Abstract
One of perspective methods of treatment of chronic warm insufficiency is the heart transplantation.
Violations of a rhythm of heart is frequent complications after a heart transplantation. In the direct postoperative
period and some days later after a heart transplantation of bradycardia are diagnosed in 50%
of cases. The main reasons, bradyarrhythmias are dysfunction of sinus node and in 10% of cases violation
of atrioventricular carrying.
In the post-transplant period eventually probably independent restoration of a warm rhythm.
In the retrospective researches presented in this article the major etiology factors of development of arrhythmias,
both in early, and during the late post-transplant period are reflected. By some researches it is shown
that dysfunction of sinus node is a bad predictive factor after a heart transplantation.
In group of patients with electrocardiostimulation mortality reached 50% at the 180th day supervision.
Hemodynamic instability, myocardial dysfunction and rejection worsen the forecast after a heart transplantation.
Patients without temporary electrocardiostimulation in the first 180 days after a heart transplantation had big
survival, than the patient being on temporary electrocardiostimulation.
By researches, it was proved that symptoms of bradycardias remain at 45% of patients during 1 year, and carrying
out continuous electrocardiostimulation is preferable for 7 and 21 days after a heart transplantation.
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