rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2011-7-1-57-64rpcardio-695Research ArticlePOINT OF VIEWТОЧКА ЗРЕНИЯATRIAL FLUTTER: CONTEMPORARY POSSIBILITIES OF DIAGNOSIS AND TREATMENTТРЕПЕТАНИЕ ПРЕДСЕРДИЙ: СОВРЕМЕННЫЕ ВОЗМОЖНОСТИ ДИАГНОСТИКИ И ЛЕЧЕНИЯБунинЮ. А.BuninYu. A.

д.м.н., профессор кафедры кардиологии

yabunin@rol.ruРоссийская медицинская академия последипломного образованияРоссияRussian Medical Academy of Postgraduate EducationRussian Federation201110012016715764Copyright © Bunin Y.A., 20162016Бунин Ю.А.Bunin Y.A.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/695

Diagnosis and treatment of atrial flutter (AF) is an important clinical task. Epidemiological data, electrophysiological mechanisms and updated classification of AF are presented as well as treatment algorithm that is suggested by leading experts. Two strategies of AF therapy are shown: "rhythm control" and "rate control". Author paid attention that ventricular rate reduction in AF is more difficult task than this in atrial fibrillation. Indications for different AF treatments are discussed: pharmacotherapy, pacing and cardioversion as well as surgical methods.

Диагностика и лечение трепетания предсердий (ТП) является актуальной проблемой. Представлены данные эпидемиологии, электрофизиологические механизмы и современная классификация ТП, алгоритм лечения, который предложен ведущими экспертами. Показано, что в лечении ТП, как и при лечении фибрилляции предсердий (ФП), можно выделить 2 стратегии: «контроль ритма» и «контроль частоты». Отмечено, что снижение частоты желудочковых сокращений у больных с ТП, значительно труднее, чем при ФП. Описаны показания к различным видам терапии ТП: фармакологической терапии, электрокардиостимуляции и электроимпульсной терапии, а также к хирургическим методам лечения.

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