APPLICATION OF CORDARONE AND NOVOCAINAMID IN ELDERLY PATIENTS WITH ATTACKS OF ATRIAL FIBRILLATION AT THE PREHOSPITAL STAGE
Effectiveness of emergency aid in 496 patients with atrial fibrillation lasting for 0.5-30 h was studied. We found out that treatment of atrial fibrillation at the prehospital phase was ineffective during the first hour of observation: sinus rhythm was restored by Cordarone (Amiodarone) in 14% of patients and by Novocainamid (Procainamide) in 38.2% cases. In 96% of patients atrial fibrillation was eliminated by the end of the first day regardless of the applied antiarrhythmic therapy. Tactics for management patients with persistent atrial fibrillation lasting less than 24 hours after emergency care at the prehospital stage proposed by the authors allowed to reduce the economic spending and the duration of ambulance brigade stay on call.