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КАТЕТЕРНАЯ АБЛАЦИЯ ФИБРИЛЛЯЦИИ ПРЕДСЕРДИЙ: ВЧЕРА, СЕГОДНЯ, ЗАВТРА

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Аннотация

В обзорной статье приводятся данные об эпидемическом характере распространения фибрилляции предсердий (ФП) в наши дни, экономические и социальные последствия резкого увеличения количества пациентов. Обсуждается стратегия лечения ФП, значительное ограничение возможностей медикаментозного лечения. Интервенционное лечение было разработано после открытия электрической активности легочных вен и ее связи с индукцией и персистированием аритмии. Подробно обсуждается методика катетерной аблации у больных с пароксизмальной и персистирующей фибрилляцией предсердий. Показано, что несмотря на ряд дополнительных приемов и подходов в катетерной аблации, краеугольным камнем успешного лечения ФП остается изоляция легочных вен. Сегодня существует два основных подхода катетерного лечения  радиочастотная и криобаллонная изоляция легочных вен. Внедрение новых модификаций криобаллона позволяет сократить время операции, снизить вероятность осложнений. Обсуждается необходимость комплексного подхода к лечению больных с персистирующими формами аритмии, осложнения и возможности новых технологий. Подчеркивается важность командного подхода в лечении больных с фибрилляцией предсердий.

Об авторе

Д. С. Лебедев
Национальный медицинский исследовательский центр им. В.А. Алмазова Министерства здравоохранения РФ
Россия


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Рецензия

Для цитирования:


Лебедев Д.С. КАТЕТЕРНАЯ АБЛАЦИЯ ФИБРИЛЛЯЦИИ ПРЕДСЕРДИЙ: ВЧЕРА, СЕГОДНЯ, ЗАВТРА. Инновационная медицина Кубани. 2017;5(1):57-65.

For citation:


Lebedev D.S. ATRIAL FIBRILLATION CATHETER ABLATION: YESTERDAY, TODAY, TOMORROW. Innovative Medicine of Kuban. 2017;5(1):57-65. (In Russ.)

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