Хирургическое лечение персистирующей формы фибрилляции предсердий у больных ишемической болезнью сердца
Диссертация
Указанная процедура наиболее часто выполняется в сочетании с коррекцией клапанных пороков, в то время как встречаемость ФП у больных с ИБС также высока (до 35%), однако ее результаты у данной категории больных изучены мало. Также уже известно, что только прямая реваскуляризация миокарда не устраняет ФП в послеоперационном периоде. А наличие ФП в раннем послеоперационном периоде значительно… Читать ещё >
Содержание
- Глава 1. (обзор литературы)
- Современные методы хирургического лечения пациентов с фибрилляцией предсердий
- 1. 1. Распространенность и классификация фибрилляции предсердий
- 1. 2. Механизмы возникновения ФП
- 1. 3. Методы лечения ФП
- Глава.
- Материал и методы исследования
- 2. 1. Общая характеристика клинического материала
- 2. 2. Методы исследования
- 2. 2. 1. Электрокардиография
- 2. 2. 2. Эхокардиографическое исследование
- 2. 2. 3. Коронарография
- 2. 2. 4. Оценка качества жизни
- 2. 2. 5. ЭФИ
- 2. 2. 6. Имплантруемая система Reveal XT
- 2. 3. Методы РЧА
- 2. 3. 1. Система Cardioblate
- 2. 3. 2. Техника операции
- 2. 4. Статистическая обработка результатов и выбор критериев достоверности
- Глава.
- Оценка непосредственных результатов лечения больных ИБС с персистирующей формой фибрилляции предсердий
- 3. 1. Характеристика выполненных операций
- 3. 2. Течение раннего послеоперационного периода
- 3. 3. Анализ осложнений в раннем послеоперационном периоде
- 3. 4. Результаты ЭФИ
- 3. 5. Анализ летальности
- Глава.
- Оценка отдаленных результатов лечения пациентов с персистирующей формой фибрилляцией предсердий и ИБС
- 4. 1. Отдаленные клинические результаты лечения больных ИБС с персистирующей формой ФП
- 4. 2. Динамика показателей внутрисердечной гемодинамики
- 4. 3. Оценка качества жизни
- 4. 4. Свобода от фибрилляции предсердий
- 4. 5. Проаритмогенный эффект
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