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  3. Креативная кардиология. 2023; 17(1)
  4. Факторы риска рецидива фибрилляции предсердий после выполнения катетерной аблации

Факторы риска рецидива фибрилляции предсердий после выполнения катетерной аблации

Авторы: Романчук Д.В., Хоцанян Ч.В., Аракелян М.Г.

Организация:
ФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии им. А.Н. Бакулева» Минздрава России, Москва, Российская Федерация

Для корреспонденции: Сведения доступны для зарегистрированных пользователей.

Тип статьи: Обзоры литературы

DOI: https://doi.org/10.24022/1997-3187-2023-17-1-50-64

УДК: 616.12-008.318-089-06

Для цитирования:  Романчук Д.В., Хоцанян Ч.В., Аракелян М.Г. Факторы риска рецидива фибрилляции предсердий после выполнения катетерной аблации. Креативная кардиология. 2023; 17 (1): 50–64. DOI: 10.24022/1997-3187-2023-17-1-50-64

Поступила / Принята к печати:  13.03.2023 / 29.03.2023

Ключевые слова: фибрилляция предсердий, катетерная аблация, коморбидность, рецидив, фиброз, натрийуретический пептид

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Аннотация

Фибрилляция предсердий (ФП) является одним из самых распространенных нарушений ритма сердца, частота встречаемости в экономически развитых странах составляет около 0,5%. В настоящее время в Российской Федерации продолжает расти число госпитализаций (435,7–1227 тыс. в год) и стоимость лечения этого заболевания (общие затраты на стационарное лечение в среднем составляют 17 млрд рублей в год). Это связано с применением новых подходов к медикаментозной терапии, совершенствованием алгоритмов медицинской помощи, а также с развитием хирургических и интервенционных методов лечения. Согласно современным клиническим рекомендациям, одним из наиболее эффективных подходов к контролю ритма является выполнение катетерной аблации устьев легочных вен. Однако ее эффективность остается невысокой и находится в диапазоне 52–80%. Учитывая высокую частоту рецидивов ФП после выполнения катетерной аблации, в том числе у пациентов без значимой сердечно-сосудистой патологии, проводится активный поиск факторов, влияющих на исход катетерной аблации. В данном обзоре представлен современный взгляд на причины и предикторы раннего и позднего рецидива ФП, их выявление с использованием современных методов инструментальной диагностики, в том числе данных эхокардиографии, магнитно-резонансной томографии, уровня мозгового натрийуретического пептида (BNP) и результатов кардиореспираторного теста.

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Об авторах

  • Романчук Денис Владимирович, аспирант; ORCID
  • Хоцанян Чинара Врежиковна, канд. мед. наук, кардиолог; ORCID
  • Аракелян Мари Генриковна, науч. сотр., кардиолог; ORCID

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Лео Антонович Бокерия, академик РАН и РАМН

Лео Антонович Бокерия, доктор медицинских наук, профессор, академик РАН и РАМН, президент


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