vestarВестник аритмологииJournal of Arrhythmology1561-86412658-7327НАО «Инкарт»vestar-310Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL ARTICLESОПТИМИЗАЦИЯ АТРИОВЕНТРИКУЛЯРНОЙ ЗАДЕРЖКИ У ПАЦИЕНТОВ С ДВУХКАМЕРНОЙ ЭЛЕКТРОКАРДИОСТИМУЛЯЦИЕЙ ПОД КОНТРОЛЕМ ЭХОКАРДИОГРАФИИOPTIMIZATION OF ATRIOVENTRICULAR DELAY IN PATIENTS WITH DUAL-CHAMBER PACING UNDER ECHOCARDIOGRAPHIC CONTROLШнейдерЮ. А.ShneiderYu. A.noemail@neicon.ruКузьмина-КругецкаяС. Р.Kuz’Mina-KrutetskayaS. R.noemail@neicon.ruРогачеваН. М.RogachevaN. M.noemail@neicon.ruКрасноперовП. В.KrasnoperovP. V.noemail@neicon.ruГОУ ДПО Санкт-Петербургская Медицинская Академия Последипломного ОбразованияРоссия2007220920200484346Copyright © Шнейдер Ю.А., Кузьмина-Кругецкая С.Р., Рогачева Н.М., Красноперов П.В., 20202020Шнейдер Ю.А., Кузьмина-Кругецкая С.Р., Рогачева Н.М., Красноперов П.В.Shneider Y.A., Kuz’Mina-Krutetskaya S.R., Rogacheva N.M., Krasnoperov P.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestar.elpub.ru/jour/article/view/310

С целью изучения возможности использования эхокардиографии для определения гемодинамической значимости атриовентрикулярной блокады первой степени и подбора оптимальной атриовентрикулярной задержки у этой категории пациентов обследованы двадцать пациентов с двухкамерными электрокардиостимуляторами, имплантированными по поводу синдрома слабости синусового узла и преходящей полной атриовентрикулярной блокады.

To study the potentialities of use echocardiography for assessment of hemodynamic significance of the I-degree atrio-ventricular block and to search for an optimal atrio-ventricular delay, 20 patients with dual-chamber pacemakers implanted because of the sick sinus syndrome and transient atrio-ventricular block.

электрокардиостимуляцияатриовентрикулярная задержкадиастолическая дисфункциясердечная недостаточностьэхокардиографиятрансмитральный кровотоклевый желудочекcardiac pacingatrio-ventricular delaydiastolic functionheart failureechocardiographytransmitral flowleft ventricleReferencesБокерия О.Л. Электрокардиостимуляция при сердечной недостаточности: показания и выбор оптимального метода и режима стимуляции // Анналы аритмологии. - 2004. - № 1 - стр. 22-32.Бокерия О.Л. Электрокардиостимуляция при сердечной недостаточности: показания и выбор оптимального метода и режима стимуляции // Анналы аритмологии. - 2004. - № 1 - стр. 22-32.Auricchio A., Ding J., Kramer A. Comparison of the left ventricular pacing sites for the heart failure patients // Circulation. - Vol. 98. № 1. - P. 302.Auricchio A., Ding J., Kramer A. Comparison of the left ventricular pacing sites for the heart failure patients // Circulation. - Vol. 98. № 1. - P. 302.Blanc J. J., Etienne Y., Gilard M. et al. Evaluation of different ventricular pacing sites in patients with heart failure. Results of an acute haemodynamic study // Ibid. - 1997. - Vol. 96. - P. 1825-1831.Blanc J. J., Etienne Y., Gilard M. et al. Evaluation of different ventricular pacing sites in patients with heart failure. Results of an acute haemodynamic study // Ibid. - 1997. - Vol. 96. - P. 1825-1831.Boerth R.C., Covell J.W. Mechanical performance and efficiency of the left ventricle during ventricular pacing // Am. J. Physiol. - 1986. - Vol. 251. - P. J428-J435.Boerth R.C., Covell J.W. Mechanical performance and efficiency of the left ventricle during ventricular pacing // Am. J. Physiol. - 1986. - Vol. 251. - P. J428-J435.Brecker S.J., Gibson D.G. What is the role of pacing with optimal AV delay in congestive heart failure: a randomized study // Europace. - 1999. - Vol. 1, № 3. - P. 174- 178.Brecker S.J., Gibson D.G. What is the role of pacing with optimal AV delay in congestive heart failure: a randomized study // Europace. - 1999. - Vol. 1, № 3. - P. 174- 178.Brecker S.J., Xiao H.B., Sparrow J. et al. Effect of dual-chamber pacing with short atrio-ventricular delay in dilated cardiomyopathy // Lancet. - 1992. - Vol. 340. - P. 1303-1312.Brecker S.J., Xiao H.B., Sparrow J. et al. Effect of dual-chamber pacing with short atrio-ventricular delay in dilated cardiomyopathy // Lancet. - 1992. - Vol. 340. - P. 1303-1312.Connolly S., Kerr C., Gent M. et al. Dual - chamber versus ventricular pacing // Circulation. - 1996. - Vol. 94. - P. 578-583.Connolly S., Kerr C., Gent M. et al. Dual - chamber versus ventricular pacing // Circulation. - 1996. - Vol. 94. - P. 578-583.Garcia M.J., Thomas J.D., Klein A.L. New doppler echocardiographic application for the study of diastolic function // J. Am. Coll. Cardiol. - 1998. - Vol. 32. - P. 865-875.Garcia M.J., Thomas J.D., Klein A.L. New doppler echocardiographic application for the study of diastolic function // J. Am. Coll. Cardiol. - 1998. - Vol. 32. - P. 865-875.Hayes D.L., Wang P.J., Sackner-Bernstein J. et al. Resynchronization and Defibrillation for Heart Failure // UK. - Blackwell Futura. - 2004. - P. 139-162.Hayes D.L., Wang P.J., Sackner-Bernstein J. et al. Resynchronization and Defibrillation for Heart Failure // UK. - Blackwell Futura. - 2004. - P. 139-162.Hochteitner M., Hortnagi H., Ng O.K. et al. Long term efficacy of physiologic dual-chamber pacing in the treatment of end-stage idiopathic dilated cardiomyopathy // Ibid. - 1992. - Vol. 70. - P. 1320-1325.Hochteitner M., Hortnagi H., Ng O.K. et al. Long term efficacy of physiologic dual-chamber pacing in the treatment of end-stage idiopathic dilated cardiomyopathy // Ibid. - 1992. - Vol. 70. - P. 1320-1325.Huang M., Krahn A.D., Yee R. et al. Optimal pacing for symptomatic AV block: A comparison of VDD and DDD pacing // Pacing Clin. Electrophysiol. - 2003. - Vol. 26. - P. - 2230-2234.Huang M., Krahn A.D., Yee R. et al. Optimal pacing for symptomatic AV block: A comparison of VDD and DDD pacing // Pacing Clin. Electrophysiol. - 2003. - Vol. 26. - P. - 2230-2234.Ishikawa T., Kimura K., Miyazaki N. et al. Diastolic mitral regurgitation in patients with first-degree atrio-ventricular block // Pacing Clin. Electrophysiol. - 1992. - Vol. 15. - P. 1927-1931.Ishikawa T., Kimura K., Miyazaki N. et al. Diastolic mitral regurgitation in patients with first-degree atrio-ventricular block // Pacing Clin. Electrophysiol. - 1992. - Vol. 15. - P. 1927-1931.Ishikawa T., Sumita S., Kimura K. et al. Critical PQ interval for appearance of diastolic mitral regurgitation and optimal PQ interval in patients implanted with DDD pacemakers // Pacing Clin. Electrophysiol. - 1994. - Vol. 17. - P. 1989-1994.Ishikawa T., Sumita S., Kimura K. et al. Critical PQ interval for appearance of diastolic mitral regurgitation and optimal PQ interval in patients implanted with DDD pacemakers // Pacing Clin. Electrophysiol. - 1994. - Vol. 17. - P. 1989-1994.Kato M., Dote K., Sasaki S. et al. Determination of the optimal atrio-ventricular interval in sick sinus syndrome during DDD pacing // Pacing Clin. Electrophysiol. - 2005. - Vol. 28. - P. 892-897.Kato M., Dote K., Sasaki S. et al. Determination of the optimal atrio-ventricular interval in sick sinus syndrome during DDD pacing // Pacing Clin. Electrophysiol. - 2005. - Vol. 28. - P. 892-897.Lane R.E., Chow A.W.C., Chin D. et al. Selection and optimization of biventricular pacing role of echocardiography // Heart. - 2004. - Vol. 90 (Suppl VI). - P. vi10-vi16.Lane R.E., Chow A.W.C., Chin D. et al. Selection and optimization of biventricular pacing role of echocardiography // Heart. - 2004. - Vol. 90 (Suppl VI). - P. vi10-vi16.MOST (Mode Selection Trial in Sinus Node Dysfunction) // NEJM. - 2002.MOST (Mode Selection Trial in Sinus Node Dysfunction) // NEJM. - 2002.Nielsen J.C. et al. Danish // Circulation. - 1998.Nielsen J.C. et al. Danish // Circulation. - 1998.Ng K.S., Gibson D.G. Impairment of diastolic function by shortened filling period in severe left ventricular disease // Brit. Heart. J. - 1989. - Vol. 62. - P. 246-252.Ng K.S., Gibson D.G. Impairment of diastolic function by shortened filling period in severe left ventricular disease // Brit. Heart. J. - 1989. - Vol. 62. - P. 246-252.Panidis I., Ross J., Muney B. et al. Diastolic mitral regurgitation in patients with atrio-ventricular conduction abnormalities: a common finding by doppler echocardiography // J. Amer. Coll. Cardiol. - 1986. - Vol. 7. - P. 68-74.Panidis I., Ross J., Muney B. et al. Diastolic mitral regurgitation in patients with atrio-ventricular conduction abnormalities: a common finding by doppler echocardiography // J. Amer. Coll. Cardiol. - 1986. - Vol. 7. - P. 68-74.Ritter P., Dib J.-C., Mahaux V. New method for determining the optimal atrioventricular delay in patients paced in DDD mode for complete atrio-ventricular block // Pacing Clin. Electrophysiol. - 1995. - Vol. 18. - P. 855-859.Ritter P., Dib J.-C., Mahaux V. New method for determining the optimal atrioventricular delay in patients paced in DDD mode for complete atrio-ventricular block // Pacing Clin. Electrophysiol. - 1995. - Vol. 18. - P. 855-859.Sogaard P., Hassager C. Tissue Doppler imaging as a guide to resynchronization therapy in patients with congestive heart failure // Curr. Opin. Cardiol. - 2004. - Vol. 19. - P. 447-451.Sogaard P., Hassager C. Tissue Doppler imaging as a guide to resynchronization therapy in patients with congestive heart failure // Curr. Opin. Cardiol. - 2004. - Vol. 19. - P. 447-451.Yu C.M., Lin H., Fung W.H. et al. Comparison of acute changes in left ventricular volume, systolic and diastolic functions, and intraventricular synchronicity after biventricular and right ventricular pacing for heart failure // Am. Heart J. - 2003. - Vol. 145. - P. E23-G1-7.Yu C.M., Lin H., Fung W.H. et al. Comparison of acute changes in left ventricular volume, systolic and diastolic functions, and intraventricular synchronicity after biventricular and right ventricular pacing for heart failure // Am. Heart J. - 2003. - Vol. 145. - P. E23-G1-7.

The authors declare that there are no conflicts of interest present.