ISBN-13: 9783843325035 / Rosyjski / Miękka / 2011 / 144 str.
Fibrillyatsiya predserdiy (FP) - samoe chastoe narushenie ritma serdtsa, rasprostranennost kotorogo u lits molodogo i srednego vozrasta sostavlyaet ot 0,4 do 1,0%, uvelichivayas do 8% i bolee u patsientov starshe 60 let. Profilakticheskaya antiaritmicheskaya terapiya (AAT) pozvolyaet uderzhat sinusovyy ritm, uluchshit kachestvo zhizni, no sopryazhena s neobkhodimostyu ezhednevnogo priema antiaritmicheskikh preparatov (AAP) i vozmozhnostyu razvitiya pobochnykh effektov. Effektivnost profilakticheskoy AAT k kontsu pervogo goda lecheniya sostavlyaet 45-65%. U patsientov s khorosho pernosimymi redkimi epizodami aritmii primenyaetsya strategiya "pilyulya v karmane" - ispolzovanie AAP tolko dlya kupirovaniya retsidivov FP. Provedenie kardioversii v pervye 48 chasov s momenta vozniknoveniya retsidiva aritmii, v bolshinstve sluchaev privodit k vosstanovleniyu sinusovogo ritma i sopryazheno s nizkim riskom vozniknoveniya tromboembolicheskikh oslozhneniy, v svyazi s chem podkhod "pilyulya v karmane" priobretaet vse bolshuyu aktualnost.