arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2009-15-2-195-202arthyper-1341Research ArticleОБЗОРREVIEWПре имущества навигационного картирования при ка тетерной аблации постинфарктных желудочковых тахиаритмийThe advan tages of electroanatomic mapping during radiofrequency ablation of ventricular tachycardia in patients after myocardial infarctionЛебедевД. С.LebedevD.lebedevdmitry@mail.ruТатарскийР. Б.TatarskyR. B.noemail@neicon.ruМихайловГ. В.MikhailovG. V.noemail@neicon.ruФедеральный центр сердца, крови и эндокринологии имени В.А. АлмазоваРоссияAlmazov federal heart, blood and endocrinology centreRussian Federation200928042009152195202Copyright © Лебедев Д.С., Татарский Р.Б., Михайлов Г.В., 20092009Лебедев Д.С., Татарский Р.Б., Михайлов Г.В.Lebedev D., Tatarsky R.B., Mikhailov G.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/1341

Целью нашего исследования являлось сравнение эффективности радиочастотной аблации желудочковых тахикардий (ЖТ) у пациентов, перенесших инфаркт миокарда, в условиях конвенциальной методики и электроанатомического картирования. В наше исследование было включено 52 пациента с постинфарктными ЖТ, из них в 17 случаях аблация проводилась с использованием навигационной системы картирования. По сравнению с конвенциальной методикой картирования преимущество использования электроанатомической системы картирования в устранении постинфарктных ЖТ несомненно. Визуализация анатомических структур (рубцовые поля, естественные анатомические препятствия и так далее), оценка распространения возбуждения вкупе с традиционным электрофизиологическим картированием и стимуляционными маневрами на сегодняшний день являются наиболее оптимальным методом катетерной аблации ЖТ.

The aim of our investigation was to compare the effectiveness of radiofrequency ablation of ventricular tachycardia in patients after myocardial infarction conventional fluoroscopic catheter mapping vs. electroanatomic mapping. 52 patients with ventricular tachycardia after myocardial infarction were included, 17 of them passed radiofrequency ablation using electroanatomic mapping. The preference of electroanatomic mapping was indubitable. The visualization of the anatomical structures, evaluation of intracardiac electrical activation extension in relation to anatomic location using both conventional and stimulation mapping are the most optimal and useful method of radiofrequency ablation of ventricular tachycardia.

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