Consilium MedicumConsilium MedicumConsilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum92148ArticlesСтатьиResearch ArticleDiagnostika i lechenie ochagovykh predserdnykh takhikardiyДиагностика и лечение очаговых предсердных тахикардийBuninYu. AБунинЮ. АРоссийская медицинская академия последипломного образования, Москва1505200685VOL 8, NO5 (2006)ТОМ 8, №5 (2006)10310928122021Copyright ©; 2006, Consilium MedicumCopyright ©; 2006, ООО "Консилиум Медикум"2006Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://consilium.orscience.ru/2075-1753/article/view/92148

В 2001 г. эксперты Европейского общества кардиологов и Североамериканского общества специалистов по стимуляции и электрофизиологическим исследованиям [1] предложили объединить автоматическую, триггерную (постдеполяризации) и реципрокную (micro-re-entry) предсердные тахикардии (ПРТ) термином "очаговая предсердная тахикардия" – ОПРТ (focal atrial tachycardia), источником которой является небольшой участок предсердий – "точечный источник" ("point sourse"). Наряду с ОПРТ выделяют предсердные тахикардии, развивающиеся по механизму mаcro-re-entry (типичные и другие формы трепетания предсердий – ТП), при которых путь циркуляции возбуждения обычно составляет несколько сантиметров, а иногда он может включать практически все предсердие. Устойчивые (продолжительность более 30 с) ОПРТ встречаются довольно редко и составляют от 10 до 15% среди всех наджелудочковых тахикардий (НЖТ), по поводу которых у взрослых больных проводилась радиочастотная катетерная деструкция (РКД) [2]. Неустойчивая (как правило, асимптомная) ОПРТ диагностируется существенно чаще при длительном мониторировании ЭКГ, особенно среди больных пожилого и старческого возраста (по нашим данным, около 25% среди всех наджелудочковых тахиаритмий). В отличие от атриовентрикулярной узловой реципрокной тахикардии (АВУРТ) и атриовентрикулярной реципрокной тахикардии (АВРТ), связанной с наличием внеузловых путей предсердно-желудочкового проведения, ОПРТ одинаково часто регистрируется как у мужчин, так и у женщин

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