russjcardiolРоссийский кардиологический журналRussian Journal of Cardiology1560-40712618-7620«SILICEA-POLIGRAF» LLC10.15829/1560-4071-2026-6872GKHIBWrussjcardiol-6872Research ArticleКЛИНИКА И ФАРМАКОТЕРАПИЯCLINIC AND PHARMACOTHERAPYФибрилляция предсердий: эпидемиология и актуальные проблемы (обзор литературы)Atrial fibrillation: epidemiology and current issues (a literature review)https://orcid.org/0000-0001-7201-096XОгурлиеваБ. Б.OgurlievaB. B.

Огурлиева Бэла Беслановна — врач-кардиолог, врач ультразвуковой диагностики, врач функциональной диагностики.

Писцовая улица, д. 10, Москва

Pistsovaya str., 10, Moscow

bella_ogurlieva@mail.ruhttps://orcid.org/0009-0003-0730-4007НаумоваЛ. Е.NaumovaL. E.

Наумова Людмила Евгеньевна — врач функциональной диагностики.

Писцовая улица, д. 10, Москва

Pistsovaya str., 10, Moscow

Svetlaya.na@yandex.ruhttps://orcid.org/0000-0001-6634-2984КуандыковаМ. В.KuandykovaM. V.

Куандыкова Марина Викторовна — к.м.н., и.о. главного врача.

Писцовая улица, д. 10, Москва

Pistsovaya str., 10, Moscow

KuandykovaMV@zdrav.mos.ruhttps://orcid.org/0000-0002-6348-6867ЗыряновС. К.ZyryanovS. K.

Зырянов Сергей Кенсаринович — д.м.н., профессор, зав. кафедрой общей и клинической фармакологии.

ул. Миклухо-Маклая, д. 6, Москва, 117198

Miklukho-Maklaya str., 6, Moscow, 117198

Zyryanov-sk@rudn.ruhttps://orcid.org/0009-0008-2919-1353ГайдашоваО. А.GaidashovaO. A.

Гайдашова Ольга Александровна — врач-кардиолог.

Писцовая улица, д. 10, Москва

Pistsovaya str., 10, Moscow

o.gaidashova@yandex.ruГБУЗ "Городская клиническая больница № 24 Департамента здравоохранения города Москвы"РоссияCity Clinical Hospital № 24Russian FederationФГАОУ ВО Российский университет дружбы народов им. Патриса ЛумумбыРоссияPeoples’ Friendship University of RussiaRussian Federation20261604202631368726872Copyright © Огурлиева Б.Б., Наумова Л.Е., Куандыкова М.В., Зырянов С.К., Гайдашова О.А., 20262026Огурлиева Б.Б., Наумова Л.Е., Куандыкова М.В., Зырянов С.К., Гайдашова О.А.Ogurlieva B.B., Naumova L.E., Kuandykova M.V., Zyryanov S.K., Gaidashova O.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://russjcardiol.elpub.ru/jour/article/view/6872

Фибрилляция предсердий остается одной из ключевых проблем общественного здравоохранения ввиду неуклонного роста заболеваемости и риска тяжелых осложнений. Цель работы — проведение комплексного обзора современной эпидемиологии фибрилляции предсердий, анализ эволюции методов стратификации риска и диагностических алгоритмов, оценка проблемы тромбоза ушка левого предсердия в эпоху прямых оральных антикоагулянтов, а также систематизация международной тактики ведения пациентов с данной патологией на фоне приема прямых оральных антикоагулянтов для обоснования дальнейшего поиска путей решения проблемы и совершенствования лечебных подходов.

Atrial fibrillation remains a key public health problem due to the steadily increasing incidence and risk of severe events. The aim of this study was to conduct a comprehensive review of the current epidemiology of atrial fibrillation, analyze the evolution of risk stratification methods and diagnostic algorithms, assess the problem of left atrial appendage thrombosis in the era of direct oral anticoagulants. In addition, we systematized international management practices for patients with this condition taking direct oral anticoa­gulants to inform further research into solutions and improved treatment approaches.

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The authors declare that there are no conflicts of interest present.