vestarВестник аритмологииJournal of Arrhythmology1561-86412658-7327НАО «Инкарт»10.35336/VA-2020-4-24-32vestar-863Research ArticleОБЗОРЫREVIEWSЭлектрокардиографические критерии и алгоритмы дифференциальной диагностики аритмий с широкими комплексами QRSЕlectrocardiographic criteria and algorithms for differential diagnosis of wide QRS complexes arrhythmiasБудановаМ. А.BudanovaM. A.

Буданова Маргарита Александровна

Санкт-Петербург

Margarita Budanova

Saint-Petersburg

budanovamargarita@gmail.comЧмелевскийМ. П.ChmelevskyM. P.

Санкт-Петербург

Saint-Petersburg

ТрешкурТ. В.TreshkurT. V.

Санкт-Петербург

Saint-Petersburg

ТихоненкоВ. М.TikhonenkoV. M.ФГБУ «НМИЦ им. В.А.Алмазова» Минздрава РоссииРоссияAlmazov National Medical Research CentreRussian FederationФГБУ «НМИЦ им. В.А.Алмазова» Минздрава России; Санкт-Петербургский государственный электротехнический университет «ЛЭТИ» имени В.И.Ульянова (Ленина)РоссияAlmazov National Medical Research Centre; Saint-Petersburg Electrotechnical University “LETI”Russian FederationНаучно-клинический и образовательный центр «Кардиология» Санкт-Петербургского государственного университетаРоссияScientific, Clinical and Educational Center “Cardiology” of Saint-Petersburg State UniversityRussian Federation2020140220212742432Copyright © Буданова М.А., Чмелевский М.П., Трешкур Т.В., Тихоненко В.М., 20212021Буданова М.А., Чмелевский М.П., Трешкур Т.В., Тихоненко В.М.Budanova M.A., Chmelevsky M.P., Treshkur T.V., Tikhonenko V.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/863

Дифференциальная диагностика желудочковых и наджелудочковых аритмий с широкими комплексами QRS остается одной из наиболее актуальных и серьезных проблем современной кардиологии. Внутрисердечное и чреспищеводное электрофизиологическое исследование, несмотря на высокую точность, не могут быть широко использованы в рутинной клинической практике в связи со сложностью выполнения, риском развития осложнений, необходимостью специального оборудования. Доступность и простота регистрации поверхностной электрокардиограммы стала причиной активного изучения и разработки ЭКГ критериев и алгоритмов дифференциальной диагностики. Однако их низкая точность, многообразие, сложность и трудоемкость применения часто приводит к диагностическим ошибкам и низкой востребованности среди клиницистов.

Differential diagnosis of ventricular and supraventricular wide QRS complexes arrhythmias remains one of the most urgent and serious problems of modern cardiology. High-precision intracardiac and transesophageal electrophysiological examination cannot be widely used in routine clinical practice because of the complexity of using, the risk of complications, and the necessary of special equipment. The availability and simplicity of electrocardiogram registration was the reason for study and development of ECG criteria and algorithms for differential diagnosis. However, their low accuracy, variety, complexity and laboriousness of application often leads to diagnostic errors and low usage of clinicians.

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