rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2014-10-4-416-420rpcardio-187Research ArticleNOTES FROM PRACTICEКЛИНИЧЕСКИЙ ОПЫТFEATURES OF THE CARDIOVERSION IN ATRIAL FLUTTER AND FIBRILLATION IN ERA OF NEW ANTICOAGULANTS: PRACTICAL CARDIOLOGIST VIEWОСОБЕННОСТИ ПРОВЕДЕНИЯ КАРДИОВЕРСИИ ПРИ ТРЕПЕТАНИИ И ФИБРИЛЛЯЦИИ ПРЕДСЕРДИЙ В ЭРУ НОВЫХ АНТИКОАГУЛЯНТОВ: ВЗГЛЯД ПРАКТИЧЕСКОГО КАРДИОЛОГАЗенинС. А.ZeninS. A.

д.м.н., зав. отделением хирургического лечения сложных нарушений ритма сердца и электрокардиостимуляции

630047, Новосибирск, ул. Залесского, 6, корп. 8

Zaleskogo ul. 6-8, Novosibirsk, 630047 Russia

zenin_s@mail.ruФедосеенкоА. В.FedoseenkoA. V.

врач того же отделения

630047, Новосибирск, ул. Залесского, 6, корп. 8

Zaleskogo ul. 6-8, Novosibirsk, 630047 Russia

КононенкоО. В.KononenkoO. V.

к.м.н., врач того же отделения

630047, Новосибирск, ул. Залесского, 6, корп. 8

Zaleskogo ul. 6-8, Novosibirsk, 630047 Russia

ПятаеваО. В.PyataevaO. V.

врач того же отделения

630047, Новосибирск, ул. Залесского, 6, корп. 8

Zaleskogo ul. 6-8, Novosibirsk, 630047 Russia

Новосибирский областной клинический кардиологический диспансерРоссияNovosibirsk Regional Clinical Cardiology ClinicRussian Federation201423092015104416420Copyright © Zenin S.A., Fedoseenko A.V., Kononenko O.V., Pyataeva O.V., 20152015Зенин С.А., Федосеенко А.В., Кононенко О.В., Пятаева О.В.Zenin S.A., Fedoseenko A.V., Kononenko O.V., Pyataeva O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rpcardio.online/jour/article/view/187

Strategies for the management of patients with atrial fibrillation (heart rhythm or heart rate control) are considered. The advantages of these methods, especially the implementation are presented. Based on their own data, authors give an algorithm to select the management strategy in particular patient. Preparation and implementation of electrical cardioversion procedure are described. The evidence base and analysis of complications of different anticoagulants use for safety of sinus rhythm restoration are presented.

Разбирают стратегии ведения пациентов с фибрилляцией предсердий (ФП): контроль ритма сердца или частоты сердечных сокращений. Рассматривают их преимущества, особенности проведения. Основываясь на собственных данных, приводят алгоритм выбора стратегии ведения у конкретного пациента, описывают подготовку и методику выполнения электрической кардиоверсии. Приводят доказательную базу и анализ осложнений при использовании различных антикоагулянтов для обеспечения безопасности восстановления синусового ритма.

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