Фибрилляция предсердий и сердечная недостаточность: современное состояние проблемы

Автор: Зотов А.С., Пиданов О.Ю., Османов И.С., Королев С.В., Горбачева Е.С., Дракина О.В., Троицкий А.В., Хабазов Р.И.

Журнал: Вестник Национального медико-хирургического центра им. Н.И. Пирогова @vestnik-pirogov-center

Статья в выпуске: 4 т.16, 2021 года.

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Фибрилляция предсердий - самое распространенное нарушение ритма сердца, наблюдаемое в клинической практике. Несмотря на успехи в диагностике и лечении, фибрилляция предсердий остается одной из ведущих причин сердечно-сосудистой летальности и заболеваемости. Распространенность фибрилляции предсердий в последнее время увеличивается, что обусловлено улучшением диагностики, старением населения и увеличением распространенности заболеваний и факторов риска, ведущих к развитию аритмии. Фибрилляция предсердий и сердечная недостаточность достаточно часто диагностируются совместно. Комбинация этих заболеваний может увеличивать риск инсульта, количество госпитализаций и летальность от всех сердечно-сосудистых причин. Фармакологическое лечение фибрилляции предсердий является тяжелой задачей, особенно у пациентов при сниженной фракции выброса, поскольку большинство антиаритмических препаратов обладает отрицательным инотропным эффектом. В настоящее время фокус в лечении аритмии смещен в сторону стратегии контроля ритма, а именно - катетерной абляции. Несколько исследований продемонстрировали, что абляция легочных вен может улучшить результаты лечения и прогноз.

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Фибрилляция предсердий, сердечная недостаточность, катетерная абляция, торакоскопическая абляция, абляция легочных вен

Короткий адрес: https://sciup.org/140290459

IDR: 140290459 | DOI: 10.25881/20728255_2021_16_4_93

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