СЛУЧАЙ СИНДРОМА ВОЛЬФА-ПАРКИНСОНА-УАЙТА И РАННЕЙ РЕПОЛЯРИЗАЦИИ ЖЕЛУДОЧКОВ С ВЫСОКИМ РИСКОМ ВНЕЗАПНОЙ СЕРДЕЧНОЙ СМЕРТИ
Аннотация
В статье представлен случай диагностики и лечения синдрома Вольфа-Паркинсона-Уайта в сочетании с синдромом ранней реполяризации желудочков у 19-летнего пациента. Клиническое течение характеризовалось развитием более редкого варианта тахикардии с участием манифестирующего атриовентрикулярного дополнительного соединения – антидромной атриовентрикулярной реципрокной тахикардии, сопровождающейся синкопальными состояниями. Проведена оценка риска внезапной сердечной смерти с учетом сочетанной патологии. Изложены показания к радиочастотной аблации дополнительного соединения, описана методика ее проведения у представленного пациента.
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