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METHOD OF SELECTING PATIENTS FOR SURGICAL TREATMENT OF LONG-LASTING PERSISTING ATRIAL FIBRILLATION

机译:持久性房颤的外科手术治疗患者选择方法

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to cardiosurgery. Patient is intra-operationally subjected to transesophageal ultrasound examination of heart. In case if no thrombosis of heart cavities is detected, electropulse cardioversion is performed. In case if sinus rhythm after cardioversion is recovered, epicardial electrophysiological examination is performed. If values of time of recovery of sinus bundle function are not higher than 1500 ms, values of corrected time of sinus bundle function recovery is not higher than 900 ms, Wenckebach point not lower than 90, recovery of sinus rhythm of sufficient frequency after surgical treatment of atrial fibrillation is predicted.;EFFECT: method makes it possible to ensure reduction of risk of development of hemodynamically essential complications in early postoperative period and release patients from necessity to have ECS and anti-arrhythmic therapy by adequate correction of heart rhythm impairment.;1 ex, 1 dwg
机译:技术领域本发明涉及医学,即心脏外科。术中对患者进行心脏经食道超声检查。如果未检测到心腔血栓形成,则执行电脉冲心脏复律。如果复律后窦性心律恢复,则进行心外膜电生理检查。如果鼻窦束功能恢复时间值不大于1500 ms,鼻窦束功能恢复时间校正值不大于900 ms,Wenckebach点不小于90,手术治疗后鼻窦节律恢复频率足够效果:该方法可以确保在术后早期降低发生血液动力学基本并发症的风险,并通过适当纠正心律不齐而使患者不必进行ECS和抗心律不齐的治疗。 1 ex,1 dwg

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