Фокальная активность в генезе фибрилляции предсердий: современное состояние проблемы
https://doi.org/10.35336/VA-2023-2-12
EDN: WNORAJ
Аннотация
Фокальная активность является одним из доминирующих триггеров фибрилляции предсердий. Она выявляется как при пароксизмальном, так и персистирующем течении аритмии. Определяясь исходно в легочных венах, с течением времени при увеличении количества и продолжительности аритмических эпизодов, фокальная активность все больше обнаруживается вне легочных вен: в передней и задней стенках левого предсердия, в межпредсердной перегородке, в коронарном синусе, в связке Маршала и в правом предсердии. Диагностика фокальной активности представляет собой трудную клиническую задачу несмотря на внедрение математических алгоритмов анализа электрограмм в связи с ее временной и пространственной нестабильностью, а также направлением вектора активации картирующего электрода. Все эти вопросы рассматриваются в настоящем обзоре.
Об авторах
И. С. Александрова
ФГБУ «Центральная клиническая больница с поликлиникой» Управления делами Президента Российской Федерации
Россия
Россия
Москва, ул. Маршала Тимошенко, д. 15
А. В. Чапурных
ФГБУ «Центральная клиническая больница с поликлиникой» Управления делами Президента Российской Федерации
Россия
Россия
Москва, ул. Маршала Тимошенко, д. 15
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Рецензия
Для цитирования:
Александрова И.С., Чапурных А.В. Фокальная активность в генезе фибрилляции предсердий: современное состояние проблемы. Вестник аритмологии. 2023;30(2):е12-е26. https://doi.org/10.35336/VA-2023-2-12. EDN: WNORAJ
For citation:
Aleksandrova I.S., Chapurnykh A.V. Focal activity in atrial fibrillation: state of the art. Journal of Arrhythmology. 2023;30(2):е12-е26. https://doi.org/10.35336/VA-2023-2-12. EDN: WNORAJ
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ISSN 1561-8641 (Print)
ISSN 2658-7327 (Online)
ISSN 2658-7327 (Online)
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