RESULTS OF TWO-YEAR SURVEY OF PATIENTS WITH PERMANENT ATRIAL FIBRILLATION AFTER TRAINING TO IMPROVE THE TREATMENT COMPLIANCE

To improve effectiveness of treatment of permanent atrial fibrillation (AF) by means of training, 120 patients aged 50 72 years distributed into Study Group and Control Group of 60 patients each were examined. Anticoagulant treatment was indicated to all study subjects. The study group subjects were delivered a training course which consisted of four 60 minute training sessions. The training sessions were aimed to test skills of self-check of heart rate (HR) and blood pressure (BP) and to explain significance of the heart rate control and selection of appropriate anticoagulant therapy. All patients were examined every 6 months within 2 years. During the survey period, Warfarin was continuously taken by 98.3% patients of the Study Group and up to 18.3% subjects of Control Group. The study group subjects showed an increase of 6 minute walk test distance by 91 m, whereas no change was observed in Control Group. The above change was accompanied by an improvement of functional class of chronic heart failure (CHF). The part of patients with CHF I (NYHA functional class) increased from 6.6% to 26.6%, and with CHF III decreased from 28.3% to 0%. On the contrary, the part of patient with CHF III in Control Group increased from 21.6% to 30%. Thus, training of patients with chronic AF contributes to an improved treatment compliance and treatment optimization in accordance with the requirements of clinical guidelines. It is also accompanied by improvement of symptoms and functional class of CHF., hemodynamic signs, lipoprotein pattern, and quality of life. Training of patients with chronic AF is worth being included into the outpatient treatment strategy.

atrial fibrillation, chronic heart failure, antithrombotic therapy, treatment compliance, training, quality of life

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