Изменение активности барорефлекса после изоляции легочных вен у пациентов с фибрилляцией предсердий

Цель. Целью данной работы явилось изучение интраоперационных изменений активности артериального барорефлекса, возникающих после катетерной изоляции легочных вен у пациентов с фибрилляцией предсердий.

Материал и методы исследования. C октября 2021 по июнь 2022 гг у 21 пациента с пароксизмальной фибрилляцией предсердий выполнена катетерная изоляция легочных вен на фоне синусового ритма. Всем пациентам до и после операции проведена оценка активности артериального барорефлекса с помощью пробы с фенилэфрином.

Результаты. После катетерной изоляции легочных вен отмечено снижение активности барорефлекса по сравнению с предоперационными значениями с 5,8 [3,5; 11,3] мс/мм рт.ст. до 0,3 [-0,1; 1,8] мс/мм рт.ст., р<0,001 при расчете по систолическому артериальному давлению и с 9,5 [5,1; 15,5] до 0,6 [0; 7,6] мс/мм рт.ст., р=0,033, при расчете по диастолическому артериальному давлению.

Выводы. У пациентов с пароксизмальной формой фибрилляции предсердий после катетерной изоляции легочных вен происходит снижение активности артериального барорефлекса.

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