A patient with atrial fibrillation and diabetes: selecting the optimal anticoagulant therapy regimen

Atrial fibrillation (AF) is a common arrhythmia in patients with type 2 diabetes (T2D). Patients with diabetes are at higher risk of AF than those without it. There is an increased risk of dysglycemia in AF. Patients with AF and concomitant diabetes are more likely to have coronary artery disease, h...

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Main Authors: A. G. Obrezan, A. E. Filippov, A. A. Obrezan
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2021-06-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/4508
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author A. G. Obrezan
A. E. Filippov
A. A. Obrezan
author_facet A. G. Obrezan
A. E. Filippov
A. A. Obrezan
author_sort A. G. Obrezan
collection DOAJ
description Atrial fibrillation (AF) is a common arrhythmia in patients with type 2 diabetes (T2D). Patients with diabetes are at higher risk of AF than those without it. There is an increased risk of dysglycemia in AF. Patients with AF and concomitant diabetes are more likely to have coronary artery disease, hypertension, heart failure, while strokes in patients with AF and diabetes are more severe. Diabetes, in turn, causes the angiopathies and cardiopathy. There is a higher risk of both thrombotic and bleeding events in patients with AF and T2D. The article discusses the mutual burden of T2D and AF, as well as the risk scores for thrombotic, thromboembolic, and bleeding events. Anticoagulant therapy takes a special place in improving the prognosis in AF patients. Numerous studies and actual clinical practice have demonstrated the effectiveness of anticoagulants in the prevention of stroke and other comorbidities.
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language Russian
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series Российский кардиологический журнал
spelling doaj-art-a854fcfa8ca9476d99e750d5d07b98b52025-08-20T03:43:37Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-06-0126510.15829/1560-4071-2021-45083263A patient with atrial fibrillation and diabetes: selecting the optimal anticoagulant therapy regimenA. G. Obrezan0A. E. Filippov1A. A. Obrezan2Saint Petersburg State University; LLC International Medical Center “SOGAZ”Saint Petersburg State University; LLC International Medical Center “SOGAZ”Saint Petersburg State University; LLC International Medical Center “SOGAZ”Atrial fibrillation (AF) is a common arrhythmia in patients with type 2 diabetes (T2D). Patients with diabetes are at higher risk of AF than those without it. There is an increased risk of dysglycemia in AF. Patients with AF and concomitant diabetes are more likely to have coronary artery disease, hypertension, heart failure, while strokes in patients with AF and diabetes are more severe. Diabetes, in turn, causes the angiopathies and cardiopathy. There is a higher risk of both thrombotic and bleeding events in patients with AF and T2D. The article discusses the mutual burden of T2D and AF, as well as the risk scores for thrombotic, thromboembolic, and bleeding events. Anticoagulant therapy takes a special place in improving the prognosis in AF patients. Numerous studies and actual clinical practice have demonstrated the effectiveness of anticoagulants in the prevention of stroke and other comorbidities.https://russjcardiol.elpub.ru/jour/article/view/4508diabetesatrial fibrillationcomorbidityanticoagulants
spellingShingle A. G. Obrezan
A. E. Filippov
A. A. Obrezan
A patient with atrial fibrillation and diabetes: selecting the optimal anticoagulant therapy regimen
Российский кардиологический журнал
diabetes
atrial fibrillation
comorbidity
anticoagulants
title A patient with atrial fibrillation and diabetes: selecting the optimal anticoagulant therapy regimen
title_full A patient with atrial fibrillation and diabetes: selecting the optimal anticoagulant therapy regimen
title_fullStr A patient with atrial fibrillation and diabetes: selecting the optimal anticoagulant therapy regimen
title_full_unstemmed A patient with atrial fibrillation and diabetes: selecting the optimal anticoagulant therapy regimen
title_short A patient with atrial fibrillation and diabetes: selecting the optimal anticoagulant therapy regimen
title_sort patient with atrial fibrillation and diabetes selecting the optimal anticoagulant therapy regimen
topic diabetes
atrial fibrillation
comorbidity
anticoagulants
url https://russjcardiol.elpub.ru/jour/article/view/4508
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