sechenovSechenov Medical JournalСеченовский вестник2218-73322658-3348Сеченовский Университет10.47093/2218-7332.2024.15.3.4-14sechenov-1140Research ArticleINTERNAL MEDICINEВНУТРЕННИЕ БОЛЕЗНИRisk factors and prevention of atrial fibrillation in the postoperative period after coronary artery bypass grafting: a literature reviewФакторы риска и профилактика развития фибрилляции предсердий в послеоперационном периоде коронарного шунтирования: обзор литературыhttps://orcid.org/0000-0002-5587-3947КузьмичкинаМ. А.KuzmichkinaM. A.

Кузьмичкина Мария Анатольевна - канд. мед. наук, научный сотрудник лаборатории регистров сердечно-сосудистых заболеваний, высокотехнологичных вмешательств и телемедицины НИИ кардиологии Томского НИМЦ.

ул. Киевская, д. 111а, Томск, 634012

Maria A. Kuzmichkina - Cand. of Sci. (Med.), Research Scientist, Laboratory of Cardiovascular Disease Registries, High-Tech Interventions and Telemedicine.

111a, Kievskaya str., Tomsk, 634012

mak@cardio-tomsk.ruhttps://orcid.org/0000-0002-0211-4525КавешниковВ. С.KaveshnikovV. S.

Кавешников Владимир Сергеевич - канд. мед. наук, ведущий научный сотрудник лаборатории регистров сердечно-сосудистых заболеваний, высокотехнологичных вмешательств и телемедицины НИИ кардиологии Томского НИМЦ.

ул. Киевская, д. 111а, Томск, 634012

Vladimir S. Kaveshnikov - Cand. of Sci. (Med.), Leading Researcher, Laboratory of Cardiovascular Disease Registries, High-Tech Interventions and Telemedicine.

111a, Kievskaya str., Tomsk, 634012

Научно-исследовательский институт кардиологии, Томский национальный исследовательский медицинский центр Российской академии наукРоссияCardiology Research Institute, Tomsk NRMCRussian Federation202401112024153414Copyright © Kuzmichkina M.A., Kaveshnikov V.S., 20242024Кузьмичкина М.А., Кавешников В.С.Kuzmichkina M.A., Kaveshnikov V.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sechenovmedj.com/jour/article/view/1140

The increasing volume of coronary artery bypass grafting inevitably contributes to a growing number of postoperative complications. Atrial fibrillation (AF) develops in every second or third patient. This complication prolongs inpatient stays and increases costs of the healthcare system. The review presents data on the risk factors for postoperative AF, as well as the proposed methods of prevention and treatment. The research results indicate the role of type 2 diabetes mellitus, obesity, arterial hypertension; among laboratory parameters, mean platelet volume, red blood cell distribution width, C-reactive protein, erythrocyte sedimentation rate, monocyte/high-density lipoprotein cholesterol ratio are of prognostic value. Drug and non-drug methods of prevention and treatment of postoperative AF are discussed. The methods indicated in the presented works showed effectiveness, but had a number of limitations.

Возросший объем выполняемых операций коронарного шунтирования неизбежно способствует росту количества послеоперационных осложнений. Фибрилляция предсердий (ФП) развивается у каждого второго-третьего пациента. Данное осложнение продлевает сроки стационарного этапа и увеличивает расходы системы здравоохранения. В обзоре представлены данные о факторах риска послеоперационной ФП, а также предлагаемые методы профилактики и лечения. Результаты исследований свидетельствуют о роли сахарного диабета 2-го типа, ожирения, артериальной гипертензии; среди лабораторных показателей прогностическое значение отводится среднему объему тромбоцитов, ширине распределения эритроцитов по объему, С-реактивному белку, скорости оседания эритроцитов, соотношению уровня моноцитов к уровню холестерина липопротеинов высокой плотности. Обсуждены медикаментозные и немедикаментозные способы профилактики и лечения послеоперационной ФП. Указанные методы в представленных работах показали эффективность, однако имели ряд ограничений.

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The authors declare that there are no conflicts of interest present.