[Assessment of phenomenology of attacks of atrial fibrillation before and after treatment with clonasepam].
OBJECTIVE
To assess phenomenology of attacks of atrial fibrillation using psychovegetative index (PVI) and to compare PVI values obtained before and after treatment with clonasepam in patients with paroxysmal atrial fibrillation.


METHODS
Patients with nonrheumatic atrial fibrillation (n=105).


METHODS
PVI was calculated as ratio of difference between sums (numbers) of cardiac and noncardiac symptoms to sum (number) of cardiac symptoms.


RESULTS
Psychovegetative disturbances predominated during attacks of atrial fibrillation and because of that PVI was less than zero. Greatest values of PVI were noted during attacks of idiopathic atrial fibrillation, in women, in patients with high initial level of personal anxiety, in patients with frequent and nocturnal attacks.


CONCLUSIONS
Patients with negative or zero PVI require drugs for correction of psychovegetative disturbances. Therefore it is expedient to use PVI in patients with attacks of atrial fibrillation to select candidates for psychotropic therapy and to evaluate its efficacy.
Solov'eva
A D
AD
I. M. Sechenov Moscow Medical Academy; ul. Bolshaya Pirogovskaya, 2/6, 119881 Moscow, Russia.
Nedostup
A V
AV
San'kova
T A
TA
D001281:Atrial Fibrillation / Q000188:drug therapy; D017115:Catheter Ablation; D006801:Humans; D011667:Pulmonary Veins; D012008:Recurrence; D016896:Treatment Outcome