Vladimir Popov

Retsidiviruyushchaya Fibrillyatsiya Predserdiy: Prediktory Retsidivov I Kardioversiya V Ambulatornykh Usloviyakh Vladimir Popov Russian edition

Fibrillyatsiya predserdiy (FP) - samoe chastoe narushenie ritma serdtsa, rasprostranennost' kotorogo u lits molodogo i srednego vozrasta sostavlyaet ot 0,4 do 1,0%, uvelichivayas' do 8% i bolee u patsientov starshe 60 let. Profilakticheskaya antiaritmicheskaya terapiya (AAT) pozvolyaet uderzhat' sinusovyy ritm, uluchshit' kachestvo zhizni, no sopryazhena s neobkhodimost'yu ezhednevnogo priema antiaritmicheskikh preparatov (AAP) i vozmozhnost'yu razvitiya pobochnykh effektov. Effektivnost' profilakticheskoy AAT k kontsu pervogo goda lecheniya sostavlyaet 45-65%. U patsientov s khorosho pernosimymi redkimi epizodami aritmii primenyaetsya strategiya "pilyulya v karmane" - ispol'zovanie AAP tol'ko dlya kupirovaniya retsidivov FP. Provedenie kardioversii v pervye 48 chasov s momenta vozniknoveniya retsidiva aritmii, v bol'shinstve sluchaev privodit k vosstanovleniyu sinusovogo ritma i sopryazheno s nizkim riskom vozniknoveniya tromboembolicheskikh oslozhneniy, v svyazi s chem podkhod "pilyulya v karmane" priobretaet vse bol'shuyu aktual'nost'.