Atrial fibrillation and arterial hypertension associated with non-coronarogenic origin deseases

Abstract

The course of atrial fibrillation (AF) with associated arterial hypertension (AH) and non-coronarogenic pathology for various clinical groups is considered. Comorbid states include diabetes mellitus, chronic obstructive pulmonary disease, Basedow’s desease, hypothyroidism, and abdominal obesity. In addition, approaches to cardiac rhythm disorder treatment are presented, as well as frequency and time duration of sinus rhythm restoration for various clinical groups of patients. Despite the higher significance of AH as an AF predictor, as a result of morphofunctional myocardial changes and neurohumoral activation, presence of a comorbid pathology of non-coronarogenic origin affects the course of the disease, intensity of biochemical, hemodynamic, and functional shifts, as well as possibility of instrumental sinus rhythm restoration. Keywords: atrial fibrillation, arterial hypertension, non-coronarogenic pathology, cardiac rhythm disorder.