vestarВестник аритмологииJournal of Arrhythmology1561-86412658-7327НАО «Инкарт»vestar-401Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL ARTICLESНУЖНА ЛИ РЕСИНХРОНИЗАЦИЯ ЖЕЛУДОЧКОВ ВСЕМ ПАЦИЕНТАМ С ФИБРИЛЛЯЦИЕЙ ПРЕДСЕРДИЙ И ПОСТОЯННОЙ СТИМУЛЯЦИЕЙ ВЕРХУШКИ ПРАВОГО ЖЕЛУДОЧКА ПОСЛЕ ДЕСТРУКЦИИ АТРИОВЕНТРИКУЛЯРНОГО СОЕДИНЕНИЯ?DO ALL PATIENTS WITH ATRIAL FIBRILLATION AND PERMANENY PACING OF THE RIGHT VENTRICULAR APEX AFTER DESTRUCTION OF ATRIOVENTRICULAR JUNCTION REQUIRE VENTRICULAR RESYNCHRONIZATION?ГромыкоГ. А.GromykoG. A.noemail@neicon.ruДумписЯ. Ю.DumpisYa. Yu.noemail@neicon.ruСавельевА. А.SalevyevA. A.noemail@neicon.ruЯшинС. М.YashinS. M.noemail@neicon.ruСПбГМУ имени акад. И.П.ПавловаRussian FederationСеверо-западный центр диагностики и лечения аритмий при СПбГМА им. И.И.МечниковаRussian Federation20092209202005559Copyright © Громыко Г.А., Думпис Я.Ю., Савельев А.А., Яшин С.М., 20202020Громыко Г.А., Думпис Я.Ю., Савельев А.А., Яшин С.М.Gromyko G.A., Dumpis Y.Y., Salevyev A.A., Yashin S.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestar.elpub.ru/jour/article/view/401

С целью оценки необходимости проведения ресинхронизации миокарда у больных с фибрилляцией предсердий и постоянной электрокардиостимуляцией желудочков из области верхушки правого желудочка в отдаленном периоде после деструкции атриовентрикулярного соединения обследовано 30 больных (мужчины - 9), средний возраст которых на момент операции составил 61±9 лет.

To assess necessity of myocardial resynchronization in patients with atrial fibrillation and permanent ventricular pacing of the right ventricular apex in the late post-operation period after the atrioventricular junction destruction, 30 patients (9 men, 21 women) aged 61±9 years at the time of operation were examined.

фибрилляция предсердийаблация атриовентрикулярного соединенияпостоянная электрокардиостимуляциядиссинхрония миокардаресинхронизирующая терапияatrial fibrillationablation of atrioventricular junctionpermanent cardiac pacingmyocardial dyssynchronyresynchronizing treatmentReferencesРекомендации Всероссийского Научного общества Аритмологов. 2004; стр 60-66.Рекомендации Всероссийского Научного общества Аритмологов. 2004; стр 60-66.Compendium of Abridged ESC Guidelines. 2008; p.289-290.Compendium of Abridged ESC Guidelines. 2008; p.289-290.Rosenquist M., Lee M., Mouliner L. et al. Long term follow-up of patients after transcatheter direct current ablation of the atrioventricular junction. J Am Coll Cardiol 1990; 16:1467-1474.Rosenquist M., Lee M., Mouliner L. et al. Long term follow-up of patients after transcatheter direct current ablation of the atrioventricular junction. J Am Coll Cardiol 1990; 16:1467-1474.Brignole M., Menozzi C., Gianfranchi L. et al. Assessment of atrioventricular junction ablation and VVIR pacemaker versus pharmacological treatment in patients with heart failure and chronic atrial fibrillation. A randomized controlled study. Circulation 1998; 98:953-960Brignole M., Menozzi C., Gianfranchi L. et al. Assessment of atrioventricular junction ablation and VVIR pacemaker versus pharmacological treatment in patients with heart failure and chronic atrial fibrillation. A randomized controlled study. Circulation 1998; 98:953-960Leclercq С., Walker S., Linde C. et al. Comparative effects of permanent biventricular and right-univentricular pacing in heart failure patients with chronic atrial fibrillation. European Heart Journal. 2002; 23:1780-1787Leclercq С., Walker S., Linde C. et al. Comparative effects of permanent biventricular and right-univentricular pacing in heart failure patients with chronic atrial fibrillation. European Heart Journal. 2002; 23:1780-1787Zhan C., Baine W.B. et al. Cardiac device implantation in the United States from 1997 through 2004: a population-based analysis // J Gen Intern Med. 2008; 23: Suppl. 1:13-9Zhan C., Baine W.B. et al. Cardiac device implantation in the United States from 1997 through 2004: a population-based analysis // J Gen Intern Med. 2008; 23: Suppl. 1:13-9Tops L., Schalij M., Hohman E. et al. Right ventricular pacing can induce ventricular dyssynchrony in patients with atrial fibrillation after atrioventricular node ablation. J Am Coll Cardiol. 2006; vol 48 № 8:1642-1648Tops L., Schalij M., Hohman E. et al. Right ventricular pacing can induce ventricular dyssynchrony in patients with atrial fibrillation after atrioventricular node ablation. J Am Coll Cardiol. 2006; vol 48 № 8:1642-1648Brignole M., Gammage M., Puggioni E. et al. Comparative assessment of right, left, and biventricular pacing in patients with permanent atrial fibrillation. Eur Heart J. 2005; 26:712-22.Brignole M., Gammage M., Puggioni E. et al. Comparative assessment of right, left, and biventricular pacing in patients with permanent atrial fibrillation. Eur Heart J. 2005; 26:712-22.Doshi R.N., Daoud E.G., Fellows C. et al. Left ventricular-based cardiac stimulation post AV nodal ablation evaluation (the PAVE study). J. Cardiovasc Electrophysiol. 2005; 16:1160-5Doshi R.N., Daoud E.G., Fellows C. et al. Left ventricular-based cardiac stimulation post AV nodal ablation evaluation (the PAVE study). J. Cardiovasc Electrophysiol. 2005; 16:1160-5Leon A., Greenberg J., Kanaru N. et al. Cardiac resynchronization in patients with congestive heart failure and chronic atrial fibrillation. J Am Coll Cardiol 2002; 39:1258-1263.Leon A., Greenberg J., Kanaru N. et al. Cardiac resynchronization in patients with congestive heart failure and chronic atrial fibrillation. J Am Coll Cardiol 2002; 39:1258-1263.Wood M.A., Brown-Mahoney C., Kay G.N., Ellenbogen K.A. Clinical outcomes after ablation and pacing therapy for atrial fibrillation: a meta-analysis. Circulation. 2000; 101:1138-44.Wood M.A., Brown-Mahoney C., Kay G.N., Ellenbogen K.A. Clinical outcomes after ablation and pacing therapy for atrial fibrillation: a meta-analysis. Circulation. 2000; 101:1138-44.http ://clinicaltrials.gov/show/NCT00111527http ://clinicaltrials.gov/show/NCT00111527Nielsen J.C. et al. A randomized comparison of atrial and dual-chamber pacing in 177 consecutive patients with sick sinus syndrome. J Am Coll Cardiol. 2003; 42:614 -23.Nielsen J.C. et al. A randomized comparison of atrial and dual-chamber pacing in 177 consecutive patients with sick sinus syndrome. J Am Coll Cardiol. 2003; 42:614 -23.Sweeney M., et al. Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction. Circulation. 2003; 107:2932-2937.Sweeney M., et al. Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction. Circulation. 2003; 107:2932-2937.Andersen H.R. Long-term follow-up of patients from a randomized trial of atrial versus ventricular pacing for sick-sinus syndrome. Lancet. 1997; 350:1210-16.Andersen H.R. Long-term follow-up of patients from a randomized trial of atrial versus ventricular pacing for sick-sinus syndrome. Lancet. 1997; 350:1210-16.

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