Авторы
Зотов А.С.1, Пиданов О.Ю.2, Османов И.С.1, Королев С.В.1, Горбачева Е.С.1, Дракина О.В.3, Троицкий А.В.1, Хабазов Р.И.1
1 ФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий ФМБА России», г. Москва
2 ГБУЗ «Городская клиническая больница им. И.В. Давыдовского», г. Москва
3 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова», г. Москва
Аннотация
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.
Ключевые слова: фибрилляция предсердий, сердечная недостаточность, катетерная абляция, торакоскопическая абляция, абляция легочных вен.
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