vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2010-3-36-40vtio-323Research ArticleТрансплантомикаTransplantomicsФИБРИЛЛЯЦИЯ И ТРЕПЕТАНИЕ ПРЕДСЕРДИЙ В РАННЕМ ПОСЛЕОПЕРАЦИОННОМ ПЕРИОДЕ ПОСЛЕ ПРОТЕЗИРОВАНИЯ ВОСХОДЯЩЕГО ОТДЕЛА АОРТЫ И/ИЛИ АОРТАЛЬНОГО КЛАПАНА: ФАКТОРЫ РИСКА, ЛЕЧЕНИЕ, ПРОФИЛАКТИКАATRIAL FIBRILLATION OR FLUTTER IN THE EARLY POSTOPERATIVE PERIOD AFTER ASCENDING AORTA AND/OR AORTIC VALVE REPLACEMENT: RISK FACTORS, TREATMENT, PREVENTIVE MAINTENANCEИоноваВ. В.IonovaV. V.atff2004@mail.ruСеменовскийМ. Л.SemenovskyM. L.ФГУ «Федеральный научный центр трансплантологии и искусственных органов им. академика В.И. Шумакова» Минздравсоцразвития РФ, МоскваРоссияAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowRussian Federation201005062014123ВЕСТНИК ТРАНСПЛАНТОЛОГИИ И ИСКУССТВЕННЫХ ОРГАНОВ том XII No 3–20103640Copyright © Ионова В.В., Семеновский М.Л., 20102010Ионова В.В., Семеновский М.Л.Ionova V.V., Semenovsky M.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/323

Фибрилляция (ФП) и трепетание предсердий (ТП) являются частым осложнением после протезирова- ния клапанов сердца, в том числе после протезирования восходящего отдела аорты и/или аортального клапана, и могут стать причиной нарушения гемодинамики, развития тромбоэмболических осложнений, а также увеличить продолжительность госпитализации и стоимость лечения. Целью работы явилась по- пытка определить наиболее частые причины развития ФП/ТП в ранние сроки после протезирования вос- ходящего отдела аорты и/или аортального клапана, а также лечебную и профилактическую тактику при возникновении этих осложнений. 

Atrial fibrillation or flutter (AF) are frequent complication after replacement of cardiac valves including prosthe- tics of ascending aorta and/or aortic valve, and can cause the infringement of haemodynamics, development of thromboembolic complications, and also increase duration of hospitalisation and treatment cost. The work pur- pose was the attempt to define the most frequent reasons of development AF in early terms after ascending aorta and/or aortic valve replacement, and also medical and preventive tactics at occurrence of these complications. 

фибрилляция или трепетание предсердийпротезирование восходящего отдела аорты и/или аортального клапана.atrial fibrillation or flutterascending aorta and/or aortic valve replacement.ReferencesРекомендации АСС/АНА/ESC 2006 г. по лечению па- циентов с фибрилляцией предсердий // Анналы арит- мологии. No 1–2. 2007. 137 с.Рекомендации АСС/АНА/ESC 2006 г. по лечению па- циентов с фибрилляцией предсердий // Анналы арит- мологии. No 1–2. 2007. 137 с.Цыганий А.А., Атаманюк М.Ю., Петрова С.Л. и др. Аритмии в ближайшие сроки после протезирования клапанов сердца: частота и прогностическое значе- ние // Груд. хир. No 2. С. 17–23.Цыганий А.А., Атаманюк М.Ю., Петрова С.Л. и др. Аритмии в ближайшие сроки после протезирования клапанов сердца: частота и прогностическое значе- ние // Груд. хир. No 2. С. 17–23.ACC/AHA/ESC guidelines for the management of pa- tients with supraventricular arrhythmias – executive summary // J. Am. Coll. Cardiol. 2003. Vol. 42. P. 1493– 1531.ACC/AHA/ESC guidelines for the management of pa- tients with supraventricular arrhythmias – executive summary // J. Am. Coll. Cardiol. 2003. Vol. 42. P. 1493– 1531.Bharucha D.B., Kowey P.R. Management and prevention of atrial fibrillation after cardiovascular surgery // Am. J. Cardio. 2000. Vol. 85. P. 20–24.Bharucha D.B., Kowey P.R. Management and prevention of atrial fibrillation after cardiovascular surgery // Am. J. Cardio. 2000. Vol. 85. P. 20–24.Buxston A.E., Josephson M.E. The role of P wave dura- tion as a predictor of postoperative atrial arrhythmias // Chest. 1981. Vol. 80. P. 68–73.Buxston A.E., Josephson M.E. The role of P wave dura- tion as a predictor of postoperative atrial arrhythmias // Chest. 1981. Vol. 80. P. 68–73.Creswell L.L., Schuessler R.B., Rosenbloom M. et al. Hazards of postoperative atrial arrhythmias // Ann. Tho- rac. Surg. 1993. Vol. 56. P. 539–549.Creswell L.L., Schuessler R.B., Rosenbloom M. et al. Hazards of postoperative atrial arrhythmias // Ann. Tho- rac. Surg. 1993. Vol. 56. P. 539–549.Daoud E.G., Strickberger S.A., Man K.S. et al. Preopera- tive amiodarone as prophilaxis against atrial fibrillation after heart surgery // N. Engl. J. Med. 1997. Vol. 337. P. 1785–1791.Daoud E.G., Strickberger S.A., Man K.S. et al. Preopera- tive amiodarone as prophilaxis against atrial fibrillation after heart surgery // N. Engl. J. Med. 1997. Vol. 337. P. 1785–1791.Davison R., Hartz R., Kaplan K. et al. Prophylaxis of supraventricular tachyarrhythmia after coronary bypassDavison R., Hartz R., Kaplan K. et al. Prophylaxis of supraventricular tachyarrhythmia after coronary bypasssurgery with oral verapamil: a randomized, double-blind trial // Ann. Thorac. Surg. 1985. Vol. 39. P. 336–339.surgery with oral verapamil: a randomized, double-blind trial // Ann. Thorac. Surg. 1985. Vol. 39. P. 336–339.Fuster, Ryden. ACC/AHA/ESC Practice Guidelines //JACC. 2001. 38. 1266i-Ixx.Fuster, Ryden. ACC/AHA/ESC Practice Guidelines //JACC. 2001. 38. 1266i-Ixx.Heywood J.T. Calcium channel blockers for heart rate control in atrial fibrillation complicated by congestiveHeywood J.T. Calcium channel blockers for heart rate control in atrial fibrillation complicated by congestiveheart failure // Can. J. Cardiol. 1995. Vol. 11. P. 823–826.heart failure // Can. J. Cardiol. 1995. Vol. 11. P. 823–826.Hogue C.W., Hyder M.L. Atrial fibrillation after cardiac operation: risks, mechanisms and treatment // Ann. Tho-Hogue C.W., Hyder M.L. Atrial fibrillation after cardiac operation: risks, mechanisms and treatment // Ann. Tho-rac. Surg. 2000. Vol. 69. P. 300–306.rac. Surg. 2000. Vol. 69. P. 300–306.Gozal Y., Glantz L., Luria M.H. et al. Normothermic con-Gozal Y., Glantz L., Luria M.H. et al. Normothermic con-tinuous blood cardioplegia improves electrophysiologic recovery after open heart surgery // Anethesiology. 1996. Vol. 84. P. 1298–1306.tinuous blood cardioplegia improves electrophysiologic recovery after open heart surgery // Anethesiology. 1996. Vol. 84. P. 1298–1306.Guarnieri T., Nolan S., Gottlieb S.O. et al. Intravenous amiodarone for the prevention of atrial fibrillation after fibrillation after open heart surgery: the Amiodarone Re- duction in Coronary Heart (ARCH) trial // J. Am. Coll. Cardiol. 1999. Vol. 34. P. 343–347.Guarnieri T., Nolan S., Gottlieb S.O. et al. Intravenous amiodarone for the prevention of atrial fibrillation after fibrillation after open heart surgery: the Amiodarone Re- duction in Coronary Heart (ARCH) trial // J. Am. Coll. Cardiol. 1999. Vol. 34. P. 343–347.Mullen J.C., Khan N., Weisel R.D. et al. Atrial activ- ity during cardioplegia and postoperative arrhythmias // J. Thorac. Cardiovasc. Surg. 1987. Vol. 94. P. 558–565.Mullen J.C., Khan N., Weisel R.D. et al. Atrial activ- ity during cardioplegia and postoperative arrhythmias // J. Thorac. Cardiovasc. Surg. 1987. Vol. 94. P. 558–565.Podrid P.J. Prevention of postoperative atrial fibrillation: what is the best approach? // J. Am. Coll. Cardiol. 1999. Vol. 34. P. 340–342.Podrid P.J. Prevention of postoperative atrial fibrillation: what is the best approach? // J. Am. Coll. Cardiol. 1999. Vol. 34. P. 340–342.Reeves J.F., Karp R.B., Buttner E.E. et al. Neuronal and adrenomedullary catecholamine release in response to cardiopulmonary bypass in man // Circulation. 1982. Vol. 66. P. 49–55.Reeves J.F., Karp R.B., Buttner E.E. et al. Neuronal and adrenomedullary catecholamine release in response to cardiopulmonary bypass in man // Circulation. 1982. Vol. 66. P. 49–55.Sato S., Yamauchi S., Schuessler R.B. et al. The effect of augmented atrial hypothermia on atrial refractory pe- riod, conductions, and atrial flutter/fibrillation in the ca- nine heart // J. Thorac. Cardiovasc. Surg. 1992. Vol. 104. P. 297–305.Sato S., Yamauchi S., Schuessler R.B. et al. The effect of augmented atrial hypothermia on atrial refractory pe- riod, conductions, and atrial flutter/fibrillation in the ca- nine heart // J. Thorac. Cardiovasc. Surg. 1992. Vol. 104. P. 297–305.Steinberg J.S., Zelenkofske S., Wong S.C. et al. Value of the P-wave signal-averaged ECG for predicting atrial fibrilla- tion after cardiac surgery // Circulation. 1993. Vol. 88 (6). P. 2618–2622.Steinberg J.S., Zelenkofske S., Wong S.C. et al. Value of the P-wave signal-averaged ECG for predicting atrial fibrilla- tion after cardiac surgery // Circulation. 1993. Vol. 88 (6). P. 2618–2622.Stephenson L.W., MacVaugh H., Tomasello D.N. et al. Propranolol for prevention of postoperative cardiac ar- rhythmias: a randomized study // Ann. Thorac. Surg. 1980. Vol. 29. P. 113.Stephenson L.W., MacVaugh H., Tomasello D.N. et al. Propranolol for prevention of postoperative cardiac ar- rhythmias: a randomized study // Ann. Thorac. Surg. 1980. Vol. 29. P. 113.Tchervenkov C.I., Wynands J.E., Symens J.F. et al. Per- sistent atrial activity during cardioplegic arrest: a possible factor in the etiology of postoperative supruventricular tachyarrhythmias // Ann. Thorac. Surgery. 1983. Vol. 36. P. 437–443.Tchervenkov C.I., Wynands J.E., Symens J.F. et al. Per- sistent atrial activity during cardioplegic arrest: a possible factor in the etiology of postoperative supruventricular tachyarrhythmias // Ann. Thorac. Surgery. 1983. Vol. 36. P. 437–443.

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