Научно-практический журнал
«Клиническая физиология кровообращения»

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Главный редактор

Лео Антонович Бокерия, доктор медицинских наук, профессор, академик РАН и РАМН, президент ФГБУ «НМИЦ ССХ им. А.Н. Бакулева» МЗ РФ


Каталог статей ➤ КФК. 2022; 19 (1): 1-96 ➤ Фибрилляция предсердий у онкологических пациентов

Фибрилляция предсердий у онкологических пациентов

Авторы: Акилджонов Ф.Р., Бузиашвили Ю.И., Асымбекова Э.У., Тугеева Э.Ф.

Организация:
ФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии им. А.Н. Бакулева» Минздрава России, Москва, Российская Федерация

Для корреспонденции: Сведения доступны для зарегистрированных пользователей.

Раздел: Обзоры

DOI: https://doi.org/I: 10.24022/1814-6910-2022-19-1-16-24

УДК: 616.12-008.313.2:616-006

Библиографическая ссылка: Клиническая физиология кровообращения. 2022; 1 (19): 16-24

Цитировать как: Акилджонов Ф.Р., Бузиашвили Ю.И., Асымбекова Э.У., Тугеева Э.Ф. . Фибрилляция предсердий у онкологических пациентов. Клиническая физиология кровообращения. 2022; 1 (19): 16-24. DOI: I: 10.24022/1814-6910-2022-19-1-16-24

Ключевые слова: фибрилляция предсердий, онкология, биомаркеры

Поступила / Принята к печати:  21.10.2021 / 23.11.2021

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Аннотация

Фибрилляция предсердий (ФП) – наиболее распространенная устойчивая аритмия, и ее возникновение связано со значительным увеличением числа случаев госпитализации и смертности от сердечнососудистых осложнений. Профилактика ишемического инсульта у пациентов с онкологическими заболеваниями и ФП обычно проводится так же, как у пациентов, не страдающих онкопатологией, и рандомизированные исследования не выполнялись. Однако такие больные представляют собой особую категорию пациентов, при их лечении важно обращать внимание на стадию рака, прогноз и возможное взаимодействие с фоновой химиотерапией. У пациентов со злокачественными новообразованиями и ФП требуются мультидисциплинарный подход совместно с кардиологами и онкологами, тщательное планирование антикоагулянтной терапии и инициация антиаритмической терапии. Дальнейшие исследования позволят разработать новые инструменты для улучшения стратификации риска у пациентов с ФП и онкологическими заболеваниями, определить преимущества при выборе оптимальных стратегий антикоагулянтного лечения, как для профилактики тромбоэмболических осложнений, так и для стратификации риска развития крупных кровотечений.

Литература

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****
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  15. Herrmann J. Adverse cardiac effects of cancer therapies: cardiotoxicity and arrhythmia. Nat. Rev. Cardiol. 2020; 17 (8): 474–502. DOI: 10.1038/s41569-020- 0348-1
  16. Ren M., Yao Y., Yue X., Ning Y., Yang Y. Atrial cardiomyopathy and atrial fibrillation in cancer. Cardiol. Res. Pract. 2021; 2021: 6685951. DOI: 10.1155/2021/6685953
  17. Aboumsallem J.P., Moslehi J., de Boer R.A. Reverse cardio-oncology: cancer development in patients with cardiovascular disease. J. Am. Heart Assoc. 2020; 9 (2): e013754. DOI: 10.1161/JAHA.119.013754
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  20. Kaplan A., Joca H., Boyman L., Greiser M. Calcium signaling silencing in atrial fibrillation: implications for atrial sodium homeostasis. Int. J. Mol. Sci. 2021; 22 (19): 10513. DOI: 10.3390/ijms221910513
  21. Yang X., Li Y. Oxidative stress-mediated atherosclerosis: mechanisms and therapies. Front. Physiol. 2017; 8: 600. DOI: 10.3389/fphys.2017.00600
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  26. Li N., Brundel B. Inflammasomes and proteostasis novel molecular mechanisms associated with atrial fibrillation. Circ. Res. 2020; 127 (1): 73–90. DOI: 10.1161/CIRCRESAHA.119.316364
  27. Yuan M., Zhang Z., Tse G., Feng X., Korantzopoulos P., Letsas K.P. et al. Association of cancer and the risk of developing atrial fibrillation: a systematic review and meta-analysis. Cardiol. Res. Pract. 2019; 2019: 8985273. DOI: 10.1155/2019/8985273
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  38. Amar D., Zhang H., Tan K.S., Piening D., Rusch V.W., Jones D.R. A brain natriuretic peptide-based prediction model for atrial fibrillation after thoracic surgery: development and internal validation. J. Thorac. Cardiovasc. Surg. 2019; 157 (6): 2493–9.e1. DOI: 10.1016/j.jtcvs. 2019.01.075
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  40. Semeraro G., Meroni C., Cipolla C., Cardinale D. Atrial fibrillation after lung cancer surgery: prediction, prevention and anticoagulation management. Cancers (Basel). 2021; 13 (16): 4012. DOI: 10.3390/cancers 13164012
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  42. Phillips J., Porter E., Beaulieu-Jones B. Postoperative atrial fibrillation prophylaxis using a novel amiodarone order set. J. Thorac. Dis. 2020; 12 (6): 3110–24. DOI: 10.21037/jtd-20-180
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Об авторах

  • Акилджонов Фирдавсджон Рустамджонович, аспирант; ORCID
  • Бузиашвили Юрий Иосифович, д-р мед. наук, профессор, академик РАН, заведующий клинико-диагностическим отделением; ORCID
  • Асымбекова Эльмира Уметовна, д-р мед. наук, вед. науч. сотр.; ORCID
  • Тугеева Эльвина Фаатовна, д-р мед. наук, ст. науч. сотр.; ORCID

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