kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2019-8-4-93-102kpccz-634Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОР. Сердечно-сосудистая хирургияREVIEWS. Cardiovascular surgeryМесто катетерной аблации в лечении «рубцовых» желудочковых тахикардийRole of catheter ablation in the treatment of scar-related ventricular tachycardiaМамчурС. Е.MamchurS. E.

Мамчур Сергей Евгеньевич - доктор медицинских наук, заведующий отделом диагностики сердечно-сосудистых заболеваний, заведующий лабораторией нарушения ритма сердца и элекгрокардиостимуляции.

Сосновый бульвар, 6, Кемерово, 650002, тел. +7 (913) 298-5516

Mamchur Sergei E. - PhD, Head of the Department of Cardiovascular Diseases Diagnostics, Head of the Laboratory of Cardiac Arrhythmia and Pacing.

6, Sosnoviy Blvd., Kemerovo, 650002, phone +7 (927) 770-25-87

mamchse@kemcardio.ruЧичковаТ. Ю.ChichkovaT. Y.

Чичкова Татьяна Юрьевна - кандидат медицинских наук, научный сотрудник лаборатории нарушения ритма сердца и электрокардиостимуляции.

Сосновый бульвар, 6, Кемерово, 650002

Chichkova Tatyana Yu. - PhD, researcher at the Laboratory of Cardiac Arrhythmia and Pacing.

6, Sosnoviy Blvd., Kemerovo, 650002

ХоменкоЕ. А.KhomenkoE. A.

Хоменко Егор Александрович - кандидат медицинских наук, научный сотрудник лаборатории нарушения ритма сердца и элекгрокардиостимуляции.

Сосновый бульвар, 6, Кемерово, 650002

Khomenko Yegor A. - PhD, researcher at the Laboratory of Cardiac Arrhythmia and Pacing.

6, Sosnoviy Blvd., Kemerovo, 650002

РомановаМ. П.RomanovaM. P.

Романова Мария Петровна - младший научный сотрудник лаборатории нарушения ритма сердца и электрокардиостимуляции.

Сосновый бульвар, 6, Кемерово, 650002

Romanova Maria P. - research assistant at the Laboratory of Cardiac Arrhythmia and Pacing.

6, Sosnoviy Blvd., Kemerovo, 650002

Федеральное государственное бюджетное научное учреждение Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеванийРоссияFederal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular DiseasesRussian Federation2019251220198493102Copyright © Мамчур С.Е., Чичкова Т.Ю., Хоменко Е.А., Романова М.П., 20192019Мамчур С.Е., Чичкова Т.Ю., Хоменко Е.А., Романова М.П.Mamchur S.E., Chichkova T.Y., Khomenko E.A., Romanova M.P.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/634

В обзорной статье уделено внимание месту катетерной аблации в лечении желудочковых тахикардий, ассоциированных с заболеваниями, сопровождающимися фиброзом миокарда. Определена общая лечебная стратегия при данной патологии, указывается на то, что в данной стратегии основным направлением по первичной и вторичной профилактике риска внезапной сердечной смерти является имплантация кардиовертеров-дефибрилляторов. Описаны основные проблемы, связанные с электроимпульсной терапией, в частности снижение Резюме              качества жизни пациентов. Определена роль катетерной радиочастотной аблации как основного метода лечения пациентов, находящихся в состоянии электрического шторма или испытывающих психологический дискомфорт в связи с частыми болезненными срабатываниями дефибрилляторов. Освещаются вопросы, касающиеся технических и тактических трудностей применения катетерной аблации, рассматриваются результаты недавно проведенных крупных клинических исследований, касающихся изучения ее эффективности и безопасности, в том числе в сравнении с другими лечебными стратегиями.

The article focuses on the role of catheter ablation in the treatment of ventricular tachycardias associated with myocardial fibrosis. The optimal treatment strategy has been determined. Particular attention is given to the implantation of cardioverter-defibrillators used for the primary and secondary prevention of sudden cardiac death. Poor quality of life and other main problems generally caused by the Abstract                electropulse therapy are described. The role of catheter radiofrequency ablation has been determined as the main method for treating patients experiencing electrical storm or psychological discomfort due to frequent painful defibrillations. In addition, the article covers issues related to the technical and tactical difficulties of performing catheter ablation, and studies the results of recent large-scale clinical research concerning the analysis of its efficiency and safety, including comparison with other treatment strategies.

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