vestarВестник аритмологииJournal of Arrhythmology1561-86412658-7327НАО «Инкарт»vestar-412Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCASE REPORTSТАХИКАРДИЯ С ЦИРКУЛЯЦИЕЙ ПО НОЖКАМ ПУЧКА ГИСА: ОСОБЕННОСТИ ДИАГНОСТИКИ И ЛЕЧЕБНОЙ ТАКТИКИTACHYCARDIA WITH RE-ENTRY IN THE HIS BUNDLE BRANCHES: PECULIARITIES OF DIANGOSTICS AND TREATMENTКлюквинА. С.KlyukvinA. S.noemail@neicon.ruЛянЕ. В.LyanE. V.noemail@neicon.ruЯшинС. М.YashinS. M.noemail@neicon.ruСеверо-западный центр диагностики и лечения аритмий при Санкт-Петербургской государственной медицинской академии им. И.И.МечниковаРоссия2009220920200556467Copyright © Клюквин А.С., Лян Е.В., Яшин С.М., 20202020Клюквин А.С., Лян Е.В., Яшин С.М.Klyukvin A.S., Lyan E.V., Yashin S.M.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestar.elpub.ru/jour/article/view/412

Представлены результаты обследования и лечения, включающего применение радиочастотной катетер-ной аблации и имплантацию постоянного электрокардиостимулятора, пациентки, страдающей пароксизмами желудочковой тахикардии, обусловленной циркуляцией возбуждения по ножкам пучка Гиса.

The case report data are provided regarding examination and treatment including the radiofrequency catheter ablation and the cardiac pacemaker implantation in a female patient with paroxysmal ventricular tachycardia caused by re-entry in the His bundle branches.

кардиомиопатияжелудочковая тахикардиясистема Гиса-Пуркиньекомпьютерная томографиякоронароангиографиярадиочастотная катетерная аблацияэлектрокардиостимуляторcardiomyopathyventricular tachycardiasystem His-Purkinjecomputed tomographycoronary angiographyradiofrequency catheter ablationcardiac pacemakerReferencesAkhtar M., Damato A.N., Batsford W.P. et al. Demonstration of reentry in His-Purkinje system in man // Circulation. - 1974.-Vol.50.-P. 1150-1055.Akhtar M., Damato A.N., Batsford W.P. et al. Demonstration of reentry in His-Purkinje system in man // Circulation. - 1974.-Vol.50.-P. 1150-1055.Berger R.D., Orias D., Kasper E.K., Calkins H. Catheter ablation of coexistent bundle branch and interfascicular reentrant ventricular tachycardias // J.Cardiovasc. Electrophysiol. - 1996. - Vol. 7. - N4. - P. 341-347.Berger R.D., Orias D., Kasper E.K., Calkins H. Catheter ablation of coexistent bundle branch and interfascicular reentrant ventricular tachycardias // J.Cardiovasc. Electrophysiol. - 1996. - Vol. 7. - N4. - P. 341-347.Blanck Z., Dhala A., Deshpande S. et al. Bundle branch reentrant ventricular tachycardia: Cumulative experience in 48 patients // J. Cardiovasc. Electrophysiol. - 1993. -Vol. 4.-P. 253-262.Blanck Z., Dhala A., Deshpande S. et al. Bundle branch reentrant ventricular tachycardia: Cumulative experience in 48 patients // J. Cardiovasc. Electrophysiol. - 1993. -Vol. 4.-P. 253-262.Caceres J., Jazayeri M., McKinnie J. et al. Sustained bundle branch reentry as a mechanism of clinical tachycardia. // Circulation - 1989. - Vol. 78. - P. 256-270.Caceres J., Jazayeri M., McKinnie J. et al. Sustained bundle branch reentry as a mechanism of clinical tachycardia. // Circulation - 1989. - Vol. 78. - P. 256-270.Cohen T.J., Chien W.W., Lurie K.G. et al. Radiofrequency catheter ablation for treatment of bundle branch reentrant ventricular tachycardiarresults and long-term follow-up // J. Am. Coll. Cardiol. - 1991. -Vol. 18. -P. 767-1773.Cohen T.J., Chien W.W., Lurie K.G. et al. Radiofrequency catheter ablation for treatment of bundle branch reentrant ventricular tachycardiarresults and long-term follow-up // J. Am. Coll. Cardiol. - 1991. -Vol. 18. -P. 767-1773.Delacretaz E., Stevenson W.G., Ellison K.E. et al. Mapping and radio frequency catheter ablation of the three types of sustained monomorphic ventricular tachycardia in nonischemic heart disease // J. Cardiovasc. Electrophysiol. - 2000. - Vol. 11.-P. 11-17.Delacretaz E., Stevenson W.G., Ellison K.E. et al. Mapping and radio frequency catheter ablation of the three types of sustained monomorphic ventricular tachycardia in nonischemic heart disease // J. Cardiovasc. Electrophysiol. - 2000. - Vol. 11.-P. 11-17.Klein L.S., Zipes D.P., Miles W.M. Ablation of ventricular tachycardia in patients without coronary artery disease and ventricular tachycardia due to bundle branch reentry // Radiofrequency catheter ablation of cardiac arrhythmias: basic concepts and clinical applications / ed. by Huang S.K.S., NY.:Futura Publishing Co. Inc., 1995. - P. 485-486.Klein L.S., Zipes D.P., Miles W.M. Ablation of ventricular tachycardia in patients without coronary artery disease and ventricular tachycardia due to bundle branch reentry // Radiofrequency catheter ablation of cardiac arrhythmias: basic concepts and clinical applications / ed. by Huang S.K.S., NY.:Futura Publishing Co. Inc., 1995. - P. 485-486.Mittal S., Coyne R.F., Herling I.M. et al. Sustained bundle branch reentry in a patient with hypertrophic cardiomyopathy and nondilated left ventricle // J. Intervent. Card. Electrophysiol. - 1997. -Vol. 1. -Nl. -P. 73-77.Mittal S., Coyne R.F., Herling I.M. et al. Sustained bundle branch reentry in a patient with hypertrophic cardiomyopathy and nondilated left ventricle // J. Intervent. Card. Electrophysiol. - 1997. -Vol. 1. -Nl. -P. 73-77.Negri S.M., Cowan M.D. Becker muscular dystrophy with bundle branch reentry ventricular tachycardia // J. Cardiovasc. Electrophysiol. - 1998. - Vol. 9. - N6. - P. 652-654.Negri S.M., Cowan M.D. Becker muscular dystrophy with bundle branch reentry ventricular tachycardia // J. Cardiovasc. Electrophysiol. - 1998. - Vol. 9. - N6. - P. 652-654.Sarter B.H., Schwartzman D., Callans D.J. et al. Bundle branch reentry ventricular tachycardia:an investigation of the circuit with resetting // J. Cardiovasc. Electrophysi ol. - 1996. -Vol. 7. -N. 11. -P. 1082-1085.Sarter B.H., Schwartzman D., Callans D.J. et al. Bundle branch reentry ventricular tachycardia:an investigation of the circuit with resetting // J. Cardiovasc. Electrophysi ol. - 1996. -Vol. 7. -N. 11. -P. 1082-1085.Tchou R., Jazayery M., Denker S. et al. Transcatheter electrical ablation of right bundle branch: a method of treating macroreentrant ventricular tachycardia attributed to bundle branch reentry // Circulation -1988. - Vol. 78. - P. 246-257.Tchou R., Jazayery M., Denker S. et al. Transcatheter electrical ablation of right bundle branch: a method of treating macroreentrant ventricular tachycardia attributed to bundle branch reentry // Circulation -1988. - Vol. 78. - P. 246-257.

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