avkАрхивъ внутренней медициныThe Russian Archives of Internal Medicine2226-67042411-6564“SINAPS” LLC10.20514/2226-6704-2021-11-3-173-185avk-1233Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESФибрилляция предсердий при гипертрофической кардиомиопатииAtrial Fibrillation in Hypertrophic Cardiomyopathyhttps://orcid.org/0000-0003-3611-1186ИгнатенкоГ. А.IgnatenkoG. A.

Донецк

Donetsk

https://orcid.org/0000-0003-3984-8482ТарадинГ. Г.TaradinG. G.

Геннадий Геннадьевич Тарадин 

Донецк

Gennadiy G. Taradin 

Donetsk

taradin@inbox.ruhttps://orcid.org/0000-0003-4307-1522ВатутинН. Т.VatutinN. T.

Донецк

Donetsk

https://orcid.org/0000-0002-1489-9382КалугаА. А.KalugaA. A.

Донецк

Donetsk

https://orcid.org/0000-0003-0141-8719КостяминЮ. Д.KostyaminYu. D.

Донецк

Donetsk

ГОО ВПО «Донецкий национальный медицинский университет им. М. Горького»УкраинаState Educational Organization of Higher Professional Education «M. Gorky Donetsk National Medical University»UkraineГОО ВПО «Донецкий национальный медицинский университет им. М. Горького»; ГУ «Институт неотложной и восстановительной хирургии им. В.К. Гусака»УкраинаState Educational Organization of Higher Professional Education «M. Gorky Donetsk National Medical University»; State Institution «V.K. Gusak Institute of Urgent and Recovery Surgery»UkraineДонецкое клиническое территориальное медицинское объединение (ДоКТМО)УкраинаDonetsk Clinical Territorial Medical AssociationUkraine202130052021113173185Copyright © Игнатенко Г.А., Тарадин Г.Г., Ватутин Н.Т., Калуга А.А., Костямин Ю.Д., 20212021Игнатенко Г.А., Тарадин Г.Г., Ватутин Н.Т., Калуга А.А., Костямин Ю.Д.Ignatenko G.A., Taradin G.G., Vatutin N.T., Kaluga A.A., Kostyamin Y.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medarhive.ru/jour/article/view/1233

В настоящем обзоре представлены современные сведения об особенностях фибрилляции предсердий у лиц с гипертрофической кардиомиопатией. Приводятся данные о распространенности, патогенезе и осложнениях фибрилляции предсердий. В статье представлены современные клинические рекомендации авторитетных научных медицинских сообществ по обсуждаемой проблеме. Подробно освещаются факторы риска возникновения фибрилляции предсердий на фоне гипертрофической кардиомиопатии с демонстрацией результатов различных исследований, посвященных изучению взаимосвязи между факторами риска и вероятностью развития аритмии. Описываются методы выявления, клинические проявления и течение фибрилляции предсердий у больных с гипертрофической кардиомиопатией. Представлены современные литературные данные, посвященные тактике ведения пациентов с фибрилляцией предсердий, рассматриваются подходы к лечению с использованием антикоагулянтов, антиаритмических препаратов, показания для проведения радиочастотной транскатетерной аблации и результаты исследований, посвященные долгосрочной эффективности процедуры. Обсуждается ведение больных в случае невозможности восстановления и поддержания синусового ритма.

The current information about features of atrial fibrillation in patients with hypertrophic cardiomyopathy is presented in this review. The data about prevalence, pathogenesis and its various complications in these patients are disclosed. The article contains updated clinical recommendations of authoritative medical societies on the discussing problem. There is detailed discussion of risk factors of atrial fibrillation onset in setting of hypertrophic cardiomyopathy with demonstration of results of different studies concerning to investigation of relationship between risk factors and probability of the arrhythmia development. There is description of detection methods, clinical manifestations, and the course of atrial fibrillation in patients with hypertrophic cardiomyopathy. The contemporary literature data are presented regarding to the management of patients with atrial fibrillation with use of anticoagulants, antiarrhythmic drugs, indications for performing of radiofrequency ablation and results of studies concerning long-term efficacy of such procedure are demonstrated. The discussion on the management of the patients in cases of sinus rhythm restoration or maintenance failure is described.

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