transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/2311-4495-2016-3-2-46-53transmed-177Research ArticleХИРУРГИЯSURGERYОБЗОР МЕТОДОВ ЛЕЧЕНИЯ ФИБРИЛЛЯЦИИ ПРЕДСЕРДИЙ У ПАЦИЕНТОВ С КЛАПАННОЙ ПАТОЛОГИЕЙ СЕРДЦАREVIEW OF METHODS OF TREATMENT OF ATRIAL FIBRILLATION IN PATIENTS WITH VALVULAR HEART DISEASEБагдасарянАртур ЮрьевичBagdasaryanArtur Yu.Bagdasaryan_AY@mail.ruИсаковСергей ВикторовичIsakovSergey V.noemail@neicon.ruГордеевМихаил ЛеонидовичGordeevMikhail L.noemail@neicon.ruФедеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава РоссииRussian Federation201623122016324653Copyright © Багдасарян А.Ю., Исаков С.В., Гордеев М.Л., 20162016Багдасарян А.Ю., Исаков С.В., Гордеев М.Л.Bagdasaryan A.Y., Isakov S.V., Gordeev M.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://transmed.almazovcentre.ru/jour/article/view/177

Несмотря на определенные успехи в хирургическом лечении фибрилляции предсердий, остается открытым вопрос о выборе оптимальной методики, которую возможно внедрить повсеместно с максимальной эффективностью и минимальными осложнениями. Выполнение радиочастотной аблации предсердий кажется предпочтительным у всех пациентов с пороками клапанов сердца, имеющих любую форму фибрилляции предсердий на момент операции. В связи с этим поиск научно обоснованных критериев, наличие которых являлось бы абсолютным показанием для применения методов интраоперационной биоэлектрической изоляции предсердий как компонента хирургического лечения пациентов, является важной составляющей в улучшении качества оказания высокотехнологичной медицинской помощи больным с приобретенными пороками сердца.

Despite some successes in the surgical treatment of atrial fibrillation, the question remains about choosing the best techniques that can be implemented universally with maximum efficiency and minimal complications. Performing radiofrequency ablation of the Atria seems to be preferred in all patients with heart valve disease who have any form of atrial fibrillation at the time of surgery. In this regard, the search for science-based criteria, which were absolute indications for the use of bioelectrical methods for intraoperative isolation of the Atria as a component of surgical treatment of patients, is an important component in the improvement of quality of rendering of hi-tech medical aid to patients with acquired heart defects.

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