Тахикардии с широкими комплексами QRS: дифференциальная диагностика и неотложная терапия

Главни садржај чланка

G. M. Solovyan
T. V. Mikhalieva

Анотація

Лекция посвящена серьезной проблеме в клинической практике – диагностике и лечению тахикардий с широкими комплексами QRS, требующих индивидуального подхода. Рассмотрены основные принципы определения тахикардий с широкими комплексами QRS и их электрофизиологические механизмы. Представлены причины возникновения «широких» тахикардий, клинические и электрокардиографические критерии дифференциальной диагностики между желудочковыми тахикардиями и суправентрикулярными с аберрацией проведения. Обсуждены ключевые положения диагностики тахикардий с широкими комплексами QRS, приведены примеры некоторых «широких» тахикардий с демонстрацией ЭКГ. Рассмотрены неотложная помощь и длительная терапия при тахикардиях с узкими и широкими комплексами QRS. Приведены антиаритмические препараты, показания к их применению, изложены общие принципы катетерного лечения тахикардий.

Ключові слова

Широкий комплекс QRS, тахикардия, механизмы, диагностика, терапия, антиаритмические препараты, катетерная абляция

Детаљи чланка

Посилання

Посилання

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