vestarВестник аритмологииJournal of Arrhythmology1561-86412658-7327НАО «Инкарт»10.35336/VA-1211vestar-1308Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCASE REPORTSФибрилляция предсердий с синдромом предвозбуждения у пациента в возрасте 81-го года: клиническое наблюдениеFirst presentation of atrial fibrillation with pre-excitation syndrome in octogenarianhttps://orcid.org/0009-0001-0455-9237Hong YeeL.Hong YeeL.

Джалан Пучонг, 43000 Каджанг, Селангор Дарул Эхсан

Jalan Puchong, 43000 Kajang, Selangor Darul Ehsan

https://orcid.org/0000-0002-3583-9274Lee YeeL.Lee YeeL.

Lee Yee Lim.

Сабах, D-26-06, Менара Суэцкап 1 KL Гейтвей, № 2 Джалан Керинчи Гейт Керинчи Лестари 59200 Куала-Лумпур

Lim Lee Yee.

Sabah, D-26-06, Menara Suezcap 1 KL Gateway, No. 2 Jalan Kerinchi Gerbang Kerinchi Lestari 59200 Kuala Lumpur

limleeyee88@gmail.comhttps://orcid.org/0000-0003-2671-3722Kuan YeeL.Kuan YeeL.

Джалан Яакоб Латиф Куала Лумпур, Бандар Тун Разак, 56000 Черас, Вилайях Персекутуан Куала-Лумпур

Jalan Yaacob Latif Kuala Lumpur, Bandar Tun Razak, 56000 Cheras, Wilayah Persekutuan Kuala Lumpur

Госпиталь Султан Идрис Шах СердангМалайзияDepartment of Internal Medicine, Hospital Sultan Idris Shah SerdangMalaysiaГоспиталь Королевы Елизаветы II, Кота-КинабалуМалайзияDepartment of Internal Medicine, Queen Elizabeth Hospital II, Kota KinabaluMalaysiaГоспиталь Канселор Туанку МухризМалайзияDepartment of Medicine, Hospital Canselor Tuanku MuhrizMalaysia202309122023304e16-e19Copyright © Hong Yee L., Lee Yee L., Kuan Yee L., 20232023Hong Yee L., Lee Yee L., Kuan Yee L.Hong Yee L., Lee Yee L., Kuan Yee L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestar.elpub.ru/jour/article/view/1308

Ощущение сердцебиения является одним из симптомов нарушений ритма сердца, часто встречающимся у пациентов при поступлении в стационар. Данный симптом встречается при широком спектре клинических состояний - от незначительных эктопических сокращений сердца до жизнеугрожающих нарушений ритма сердца с риском наступления внезапной сердечной смерти. При назначении лечения пациентам с данным симптомом особое внимание должно быть уделено основной причине, которая в значительной степени взаимосвязана с факторами риска и возрастом пациента. Аритмии сердца, обусловленные врожденными состояниями, такими как дополнительный путь проведения при синдроме Вольфа-Паркинсона-Уайта, обычно возникают в более молодом возрасте, в то время как аритмии, связанные с ишемической болезнью сердца, встречаются преимущественно в пожилом возрасте. Мы приводим клинический случай впервые диагностированной фибрилляции предсердий у 81-летнего пациента с ранее недиагностированным синдромом предвозбуждения.

Palpitation is a symptom of cardiac arrhythmia commonly presented at hospital admission. It has a wide range of clinical importance, from subtle insignificant cardiac ectopic beats to life-threatening cardiac arrhythmias with a risk of sudden cardiac death. Approach to palpitation emphasizes on the identification of its primary cause which relies strongly on the underlying risk factors and age groups. Cardiac arrhythmias due to innate cardiac conductive disorders such as accessory pathway in Wolff-Parkinson-White syndrome tend to present at a younger age while arrhythmias related to ischemic heart disease occur mostly in the elderly population. We report a case of first diagnosed atrial fibrillation in an 81-year-old patient with previously unknown pre-excitation syndrome.

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