Atrial fibrillation in emergency medical care outside of a healthcare facility: a comparative analysis of the pre-COVID and post-COVID periods and the impact of propafenone on the need for medical evacuation
https://doi.org/10.24884/2072-6716-2026-27-1-77-84
Abstract
The article presents data comparing the incidence of out-of-hospital emergency medical care visits for atrial fibrillation in St. Petersburg during the pre-pandemic period of the novel coronavirus infection (2017–2019) and the post-pandemic period (2023–2024). A comparison of the age and gender structure of visits between these periods was also conducted, along with an analysis of seasonal patterns. The study analyzed the need for medical evacuation of patients with atrial fibrillation during emergency medical care between an institution that routinely uses propafenone and the citywide average indicators.
Keywords
atrial fibrillation,
out-of-hospital emergency medical care,
age and gender structure,
seasonality,
propafenone,
medical evacuation
Supporting agencies: the study had no sponsorship
About the Authors
I. Yu. Lukyanova
North-Western State Medical University named after I.I. Mechnikov; St. Petersburg State University
Russian Federation
Russian Federation
Irina Yu. Lukyanova
St. Petersburg
A. V. Kuznetsov
North-Western State Medical University named after I.I. Mechnikov; City Polyclinic No. 8
Russian Federation
Russian Federation
Aleksander V. Kuznetsov
St. Petersburg
V. M. Komarnitsky
City Polyclinic No. 8
Russian Federation
Russian Federation
Vladimir M. Komarnitsky
St. Petersburg
A. A. Boykov
City Emergency Medical Services Station
Russian Federation
Russian Federation
Aleksey A. Boykov
St. Petersburg
I. V. Afanasyeva
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Irina V. Afanasyeva
St. Petersburg
References
1. Lukyanova I.Yu., Kuznetsov A. V., Biderman G. F. Juvenis Scientia, 2020, Vol. 6, No. 4, рр. 48–56 (In Russ.). doi: 10.32415/jscientia_2020_6_4_48-56.
2. Ivanova A. A., Potapov A. F., Androsova T. A., Klimova E. M. Functioning of emergency medical services during the COVID-19 pandemic: the case of Yakutsk city. Emergency Medical Care, 2022, Vol. 23, No. 2, рр. 14–20 (In Russ.). https://doi.org/10.24884/2072–6716–2022–23–2–14–20.
3. Fetisov A.O., Lolenko A.V., Ivanova E.Yu., Pasechnik O.A. Organization of Emergency Medical Care within a Closed Administrative-Territorial Entity During the COVID-19 Pandemic. Modern Problems of Healthcare and Medical Statistics, 2024, No. 2, pp. 823–842 (In Russ.).
4. Lukyanova I.Yu., Kuznetsov A. V., Komarnitsky V. M., Kozyreva A. G. Study of the efficacy and safety of drugs for medical cardioversion in patients with paroxysmal atrial fibrillation at the pre-hospital stage. Emergency Medical Care, 2017, Vol. 18, No. 4, рр. 43–47 (In Russ.). doi: 10.24884/2072-6716-2017-18-4-4347. EDN ZXPLQJ.
5. Lukyanova I.Yu., Kuznetsov A. V., Shalnev V. I. Drug-induced cardioversion in patients with paroxysmal atrial flutter at the prehospital stage. Emergency medical care, 2021, Vol. 22, No. 4, рр. 55–59 (In Russ.). doi: 10.24884/2072-6716-2021-22-4-55-59. EDN OMWAJM.
6. Clinical guidelines. Atrial fibrillation and flutter (approved by the Russian Ministry of Health, posted in the rubricator on September 26, 2025). URL: https://cr.minzdrav.gov.ru/view-cr/382_2 (In Russ.).
7. Socio-economic situation of Saint Petersburg and Leningrad Oblast. (n. d.). Federal State Statistics Service (Rosstat). Territorial Body for Saint Petersburg and Leningrad Oblast (Petrostaat). URL: https://78. rosstat.gov.ru/folder/27595 (accessed on November 08, 2025) (In Russ.).
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For citations:
Lukyanova I.Yu., Kuznetsov A.V., Komarnitsky V.M., Boykov A.A., Afanasyeva I.V. Atrial fibrillation in emergency medical care outside of a healthcare facility: a comparative analysis of the pre-COVID and post-COVID periods and the impact of propafenone on the need for medical evacuation. EMERGENCY MEDICAL CARE. 2026;27(1):77-84. (In Russ.) https://doi.org/10.24884/2072-6716-2026-27-1-77-84
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