // J Am Heart Assoc.2013, 2(2):e000102. doi: 10.1161/JAHA.112.000102
8. Badheka A.O., Rathod A., Kizilbash M.A., Garg N., Mohamad T., Afonso L., Jacob S. Influence of obesity on outcomes in atrial fibrillation: yet another obesity paradox // Am J Med. 2010,123(7),p. 646-51. doi: 10.1016/j.amjmed.2009.11.026
9. Boriani G., Diemberger I. Globalization of the epidemiologic, clinical, and financial burden of atrial fibrillation // Chest. 2012, 142(6), p.1368-1370. doi: 10.1378/chest.12-1091
10. Boriani G., Laroche C., Diemberger I., Fantecchi E., Popescu M/I., Rasmussen L.H., Sinagra G., Petrescu L., Tavazzi L., Maggioni A.P., Lip G.Y. Asymptomatic atrial fibrillation: clinical correlates, management, and outcomes in the EORP-AF Pilot General Registry // Am J Med. 2015, 128(5), p.509-18.e2. doi: 10.1016/j.amjmed.2014
11. Chamberlain A.M., Agarwal S.K., Folsom A.R., Duval S., Soliman E.Z., Ambrose M., Eberly L.E., Alonso A. Smoking and incidence of atrial fibrillation: results from the Atherosclerosis Risk in Communities (ARIC) study // Heart Rhythm. 2011,8(8), p.1160-6. doi: 10.1016/j.hrthm.2011.03.038
12. Davis R.C., Hobbs F.D., Kenkre J.E, Roalfe A.K., Iles R., Lip G.Y., et all. Prevalence of atrial fibrillation in the general population and in high-risk groups: the ECHOES study // Europace. 2012, 14(11), p.1553-1559. doi:10.1093/europace/eus087
13. Dublin S., Glazer N.L., Smith N.L., Psaty B.M., Lumley T., Wiggins K.L., Page R.L., Heckbert S.R. Diabetes mellitus, glycemic control, and risk of atrial fibrillation // J Gen Intern Med. 2010, 25(8),p.853-8. doi: 10.1007/s11606-010-1340-y
14. Frost L., Hune L.J., Vestergaard P. Overweight and obesity as risk factors for atrial fibrillation or flutter: the Danish Diet, Cancer, and Health Study // American Journal of Medicine.2005, 118, p.489–495
15. Gorenek B., Pelliccia A., Benjamin E.J., Boriani G., C1rijns H.J., Fogel RI., et al. European Heart Rhythm Association (EHRA)/ European Association of Cardiovascular Prevention and Rehabilitation (EACPR) position paper on how to prevent atrial fibrillation endorsed by the Heart Rhythm Society (HRS) and Asia Pacific Heart Rhythm Society (APHRS) // Europace.2017, 19(2), p.190-225. doi: 10.1093/europace/euw242
16. HaimM., Hoshen M., Reges O., Rabi Y., Balicer R, Leibowitz M., Prospective national study of the prevalence, incidence, management and outcome of a large contemporary cohort of patients with incident non-valvular atrial fibrillation // J Am Heart Assoc. 2015, Jan 21;4(1):e001486. doi: 10.1161/JAHA.114.001486
17. Hart R.G., Pearce L.A., Aguilar M.I. Meta-analysis: antithrombotic therapy to prevent stroke in patients who have nonvalvular atrial fibrillation // Ann Intern Med. 2007, 146(12), p.857-867
18. Harvey A., Montezano A.C., Touyz R.M. Vascular biology of ageing-Implications in hypertension // J Mol Cell Cardiol. 2015, 83, p.112-21. doi: 10.1016/j.yjmcc.2015.04.011
19. Huxley R.R., Filion K.B., Konety S., Alonso A. Meta-analysis of cohort and case-control studies of type 2 diabetes mellitus and risk of atrial fibrillation // AmJCardiol.2011, 108(1), p.56-62. doi: 10.1016/j.amjcard.2011.03.004
20. Huxley R.R., Lopez F.L., Folsom A.R., Agarwal S.K., Loehr L.R., Soliman E.Z., et al. Absolute and attributable risks of atrial fibrillation in relation to optimal and borderline risk factors: the Atherosclerosis Risk in Communities (ARIC) Study // Circulation.2011, 123, p.1501–8. doi:10.1161/circulationaha.110.009035
21. International Diabetes Federation Guideline Development Group. Global guideline for type 2 diabetes // Diabetes Res ClinPract. 2014 Apr; 104(1):1-52.doi: 10.1016/j.diabres.2012.10.001
22. Kirchhof P., Benussi S., Kotecha D., Ahlsson A., Atar D., Casadei B., et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS // Eur Heart J. 2016, 37(38), p.2893-2962. doi: 10.1093/eurheartj/ehw210
23. Ko D., Rahman F., Schnabel R.B., Yin X., Benjamin E.J., Christophersen I.E. Atrial fibrillation in women: epidemiology, pathophysiology, presentation, and prognosis // Nat Rev Cardiol.2016, 13(6),p.321-32. doi: 10.1038/nrcardio.2016
24. Lip G.Y., Nieuwlaat R., Pisters R., Lane D.A., CrijnsH.J. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation // Chest. 2010, 137(2), p. 263-72. doi: 10.1378/chest.09-1584
25. Long M.J., Jiang C.Q., Lam T.H., Xu L., Zhang W.S., Lin J.M., Ou J.P., Cheng K.K. Atrial fibrillation and obesity among older Chinese: the Guangzhou Biobank Cohort Study // Int J Cardiol. 2011, 148(1),p. 48-52. doi: 10.1016/j.ijcard.2009.10.022
26. Mancia G., Fagard R., Narkiewicz K., Redón J., Zanchetti A., Böhm M., et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC) // J Hypertens.2013, 31(7), p.1281-357. doi: 10.1097/01.hjh.0000431740.32696.cc
27. Manolis A.J., Rosei E.A., Coca A., Cifkova R., Erdine S.E., Kjeldsen S., Lip G.Y., Narkiewicz K., Parati G., Redon J., Schmieder R., Tsioufis C., Mancia G. Hypertension and atrial fibrillation: diagnostic approach, prevention and treatment. Position paper of the Working Group 'Hypertension Arrhythmias and Thrombosis' of the European Society of Hypertension // J Hypertens. 2012, 30(2), p.239-52. doi:10.1097/HJH.0b013e32834f03bf
28. Meschia J.F., Bushnell C., Boden-Albala B., Braun L.T., Bravata D.M., Chaturvedi S., Creager M.A., Eckel R.H., Elkind M.S., Fornage M., Goldstein L.B., Greenberg S.M., Horvath S.E., Iadecola C., Jauch E.C., Moore W.S., Wilson J.A. Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association.American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Functional Genomics and Translational Biology; Council on Hypertension // Stroke. 2014, 45(12), p. 3754-832. doi: 10.1161/STR.0000000000000046
29. Odutayo A., Wong C.X., Hsiao A.J., Hopewell S., Altman D.G., Emdin C.A. Atrial fibrillation and risks of cardiovascular disease, renal disease, and death: systematic review and meta-analysis // BMJ. 2016, 6; 354:i4482. doi: 10.1136/bmj.i4482
30. Piepoli M.F., Hoes A.W., Agewall S., Albus C., Brotons C., CatapanoA.L.,et al. ESC Scientific Document Group. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the.European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR) // Eur Heart J. 2016, 37(29), p.2315-2381. doi: 10.1093/eurheartj/ehw106
31. Potpara T.S., Polovina M.M., Marinkovic J.M., Lip G.Y. A comparison of clinical characteristics and long-term prognosis in asymptomatic and symptomatic patients with first-diagnosed atrial fibrillation: the Belgrade Atrial Fibrillation Study // Int J Cardiol. 2013, 168(5), p.4744-4749. doi:10.1016/j.ijcard.2013.07.234
32. Rosenberg M.A., Patton K.K., Sotoodehnia N., Karas M.G., Kizer J.R., Zimetbaum P.J., Chang J.D., Siscovick D., Gottdiener J.S., Kronmal R.A., Heckbert S.R., Mukamal K.J. The impact of height on the risk of atrial fibrillation: the Cardiovascular Health Study // Eur Heart J. 2012, 33(21), p. 2709-17. doi: 10.1093/eurheartj/ehs301
33. Verbeke F., Lindley E., Van Bortel L., Vanholder R., London G., Cochat P., et al. A European Renal Best Practice (ERBP) position statement on the Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline for the management of blood pressure in non-dialysis-dependent chronic kidney disease: an endorsement with some caveats for real-life application // Nephrol Dial Transplant.2014,29(3), p.490-6.doi: 10.1093/ndt/gft321
34. Williams B., Mancia G., Spiering W., AgabitiRosei E., Azizi M., Burnier M., Clement D.L., Coca A., de Simone G., Dominiczak A., Kahan T., Mahfoud F., Redon J., Ruilope L., Zanchetti A., Kerins M., Kjeldsen SE., Kreutz R., Laurent S., Lip GYH., McManus R., Narkiewicz K., Ruschitzka F., Schmieder RE., Shlyakhto E., Tsioufis C., Aboyans V., Desormais I. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension // J Hypertens. 2018, 36(10), p.1953-2041. doi: 10.1097/HJH.0000000000001940
35. World Health Organization. Guide to Physical Measurements (Step 2). WHO STEPS Surveillance. Geneva: World Health Organization; 2008
References:
1. Akpanova D.M., Berkinbaev S.F., Musagalieva A.T., Ospanova D.A. Rasprostranennost' I Osnovnye factory riska razvitiya fibrillyatsii predserdii [The prevalence and major risk factors for atrial fibrillation] // Vestnik Kaz NMU [J Vestnik KazNMU]. 2016. №2 pp.70-76 [in Russian].
2. Tlegenova Zh., Kudaiberdieva G., Zholdin B., Abdrakhmanov A. Skrining na fibrillyatsiyu predserdii [Screening for atrial fibrillation] // Klinicheskay meditsina Kazakhstana [J Clin Med Kaz]. 2018,1(47), p.18-24 doi:110.23950/1812-2892-JCMK-00542 [in Russian]
3. Unguryanu T.N., Grjibovski A.M. Programmnoe obespechenie dlya statisticheskoi obrabotki dannykh Stata: vvedenie [Introduction to stata - Software for statistical data analysis] // Ekologiya cheloveka [Human Ecology]. 2014, 1, pp. 60-63.[in Russian]
4. Sharashova E.E., Kholmatova K.K., Gorbatova M.A., Grjibovski A.M. Primenenie mnozhestvennogo logisticheskogo regressionnogo analiza v zdravookhranenii s ispol'zovaniem paketa statisticheskikh programm SPSS [Application of the multivariable logistic regression analysis in healthcare using SPSS software] // Nauka I Zdravookhranenie [Science & Healthcare]. 2017, 4, pp. 5-26. [in Russian]
5. Alberti K.G., Eckel R.H., Grundy S.M., Zimmet P.Z., Cleeman J.I., Donato K.A., et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. International Diabetes Federation Task Force on Epidemiology and Prevention; Hational Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; International Association for the Study of Obesity. // Circulation 2009, 120 (16), pp.1640-5. doi:10.1161/CIRCULATIONAHA.109.192644.
6. Allan V., Honarbakhsh S., Casas J.P., Wallace J., Hunter R., Schilling R., Perel P., Morley K., Banerjee A., Hemingway H. Are cardiovascular risk factors also associated with the incidence of atrial fibrillation? A systematic review and field synopsis of 23 factors in 32 population-based cohorts of 20 million participants // Thromb Haemost. 2017, 117(5), p.837-850. doi: 10.1160/TH16-11-0825
7. Alonso A., Krijthe B.P., Aspelund T., Stepas K.A., Pencina M.J., Moser C.B., Sinner M.F., Sotoodehnia N., et al. Simple risk model predicts incidence of atrial fibrillation in a racially and geographically diverse population: the CHARGE-AF consortium // J Am Heart Assoc. 2013, 2(2). :e000102. doi: 10.1161/JAHA.112.000102
8. Badheka A.O., Rathod A., Kizilbash M.A., Garg N., Mohamad T., Afonso L., Jacob S. Influence of obesity on outcomes in atrial fibrillation: yet another obesity paradox // Am J Med. 2010, 123(7),p. 646-51. doi: 10.1016/j.amjmed.2009.11.026
9. Boriani G., Diemberger I. Globalization of the epidemiologic, clinical, and financial burden of atrial fibrillation // Chest. 2012, 142(6), p.1368-1370. doi: 10.1378/chest.12-1091
10. Boriani G., Laroche C., Diemberger I., Fantecchi E., Popescu M.I., Rasmussen LH., Sinagra G., Petrescu L., Tavazzi L., Maggioni A.P., Lip G.Y. Asymptomatic atrial fibrillation: clinical correlates, management, and outcomes in the EORP-AF Pilot General Registry // Am J Med. 2015, 128(5), p.509-18.e2. doi: 10.1016/j.amjmed.2014
11. Chamberlain A.M., Agarwal S.K., Folsom A.R., Duval S., Soliman E.Z., Ambrose M., Eberly L.E., Alonso A. Smoking and incidence of atrial fibrillation: results from the Atherosclerosis Risk in Communities (ARIC) study // Heart Rhythm. 2011, 8(8), p.1160-6. doi:10.1016/j.hrthm.2011.03.038
12. Davis R.C., Hobbs F.D., Kenkre J.E., Roalfe A.K, Iles R., Lip G.Y., et al. Prevalence of atrial fibrillation in the general population and in high-risk groups: the ECHOES study // Europace. 2012, 14(11), p.1553-1559. doi:10.1093/europace/eus087
13. Dublin S., Glazer N.L., Smith N.L., Psaty B.M., Lumley T., Wiggins K.L., Page R.L., Heckbert S.R. Diabetes mellitus, glycemic control, and risk of atrial fibrillation // J Gen Intern Med. 2010, 25(8), p.853-8. doi: 10.1007/s11606-010-1340-y.
14. Frost L., Hune L.J., Vestergaard P. Overweight and obesity as risk factors for atrial fibrillation or flutter: the Danish Diet, Cancer, and Health Study // American Journal of Medicine. 2005, 118, p.489–495
15. Gorenek B., Pelliccia A., Benjamin E.J., Boriani G., Cirijns H.J., Fogel R.I., et al. European Heart Rhythm Association (EHRA)/ European Association of Cardiovascular Prevention and Rehabilitation (EACPR) position paper on how to prevent atrial fibrillation endorsed by the Heart Rhythm Society (HRS) and Asia Pacific Heart Rhythm Society (APHRS) // Europace. 2017, 19(2), p.190-225. doi: 10.1093/europace/euw242
16. Haim M., Hoshen M., Reges O., Rabi Y., Balicer R, Leibowitz M., Prospective national study of the prevalence, incidence, management and outcome of a large contemporary cohort of patients with incident non-valvular atrial fibrillation // J Am Heart Assoc. 2015, Jan 21;4(1). : e001486. doi: 10.1161/JAHA.114.001486
17. Hart R.G., Pearce L.A., Aguilar M.I. Meta-analysis: antithrombotic therapy to prevent stroke in patients who have nonvalvular atrial fibrillation // Ann Intern Med. 2007, 146(12), p.857-867
18. Harvey A., Montezano A.C., Touyz R.M. Vascular biology of ageing-Implications in hypertension // J Mol Cell Cardiol. 2015, 83, p.112-21. doi: 10.1016/j.yjmcc.2015.04.011
19. Huxley R.R., Filion K.B., Konety S., Alonso A. Meta-analysis of cohort and case-control studies of type 2 diabetes mellitus and risk of atrial fibrillation // AmJCardiol.2011, 108(1),p.56-62. doi: 10.1016/j.amjcard.2011.03.004
20. Huxley R.R., Lopez F.L., Folsom A.R., Agarwal S.K., Loehr L.R., Soliman E.Z., et al. Absolute and attributable risks of atrial fibrillation in relation to optimal and borderline risk factors: the Atherosclerosis Risk in Communities (ARIC) Study // Circulation. 2011, 123, p.1501–8. doi:10.1161/circulationaha.110.009035
21. International Diabetes Federation Guideline Development Group. Global guideline for type 2 diabetes // Diabetes Res Clin Pract. 2014 Apr; 104(1):1-52.doi: 10.1016/j.diabres.2012.10.001
22. Kirchhof P., Benussi S., Kotecha D., Ahlsson A., Atar D., Casadei B., et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS // Eur Heart J. 2016, 37(38), p.2893-2962. doi: 10.1093/eurheartj/ehw210
23. Ko D., Rahman F., Schnabel R.B., Yin X., Benjamin E.J., Christophersen I.E. Atrial fibrillation in women: epidemiology, pathophysiology, presentation, and prognosis // Nat Rev Cardiol. 2016, 13(6), p.321-32. doi: 10.1038/nrcardio.2016
24. Lip G.Y., Nieuwlaat R., Pisters R., Lane D.A., CrijnsH.J. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation // Chest. 2010, 137(2), p. 263-72. doi: 10.1378/chest.09-1584
25. Long M.J., Jiang C.Q., Lam T.H., Xu L., Zhang W.S., Lin J.M., Ou J.P., Cheng K.K. Atrial fibrillation and obesity among older Chinese: the Guangzhou Biobank Cohort Study // Int J Cardiol. 2011, 148(1), p. 48-52. doi: 10.1016/j.ijcard.2009.10.022
26. Mancia G., Fagard R., Narkiewicz K., Redón J., Zanchetti A., Böhm M., et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC) // J Hypertens. 2013, 31(7), p.1281-357. doi: 10.1097/01.hjh.0000431740.32696.cc
27. Manolis A.J., Rosei E.A., Coca A., Cifkova R., Erdine S.E., Kjeldsen S., Lip G.Y., Narkiewicz K., Parati G., Redon J., Schmieder R., Tsioufis C., Mancia G. Hypertension and atrial fibrillation: diagnostic approach, prevention and treatment. Position paper of the Working Group 'Hypertension Arrhythmias and Thrombosis' of the European Society of Hypertension // J Hypertens. 2012, 30(2), p.239-52. doi:10.1097/HJH.0b013e32834f03bf
28. Meschia J.F., Bushnell C., Boden-Albala B., Braun L.T., Bravata D.M., Chaturvedi S., Creager M.A., Eckel R.H., Elkind M.S., Fornage M., Goldstein L.B., Greenberg S.M., Horvath S.E., Iadecola C., Jauch E.C., Moore W.S., Wilson J.A. Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association.American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Functional Genomics and Translational Biology; Council on Hypertension // Stroke. 2014, 45(12), p. 3754-832. doi: 10.1161/STR.0000000000000046
29. Odutayo A., Wong C.X., Hsiao A.J., Hopewell S., Altman D.G., Emdin C.A. Atrial fibrillation and risks of cardiovascular disease, renal disease, and death: systematic review and meta-analysis // BMJ. 2016, 6; 354:i4482. doi: 10.1136/bmj.i4482
30. Piepoli M.F., Hoes A.W., Agewall S., Albus C., Brotons C., Catapano A.L. et al. ESC Scientific Document Group. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the.European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR) // Eur Heart J. 2016, 37(29), p.2315-2381. doi: 10.1093/eurheartj/ehw106
31. Potpara T.S., Polovina M.M., Marinkovic J.M., Lip G.Y. A comparison of clinical characteristics and long-term prognosis in asymptomatic and symptomatic patients with first-diagnosed atrial fibrillation: the Belgrade Atrial Fibrillation Study // Int J Cardiol. 2013, 168(5), p.4744-4749. doi:10.1016/j.ijcard.2013.07.234
32. Rosenberg M.A., Patton K.K., Sotoodehnia N., Karas M.G., Kizer J.R., Zimetbaum P.J., Chang J.D., Siscovick D., Gottdiener J.S., Kronmal R.A., Heckbert S.R., Mukamal K.J. The impact of height on the risk of atrial fibrillation: the Cardiovascular Health Study // Eur Heart J. 2012, 33(21), p. 2709-17. doi: 10.1093/eurheartj/ehs301
33. Verbeke F., Lindley E., Van Bortel L., Vanholder R., London G., Cochat P., et al. A European Renal Best Practice (ERBP) position statement on the Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline for the management of blood pressure in non-dialysis-dependent chronic kidney disease: an endorsement with some caveats for real-life application // Nephrol Dial Transplant. 2014, 29(3), p.490-6.doi: 10.1093/ndt/gft321
34. Williams B., Mancia G., Spiering W., AgabitiRosei E., Azizi M., Burnier M., Clement DL., Coca A., de Simone G., Dominiczak A., Kahan T., Mahfoud F., Redon J., Ruilope L., Zanchetti A., Kerins M., Kjeldsen S.E., Kreutz R., Laurent S., Lip GYH., McManus R., Narkiewicz K., Ruschitzka F., Schmieder RE., Shlyakhto E., Tsioufis C., Aboyans V., Desormais I. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension // J Hypertens. 2018, 36(10), p.1953-2041. doi: 10.1097/HJH.0000000000001940
35. World Health Organization. Guide to Physical Measurements (Step 2). WHO STEPS Surveillance. Geneva:World Health Organization; 2008
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Тлегенова Ж.Ш., Жолдин Б.К., Кудайбердиева Г.З., Абдрахманов А.С., Гржибовский А.М. Распространенность фибрилляции предсердий и ассоциированные факторы у больных артериальной гипертензией в условиях первичной медико-санитарной помощи // Наука и Здравоохранение. 2019. 2 (Т.21).С. 44-54. Tlegenova Zh.Sh., Zholdin B.K., Kudaiberdieva G.Z., Abdrakhmanov A.S., Grjibovski A.M. Prevalence of atrial fibrillation and its correlates in hypertensive patients without coronary heart disease in primary care setting // Nauka i Zdravookhranenie [Science & Healthcare]. 2019, (Vol.21) 2, pp. 44-54. Тілегенова Ж.Ш., Жолдин Б.К., Кұдайбердиева Г.З., Абдрахманов А.С., Гржибовский А.М. Біріншілік медико-санитарлық көмек беру деңгейінде артериялық гипертензиясы бар науқастардағы жүрекшелер жыбырының таралуы және байланысты факторлары // Ғылым және Денсаулық сақтау. 2019. 2 (Т.21). Б. 44-54.Похожие публикации:
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