Электрокардиография в диагностике аритмогенной кардиомиопатии правого желудочка

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Опубліковано: May 8, 2018
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“Электрокардиография в диагностике аритмогенной кардиомиопатии правого желудочка”. Український кардіологічний журнал, vol. 25, no. 2, May 2018, pp. 70-79, https://ucardioj.com.ua/index.php/UJC/article/view/62.
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Том 25 № 2 (2018): Український кардіологічний журнал
Розділ
Огляди

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V. I. Berezutsky
ДЗ «Дніпропетровська медична академія МОЗ України», Дніпро

Анотація

Стаття являє собою огляд досліджень, присвячених можливостям електрокардіографії в діагностиці аритмогенной кардіоміопатії / дисплазії правого шлуночка (АКДПЖ). Проаналізовано результати наукових досліджень, опубліковані за останні 5 років в журналах, індексованих наукометричними базами Scopus, Web Of Science і PubMed. Аналіз показав, що ЕКГ відіграє важливу роль в діагностиці АКДПЖ. Наявність характерних для захворювання змін ЕКГ (ε-хвилі, негативні зубці Т, пролонгація комплексу QRS у відведеннях aVR і V1) дозволяє діагностувати АКДПЖ в половині випадків без використання ультразвукових і томографічних методів. Електрофізіологічні порушення в міокарді при АКДПЖ реєструються задовго до структурних, що визначає високу цінність ЕКГ для ранньої діагностики захворювання. Розроблені в останні роки методики аналізу ЕКГ значно розширили можливості методу в диференціальної діагностики та прогнозуванні перебігу АКДПЖ. Популяризація ЕКГ-методів діагностики АКДПЖ в середовищі практикуючих лікарів є необхідною умовою раннього виявлення такого небезпечного захворювання.

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Ключові слова:

Аритмогенная кардиомиопатия / дисплазия правого желудочка, электрокардиография, внезапная сердечная смерть

Посилання

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