References

kpccz

Комплексные проблемы сердечно-сосудистых заболеваний

Complex Issues of Cardiovascular Diseases

2306-12782587-9537

Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”

10.17802/2306-1278-2018-7-3-102-116

kpccz-457

Research Article

АНАЛИТИЧЕСКИЙ ОБЗОР

ANALYTICAL REVIEW

СЕРДЕЧНАЯ РЕСИНХРОНИЗИРУЮЩАЯ ТЕРАПИЯ. ФОРМИРОВАНИЕ ПОКАЗАНИЙ И СОВРЕМЕННЫЕ ПОДХОДЫ К ПОВЫШЕНИЮ ЭФФЕКТИВНОСТИ МЕТОДА

CARDIAC RESYNCHRONIZATION THERAPY. INDICATIONS AND NOVEL APPROACHES TO THE IMPROVEMENT OF ITS EFFICIENCY

Бокерия

Л. А.

Bokeria

L. A.

Бокерия Лео Антонович, доктор медицинских наук, профессор, академик РАН, заведующий кафедрой сердечно-сосудистой хирургии №2, директор ФГБУ «НМИЦ им. А.Н. Бакулева» Минздрава России.

Bokeria Leo A., PhD, Professor, Academician of the Russian Academy of Sciences, Chairman of the Department of Cardiovascular Surgery No. 2, Director of A.N. Bakulev National Medical Research Center of Cardiovascular Surgery.

8, Trubetskaya St., build 2, Moscow, 119991.

Неминущий

Н. М.

Neminushchiy

N. M.

Неминущий Николай Михайлович, доктор медицинских наук, профессор кафедры сердечно-сосудистой хирургии №2.

ул. Трубецкая, 8, стр. 2, Москва, 119991.

Neminushchiy Nikolai M., PhD, Professor at the Department of Cardiovascular Surgery No. 2.

8, Trubetskaya St., build 2, Moscow, 119991.

nic.neminushiy@mail.ru

Постол

А. С.

Postol

A. S.

Постол Анжелика Сергеевна, врач-кардиолог отделения хирургического лечения сложных нарушений ритма сердца и электрокардиостимуляции.

ш. Калининградское, 4, Калининград, 238312.

Postol Angelika S., MD, cardiologist at the Department of Surgical Treatment of Complex Heart Disturbances and Pacing.

4, Kaliningradskoe Hwy., Kaliningrad, 238312.

Федеральное государственное автономное образовательное учреждение высшего образования Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет).РоссияFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation.Russian Federation

Федеральное государственное бюджетное учреждение «Федеральный центр высоких медицинских технологий» Министерства здравоохранения Российской Федерации.РоссияFederal State Budgetary Institution “Federal Center of High Medical Technologies” Ministry of Healthcare of the Russian Federation.Russian Federation

2018

21092018

73102116

2018

Бокерия Л.А., Неминущий Н.М., Постол А.С.

Bokeria L.A., Neminushchiy N.M., Postol A.S.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.nii-kpssz.com/jour/article/view/457

Статья посвящена сердечной ресинхронизирующей терапии (СРТ) – методу лечения хронической сердечной недостаточности посредством бивентрикулярной кардиостимуляции. В статье рассматривается история развития метода от первых попыток устранения диссинхронии сердца до настоящего времени. За последние 20 лет метод претерпел существенное изменение как в плане технического совершенствования имплантируемых устройств и электродов, так и в плане формирования современных показаний к его применению. В статье изучается динамика изменений показаний и критериев отбора пациентов на основе результатов клинических исследований по изучению эффективности метода. Приводятся современные показания для применения СРТ и существующая доказательная база, лежащая в их основе. Описываются современные подходы и технологии, направленные на повышение эффективности метода СРТ.

The article provides new insights to cardiac resynchronization therapy (CRT), a method of treating chronic heart failure with cardiac biventricular pacing. The article covers the history of its development starting with the first attempts to eliminate heart dyssynchrony up to the present advances. Over the last decades, CRT has significantly improved, including both implantable devices and electrodes, and current CRT guidelines and indications. The article discusses serial changes in indications and selection criteria for patients based on the results of the recent clinical trials assessing its effectiveness. Evidence-based knowledge is presented for the CRT application in the routine clinical practice. Novel approaches and technologies aimed at improving the effectiveness of CRT are presented.

Сердечная ресинхронизирующая терапияХроническая сердечная недостаточностьДиссинхрония сердцаРесинхронизацияБивентрикулярная стимуляция

Cardiac resynchronization therapyChronic heart failureCardiac dyssynchronyResynchronizationBiventricular stimulation

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