Автореферат и диссертация по медицине (14.00.06) на тему:Фибрилляция предсердий после операций аортокоронарного шунтирования: прогностические факторы, особенности диагностики и лечения

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Введение

Глава I Обзор литературы

1.1 Фибрилляция предсердий после кардиохирургических операций: история развития . 7 вопроса, эпидемиология, время возникновения

1.2 Последствия возникновения фибрилляции предсердий после операции аортокоронарно- 16 го шунтирования

1.3 Патофизиология возникновения фибрилляции предсердий после операции аортокоронар-го шунтирования

1.4 Факторы риска развития фибрилляции предсердий после операции аортокоронарного 21 шунтирования: до-, интра- и послеоперационные.

1.5 Клинико-инструментальные и лабораторные методы оценки некоторых факторов риска 40 развития фибрилляции предсердий после аортокоронарного шунтирования.

Глава II Материалы и методы исследования

2.1 Клиническая характеристика больных

2.2 Методы исследования

2.2.1 Электрокардиографические методы исследования

2.2.2 Ультразвуковые методы диагностики

2.2.3 Рентгенологическое исследование

2.2.4 Коронарография

2.2.5 Определение содержания натрийуретических пептидов в плазме крови

2.2.6 Статистическая обработка данных

Глава Ш Результаты исследования и обсуждение полученных результатов

3.1 Частота встречаемости фибрилляции предсердий после аортокоронарного шунтирова 70 ния с искусственным кровообращением и без искусственного кровообращения

3.1.1.Время возникновения фибрилляции предсердий после аортокоронарного 71 шунтирования с искусственным кровообращением и без искусственного кровообращения

3.1.2. Связь некоторых интра- и послеоперационных параметров с развитием фибрилляции 72 предсердий после аортокоронарного шунтирования

3.1.3. Связь некоторых дооперационных параметров с развитием фибрилляции предсердий 82 после аортокоронарного шунтирования

3.1.4. Продолжительность Р-волны, её дисперсии и фильтрованной Р-волны 85 3.1.5.Эхокардиографические данные

3.1.6. Особенности вариабельности сердечного ритма

3.1.7. Роль определения уровней предшественников натрийуретических пептидов в плазме Ю0 крови и их динамика после аортокоронарного шунтирования

3.2 Выявление независимых предикторов развития фибрилляции предсердий после аорто- 118 коронарного шунтирования

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