Современные технологии лечения тахиаритмий и сердечной недостаточности
Аннотация
Клиническая лекция посвящена основным вопросам диагностики и лечения как медикаментозного, так и хирургического основных видом нарушений ритма: наджелудочковых тахикардии, синдрома Вольфа-Паркинсона-Уайта, атриовентрикулярных узловых и предсердных тахикардий, желудочковых тахиаритмий. Последний вид аритмии обсуждается в связи с высоким риском внезапной смерти и современными возможностями хирургического лечения: радиочастотной катетерной аблации, имплантации кардиовертеров-дефибрилляторов. Также обсуждаются возможности имплантируемых устройств в лечении различных нарушений ритма и сердечной недостаточности. Отдельное место отведено использованию современных хирургических технологий в лечении фибрилляции предсердий.
Об авторе
Д. С. Лебедев
ФГУ «Федеральный центр сердца, крови и эндокринологии им. В.А. Алмазова Росмедтехнологий»; Городская многопрофильная больница № 2
Россия
Россия
Список литературы
1. Abraham W.T., Fisher W.G., Smith A.L. et al. Cardiac resynchronization in chronic heart failure. // N Engl J Med. - 2002. -V. 346, № 24 - Р. 1845-1855.
2. Bardy G.H., Lee K.L., Mark D.B. et al. for the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT) Investigators. Amiodarone or an Implantable Cardioverter-Defibrillator for Congestive Heart Failure // N Engl J Med. - 2005. - V. 352, № 3. - Р. 225-237.
3. Bax J.J., Molhoek S.O., van Erven F. et al. Usefulness of myocardial tissue Doppler echocardiography to evaluate left ventricular dyssynchrony before and after bivenl ricular pacing in patients wilh idiopathic dilated cardiomyopathy. //Am J Cardiol. - 2003. - V. 91. - P. 94-97.
4. Bode-Sehnurbus L., Bocker D., Block M. et al. QRS duration: a simple marker for predicting cardiac mortality in ICD patients with heart failure. // Heart - 2003. - V. 89. - P. 1157-1162.
5. Bristow M.R., Saxon L.A., Boehmer J. et al. Cardiac-resynchronization therapy with or without an implantable defibrillator in advanced chronic heart failure. // N Engl J Med. - 2004. - V. 350. - P. 2140-2150.
6. Brugada J., Aquinaqa L., Mont L. et al. Coronary artery revascularization in patients with sustained ventriculararrhythmias in the chronic phase of a myocardial infarction: effects on the electrophysiologic substrate and outcome // J. Am. Coll. Cardiol. - 2001, - V. 37 (2). - P. 529-33.
7. Calkins H., Brugada J., Packer D. Letal.HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Personnel. Policy, Procedures and Follow-Up: A report of the Heart Rhythm Society (MRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation // Heart Rhythm. - 2007. - V. 4 (6). - P. 816-61.
8. Cazeau S., Leclercq C., I.avergne T. et al. Effects of multisite biventricular pacing in patients wilh heart failure and intraventricular conduction delay. // N Engl J Med. - 2001. - V. 344. - P. 873-880.
9. Cleland J.G., Daubert J.C., Erdmann F. et al. The CARE-HF study (cardiac synchronisation in heart failure study): rationale, design and end-points. // Eur J Heart Fail. - 2001. - V. 3. - P. 481-489.
10. Duckeck W., Kuck K.H. Atrial fibrillation in Wolff-Parkinson-White sindrome: Development and therapy. Herz. 1993. Vol. 18, No.l. PP. 60-66.
11. Fuster V., Ryden L.E., Cannom D.S. et al. ACC/AHA/ESC 2000 guidelines for the management of patients with atrial fibrillation: a report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation) // J. Am. Coll. Cardiol. - 2006. - V.48. - P. 149-246.
12. Garrigue S., Renter S., Labeque J.N. et al. Usefulness of biventricular pacing in patients with congestive heart failure and right bundle branch block. // Am J Cardiol. - 2001. - V. 88. - P. 1436-1441.
13. Guiraudon G.M., Thakur R.K., Klein G.J., Yee R., Guiraudon C.M., Sharma A. Encircling endocardial cryoablation for ventricular tachycardia alter myocardial infarction: experience with 33 patients // Am. Heart. J. - 1994. - 128 (5). - P. 982-9.
14. Haissaguerre M., Jais P., Shah D.C. et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins // N. Engl. J. Med. - 1998. - V.339. - P. 659-666.
15. Josephson M., Horowotz L.N., Waxman H.F. et al. Sustained Ventricular Tachycardia: role of 12-lead Electrocardiogram in Localizing Site of Origin. Circulation 1981 V. 64. - PP. 257-272.
16. Linde C., Leclerq C., Rex S. et al. Long-term benefits of biventricular pacing in congestive heart failure: results from the Multislice Stimulation in Cardiomyopathy (MUSTIC) study. // J Am Coll Cardiol. - 2002. - V. 40. - P. 111-118.
17. Marchlinski F.E., Callans D.J., Gottlieb C.D., Zado E. Linear ablation lesions for control of uninappable ventricular tachycardia in patients with ischemic and nonischemic cardiomyopathy // Circulation. - 2000. - V. 21; 101 ( 11). - P. 1288-96.
18. Moss A.J., Zareba W., Hall W.J. et al. Multicenter Automatic Defibrillator Implantation Trial II Investigators. Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction.// N Engl J Med. - 2002. - V. 346, № 12. - P. 877-883.
19. Nademanee K., McKenzie J., Kosar E. et al. A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate // J. Am. Coll. Cardiol. - 2004. - V. 43. - P. 2044 - 2053.
20. Pachon J.C., Pachon E.I., Pachon J.C. et al. A new treatment for atrial fibrillation based on spectral analysis to guide the catheter RF-ablation // Europace. - 2004. - V. 6. - P. 590-601.
21. Pappone C., Augello G., Sala S. et al. A randomized trial of circumferential pulmonary vein ablation versus antiarrhythmic drug therapy in paroxysmal atrial fibrillation: the APAF Study // J. Am. Coll. Cardiol. - 2006 - V.48. - P. 2340-2347.
22. Pappone C., Rosanio S., Oreto G. et al. Circumferential radiofrequency ablation of pulmonary vein ostia: a new anatomic approach for curing atrial fibrillation // Circulation. - 2000. - V. 102. - 2619-2628.
23. Pappone C., Santinelli V., Manguso F. et al. Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation // Circulation. - 2004. - V. 109. - P. 327-334.
24. Reithmann C., Hoffmann E., Steinbeck G. Radiofrequency catheter ablation of atrial flutter and atrial fibrillation. Herz 1998 Junp; 23 (4): 209-18.
25. Rouleau F., Merheb M., Geffroy S. et al. Echocardiographic assessment of the interventricular delay of activation and correlation to tbe QRS width in dilated cardiomyopathy. // Pacing Clin Flectrophysiol. - 2001. - V. 24. - P. 1500-1506.
26. Saxon L.A., Boehmer J.P., Hummel J. et al. Biventricular pacing in patients with congestive heart failure: two prospective randomized trials: the VIGOR CHF and VENTAK CHF Investigators. // Am J Cardiol. - 1999. - V. 83. - P. 120D-123D.
27. Scanavacca M., Pisani C.F., Hachul D. et al. Selective atrial vagal denervation guided by evoked vagal reflex to treat patients with paroxysmal atrial fibrillation // Circulation. - 2006. - V. 1 14. - P. 876-885.
28. Schilling R.J. Can catheter ablation cure post-infarct ion ventricular tachycardia? // Eur. Heart. J. - 2002. - V. 23. - P. 352-354.
29. Schilling R.J. et al. Simultaneous endocardial mapping in the human left, ventricle using a noncontact catheter: comparison of contact and reconstructed electrograms during sinus rhythm. Circulation. 1998 Sep 1; 98 (9): P. 887-898.
30. Stevenson W., Khan H., Sager P., et al. Identification of Reentry Circuit Sites during catheter Mapping and Radiofrequency Ablation of Ventricular tachycardia Late after Myocordial Infarction. Circulation 1993 v. 88: PP. 1647-1670.
31. Stevenson W.G. et al. Radiofrequency catheter ablation of ventricular tachycardia after myocardial infarction. Circulation. 1998 Jul 28; 98 (4): P. 308-14.
32. Sutton S.J., Plappert T., Abraham W.T. et al. Effect of cardiac resynchronization therapy on left ventricular size and function in chronic heart failure. // Circulation. - 2003. - V. 107. - P. 1985-1990.
33. Sweidan R., McClelland J.H., Beckman K.J. et al. Low reccurence of atrial fibrillation following radiofrequencv catheter ablation of accessory atrio-ventricular pathways. J. Am. Coll. Cardiol. 1994; 23 (Suppl.): 83A.
34. Tan A.Y., Li H., Wachsmann-Hogiu S. et al. Autonomic innovation and segmental muscular disconnections at the human pulmonary vein-atrial junction: implications for catheter ablation of atrio-pulmonary vein function // J. Am. Coll. Cardiol. - 2006. - V. 48. - P. 132-143.
35. Verma A., Marrouche N.F., Natale A. Pulmonary vein antrum isolation: intracardiac echocardiographv-guided technique // J. Cardiovasc. Electrophysiol. - 2004. - V. 15. - P. 1335-1340.
36. Wazni O.M., Marrouche N.F., Martin D.O. et al. Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of symptomatic atrial fibrillation: a randomized trial // JAMA. - 2005. - V. 293. - P. 2634-2640.
37. Wellens H.J.J., Lau C.P., Luderitz B., Akhtar M., Waldo A.L., Camm A.J., Timmermans С., Tse H.F., Jung W., Jordaens L., Ayers G. for the Metrix Investigators. The Atrioverter, an implantable device for treatment of atrial fibrillation // Circulation. - 1998. - V. 98. - P. 1651-1656.
38. Young J.V., Abraham W.T., Smith A.L. et al. Combined cardiac resynchronication and implantable cardioversion defibrillation in advanced chronic heart failure: the MIRACLEICD trial. // JAMA. - 2003. - V. 289. - P. 2685-2694.
39. Yu C.M., Chau E., Sanderson J.E. et al. Tissue Doppler echocardiographic evidence of reverse remodeling and improved synchronicity by simultaneously delaying regional contraction after biventricular pacing therapy in heart failure. // Circulation. - 2002. - V. 105. - P. 438-445.
Рецензия
Для цитирования:
Лебедев Д.С. Современные технологии лечения тахиаритмий и сердечной недостаточности. Артериальная гипертензия. 2008;14(1-S2):69-76.
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