clinmedКлиническая медицинаClinical Medicine (Russian Journal)0023-21492412-1339ООО «Медицинское информационное агентство»10.30629/0023-2149-2020-98-7-498-502clinmed-95Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESФакторы риска, ассоциированные с развитием постабляционной фибрилляции предсердийRisk factors associated with the development of post-ablation atrial fibrillationhttps://orcid.org/0000-0002-9919-2203ЕмельяненкоМ. В.EmelianenkoМ. V.

Емельяненко Михаил Владимирович — преподаватель кафедры терапии неотложных состояний филиала Военно-медицинской академии им. С.М. Кирова

107392, Москва

Emelianenko Mikhail Vladimirovich

107392, Moscow

sudmed1@gmail.comhttps://orcid.org/0000-0003-1843-087XОвчинниковЮ. В.OvchinnikovYu. V.

107392, Москва

107392, Moscow

https://orcid.org/0000-0001-6790-9401СтелковВ. И.StelkovV. I.

107392, Москва

107392, Moscow

ФГБВОУ ВО «Военно-медицинская академия им. С.М. Кирова» (филиал) МО РФРоссияMilitary Medical Academy named after Kirov S.M. (branch) MD of the Russian FederationRussian Federation202031122020967498502Copyright © Емельяненко М.В., Овчинников Ю.В., Стелков В.И., 20202020Емельяненко М.В., Овчинников Ю.В., Стелков В.И.Emelianenko М.V., Ovchinnikov Y.V., Stelkov V.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.clinmedjournal.com/jour/article/view/95

В статье представлены основные клинические, инструментальные и электрофизиологические факторы риска возникновения фибрилляции предсердий (ФП) у пациентов с типичным трепетанием предсердий (ТТП), подвергшимся операции радиочастотной катетерной абляции (РЧА) кавотрикуспидального истмуса (КТИ). Определен термин «постабляционная ФП». Указана роль в прогнозировании постабляционной ФП у больных с ТТП такого фактора, как эндокардиальный провокационный тест. Отражены исследования, посвященные оценке эффективности профилактической РЧА ФП у пациентов, подвергающихся РЧА КТИ. Обсуждаются математические модели прогнозирования ФП в общей популяции и у пациентов с ТТП.

The article presents the main clinical, instrumental, and electrophysiological risk factors of atrial fibrillation (AF) occurence in patients with typical atrial flutter (TAF) who underwent radio frequency catheter ablation (RFA) of the cavotricuspidal isthmus (CTI). The term “post-ablation AF” is defined. The role of such a factor as endocardial provocation test in predicting post-ablation AF in patients with TAF is indicated. Studies evaluating the effectiveness of preventive maintenance of RFA AF in patients undergoing RFA CTI are also represented. Mathematical models for predicting AF in the general population and in patients with TAF are discussed.

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