arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2021-27-5-583-590arthyper-2074Research ArticleСтатьиArticlesREM-ассоциированные брадиаритмии на примере клинического случаяREM-associated bradyarrhythmia (a clinical case)https://orcid.org/0000-0001-5370-0295ПахомоваД. В.PakhomovaD. V.

Пахомова Дарья Вячеславовна — врач-кардиолог

Петроверигский пер., стр. 10, Москва, 101990

Darya V. Pakhomova, MD, Cardiologist

10 Petroverigsky Lane, Moscow, 101990

dariahealthy@gmail.comАгальцовМ. В.AgaltsovM. V.

Агальцов Михаил Викторович — кандидат медицинских наук, старший научный сотрудник отдела фундаментальных и прикладных аспектов ожирения

Петроверигский пер., стр. 10, Москва, 101990

Mikhail V. Agaltsov, MD, PhD, Senior Researcher, Department of Fundamental and Applied Aspects of Obesity

10 Petroverigsky Lane, Moscow, 101990

agaltsov@rambler.ruhttps://orcid.org/0000-0001-7167-3067АндреенкоЕ. Ю.AndreenkoE. Yu.

Андреенко Елена Юрьевна — врач-кардиолог, кандидат медицинских наук, старший научный сотрудник отдела клинической кардиологии

Петроверигский пер., стр. 10, Москва, 101990

Elena Yu. Andreenko, MD, PhD, Senior Researcher, Department of Clinical Cardiology

10 Petroverigsky Lane, Moscow, 101990

Elena.andreenko@gmail.comhttps://orcid.org/0000-0002-4453-8430ДрапкинаО. М.DrapkinaO. M.

Драпкина Оксана Михайловна — профессор, доктор медицинских наук, член-корреспондент РАН, руководитель отдела фундаментальных и прикладных аспектов ожирения, директор

Петроверигский пер., стр. 10, Москва, 101990

Oksana M. Drapkina, MD, PhD, Professor, Corresponding Member of the Russian Academy of Sciences, Head, Department of Fundamental and Applied Aspects of Obesity

10 Petroverigsky Lane, Moscow, 101990

ODrapkina@gnicpm.ru«Национальный медицинский исследовательский центр терапии и профилактической медицины» Министерства здравоохранения Российской ФедерацииРоссияNational Research Center of Preventive Therapy and MedicineRussian Federation202119082021275583590Copyright © Пахомова Д.В., Агальцов М.В., Андреенко Е.Ю., Драпкина О.М., 20222022Пахомова Д.В., Агальцов М.В., Андреенко Е.Ю., Драпкина О.М.Pakhomova D.V., Agaltsov M.V., Andreenko E.Y., Drapkina O.M.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/2074

В статье приводится наблюдение редкой клинической аритмии – REM-ассоциированной далекозашедшей АВ блокады 2 степени. Особенностями клинического случая является отсутствие органической патологии сердца, молодой возраст больного,  и применением для постановки диагноза дополнительных методов инструментального обследования (полисомнография, проба с быстрой остановкой (активный ортостаз)). Несмотря орфанную природу данной аритмии ее верификация влияет на выбор  лечения, с применением тактики - длительного наблюдения и отказа от имплантации ЭКС.

The article presents an observation of a rare clinical arrhythmia — REM-associated advanced atrioventricular block 2nd degree. The absence of structural abnormalities of the heart, the young age and the need for additional methods of instrumental examination for diagnosis (polysomnography, test with the active orthostasis test) are important features of the case. Despite the orphan nature of this arrhythmia, the correct diagnosis is important for the choice of the management strategy choice.

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