CONTENTS
СОДЕРЖАНИЕ
RUSSIAN JOURNAL OF CARDIOLOGY, 2016, 7 (135)
Address to the readers
Russ J Cardiol 2016, 7 (135): 4
CLINICAL GUIDELINES
2015 ESC GUIDELINES FOR THE MANAGEMENT OF PATIENTS WITH VENTRICULAR ARRHYTHMIAS AND THE PREVENTION OF SUDDEN CARDIAC DEATH
The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death
of the European Society of Cardiology (ESC)
Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC)
Russ J Cardiol 2016, 7 (135): 5–86
http://dx.doi.org/10.15829/1560-4071-2016-7-5-86
Key words: acute coronary syndrome, cardiac resynchronization therapy, cardiomyopathy, congenital heart disease, defibrillator, guidelines, heart failure, implantable cardioverter defibrillator, myocardial infarction, resuscitation, stable coronary artery disease, sudden cardiac death, tachycardia, valvular heart, disease, ventricular arrhythmia.
CLINICAL MEDICINE NEWS
Clinical medicine updates: a review of international news
Russ J Cardiol 2016, 7 (135): 87
ORIGINAL ARTICLES
FOCUS-GUIDED ENDOMYOCARDIAL BYOPSY IN DIAGNOSTICS OF ARRHYTHMOGENIC DYSPLASIA OF THE RIGHT VENTRICLE IN PATIENTS SCHEDULED FOR CATHETER ABLATION OF VENTRICULAR ARRHYTHMIAS
Simonova K. A., Mikhaylov E . N., Tatarsky R. B., Mitrofanova L. B., Lebedev D. S .
Abstract. Endomyocardial biopsy (EMB) is one of diagnostical tools for arrhythmogenic dysplasia of the right ventricle (ADRB). However sensitivity and specificity of EMB relay on the methodics of its performing.
Aim. To compare "focus-guided" and "voluntary" EMB in diagnostics of ADRB in patients, scheduled for catheter ablation of ventricular rhythm disorders.
Material and methods. To retrospective study 122 patients included, among those scheduled for catheter ablation of ventricular tachicardia and\or sympthomatic ventricular extrasystoly, underwent EMB (64 males, mean age 39±14 y.). Patients were selected to 2 groups: 1) 44 patients (36%) with "focus-guided" biopsy (minimum 1 fragment of endomyocardium from the area(s) of ectopy); 2) 78 patients (64%) with "voluntary" EMB (specimens taken from any area except the focus).
Results. Sixteen (13,1%) patients took the definite dignosis of ADRB according to 2010 Criteria. Short-term effect of ablation reached 69,7% of patients, much less efficacy had ADRB group (43,8%). Sensitivity and specificity of EMB in the big criteria of ADRB revealing, by histology, was higher in the group with "focus-guided" EMB, comparing to the "voluntary" group (100% and 91,7% vs. 80% and 81,4%, respectively).
Conclusion. To improve sensitivity and specificity of EMB in ADRB diagnostics it is aimful to take myocardium specimens from the area of researched ventricular ectopy.
Russ J Cardiol 2016, 7 (135): 88–92
http://dx.doi.org/10.15829/1560-4071-2016-7-88-92
Key words: arrhythmogenic dysplasia of right ventricle, endomyocardial byopsy, ventricular ectopy, radiofrequency ablation.
Federal Almazov North-West Medical Research Centre of the Ministry of Health, Saint-Petersburg, Russia.
CURRENT STATE OF THE HEART VALVES POSTOPERATION MANAGEMENT
Gorlova I. A., Omelchenko M. Yu., Kazantseva T. I., Nedoshivin A. O., Bondarenko B. B.
Abstract. The article summarizes a long-term follow-up experience on the patients underwent various operation types on cardiac valves, specifics of individualized approach at outpatient stage, reach of optimal hypocoagulation taking recent guidelines, prevention and early diagnostics of prosthesis-related complications, as principals of management and necessity of extracardiac surgical interventions for the pregnant.
Russ J Cardiol 2016, 7 (135): 93–99
http://dx.doi.org/10.15829/1560-4071-2016-7-93-99
Key words: cardiac valves surgery, post-operation management, anticoagulants, infectious endocarditis.
Federal Almazov North-West Medical Research Centre of the Ministry of Health, Saint-Petersburg, Russia.
