Abstract
Modern recommendations of clinical treatment of atrial fibrillation (AF) are based on strategies of retention of the
rhythm or frequency of ventricular contractions, so the appeal to the class of AF in a patient is not so relevant. In
fact, patients with persistent and long-standing persistent forms of AF need to increase the volume of exposure,
both in radiofrequency ablation and in surgical procedures, which is directly related to the degree of atrial remodeling.
The purpose of our publication was to evaluate the clinical and scientific activities of the laboratory of intraoperative
diagnosis and treatment of arrhythmias in the light of the study of the mechanisms of AF and their influence
on the tactics of treating these patients.
For the reporting year 1821 procedure was performed in the laboratory for 1118 patients: 815 diagnostic and
1006 medical procedures. Compared with previous years, the number of procedures has increased. The overall
dynamics of the interventional work of the laboratory shows a positive movement relative to 2016, which is directly
related to the active work on the medical health insurance program.
During the reporting year, the laboratory published 6 articles, including one in the foreign press, 18 lectures were
read. In 2017, the scientific work was continued within the framework of the complex theme "Studying the mechanisms
of atrial fibrillation, the determination of rational tactics of treatment of various forms and methods of preoperative,
intraoperative and postoperative assessment of the functioning of the atrium and electrophysiological
characteristics of the myocardium". Most of the scientific research of the laboratory is carried out within the framework
of this topic.
References
- Calkins H., Hindricks G., Cappato R., Kim Y.H.,
Saad E.B., Aguinaga L. et al. 2017 HRS/EHRA/ECAS/
APHRS/SOLAECE Expert Consensus Statement on
catheter and surgical ablation of atrial fibrillation. Heart
Rhythm. 2017; 14 (10): е275–е444. DOI: 10.1016/j.hrthm.
2017.05.012
- Matsumoto A., Fukuzawa K., Kiuchi K., Konishi H.,
Ichibori H., Imada H. et al. Characteristics of residual atrial
posterior wall and roof-dependent atrial tachycardias
after pulmonary vein isolation. Pace. 2016; 39: 1090–8.
DOI: 10.1111/pace.12927
- Bohora S., Lokhandwala Y., Sternick E.B., Anderson
R.H., Wellens H.J.J. Reappraisal and new observations
on atrial tachycardia ablated from the non-coronary aortic
sinus of Valsalva. Europace. 2018; 20 (1): 124–33. DOI:
10.1093/europace/euw324
- Ebana Y., Nitta J., Takahashi Y., Miyazaki S., Suzuki M.,
Liu L. et al. Association of the clinical and genetic factors
with superior vena cava arrhythmogenicity in atrial fibrillation.
Circ. J. 2018; 82: 71–7. DOI: 10.1253/circj.CJ-17-
0350
- Schnabel R.B., Yin X., Gona P., Larson M.G., Beiser A.S.,
McManus D.D. et al. 50 year trends in atrial fibrillation
prevalence, incidence, risk factors, and mortality in the
Framingham Heart Study: a cohort study. Lancet. 2015;
386: 154–62. DOI: 10.1016/S0140-6736(14)61774-8
- Chugh S.S., Havmoeller R., Narayanan K., Singh D.,
Rienstra M., Benjamin E.J. et al. Worldwide epidemiology
of atrial fibrillation: a Global Burden of Disease 2010
Study. Circulation. 2014; 129: 837–47. DOI: 10.1161/
CIRCULATIONAHA.113.005119
- Lowres N., Neubeck L., Redfern J., Freedman S.B.
Screening to identify unknown atrial fibrillation. A systematic
review. Thromb. Haemost. 2013; 110: 213–22. DOI:
10.1160/TH13-02-0165
- Wynn G.J., Todd D.M., Webber M., Bonnett L., McShane
J., Kirchhof P., Gupta D. The European Heart Rhythm
Association symptom classification for atrial fibrillation:
validation and improvement through a simple modification.
Europace. 2014; 16: 965–72. DOI: 10.1093/
europace/eut395
About the authors
Filatov Andrey Gennad'evich, Dr. Med. Sc., Chief of Laboratory of Intraoperative Diagnosis and Treatment
of Arrhythmias; orcid.org/0000-0002-7026-7814