Статья
Основные положенияОписаны механизмы развития идиопатической фибрилляции предсердий, фибрилляции предсердий в сочетании с артериальной гипертензией и ишемической болезнью сердца. В настоящее время тактика катетерного лечения фибрилляции предсердий основывается прежде всего на длительности приступов аритмии, а не на патофизиологических механизмах ее развития и прогрессирования. Подчеркнута необходимость патогенетического подхода к лечению нарушения ритма, являющегося наиболее распространенным в человеческой популяции. РезюмеВероятность возникновения фибрилляции предсердий увеличивается с возрастом и в значительной степени зависит от выраженности сопутствующей кардиальной и экстракардиальной патологии. В настоящем обзоре проанализированы данные литературы о патогенезе и катетерном лечении фибрилляции предсердий у пациентов без видимой структурной и сердечно-сосудистой патологии (так называемая идиопатическая фибрилляция предсердий), лиц с артериальной гипертензией и ишемической болезнью сердца.
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