90 research outputs found
Ratchet-Like Solitonic Transport in Quantum Hall Bilayers
The pseudo-spin model for double layer quantum Hall system with total landau
level filling factor is discussed. Unlike the "traditional" one where
interlayer voltage enters as static magnetic field along pseudo- spin hard
axis, in our model we consider applied interlayer voltage as a frequency of
precessing pseudo-magnetic field lying into the easy plane. It is shown that a
Landau-Lifshitz equation for the considered pseudo magnetic system well
describes existing experimental data. Besides that, the mentioned model
predicts novel directed intra-layer transport phenomenon in the system:
unidirectional intra-layer energy transport is realized due to interlayer
voltage induced motion of topological kinks. This effect could be observed
experimentally detecting counter-propagating intra-layer inhomogeneous charge
currents which are proportional to the interlayer voltage and total topological
charge of the pseudo-spin system.Comment: 4 pages, 4 figure
Π€Π°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° ΠΈ ΠΏΠ°ΡΠΎΡΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΡ ΠΊΠΎΠ½ΡΡΠ°ΡΡ-ΠΈΠ½Π΄ΡΡΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠΉ Π½Π΅ΡΡΠΎΠΏΠ°ΡΠΈΠΈ ΠΏΠΎΡΠ»Π΅ ΠΌΡΠ»ΡΡΠΈΡΠΏΠΈΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΠΈ Ρ ΠΊΠΎΠ½ΡΡΠ°ΡΡΠ½ΡΠΌ ΡΡΠΈΠ»Π΅Π½ΠΈΠ΅ΠΌ
Introduction. The number of contrast enhanced MDCTΒ is growing everywhere. The risk adverse events after intravascularΒ injection of contrast media increased also. One ofΒ these adverse events is an acute renal injury (known in theΒ literature as a βcontrast-induced nephropathy, CINβ).Β Literature data are often contradictory. We need an objectiveΒ analysis of information on the incidence of CIN andΒ evaluation of risk groups for MDCT-CIN.The aim of the study: the evaluation of factors affectingΒ the development of CIN, understanding of its pathophysiology,Β including patients with diabetes mellitus, atΒ contrast-enhanced MDCT.Material and methods. 62 English-language scientificΒ publications, the full text of which and bibliography is availableΒ for search in PubMed (2013β2016 years), were analyzed.Β Factors of pathophysiology of CIN were divided intoΒ groups and subgroups for critical analysis and understandingΒ the contraindications to the use of contrast-enhancedΒ MDCT in the diagnostic process.Results. Age older than 65 years, low baseline estimatedΒ glomerular filtration rate (eGFR), diabetes, low levelsΒ of serum albumin, hypertension predispose patients to CINΒ more often than the modified baseline serum creatinine.Β Intravenous injection of low osmolar CM is not a risk factorΒ in patients with eGFR β₯45 ml /kg /1.73 m2. SCr levelsΒ may vary to levels greater than or less than 25% of baselineΒ even without administration of iodinated CM and may not beΒ a reliable diagnostic test.Conclusion. The introduction into the everyday practiceΒ of screening CIN such test as the eGFR, considering the riskΒ of CIN threshold level lower than 45 mL/ min / 1.73 m2,Β will reduce the risk of misidentification of CIN in a large numberΒ of adult inpatients with a threshold level of serum creatinineΒ (SCr) > 1,5 mg /dl.ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅. ΠΠΎΠ»ΠΈΡΠ΅ΡΡΠ²ΠΎ ΠΠ‘ΠΠ’ Ρ ΠΊΠΎΠ½ΡΡΠ°ΡΡΠ½ΡΠΌ ΡΡΠΈΠ»Π΅Π½ΠΈΠ΅ΠΌ ΡΠ°ΡΡΠ΅Ρ ΠΏΠΎΠ²ΡΠ΅ΠΌΠ΅ΡΡΠ½ΠΎ, Π° Π²ΠΌΠ΅ΡΡΠ΅ Ρ Π½Π΅ΠΉ ΡΠ°ΡΡΠ΅Ρ ΡΠΈΡΠΊΒ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΏΠΎΠ±ΠΎΡΠ½ΡΡ
ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΠΉ Π²Π½ΡΡΡΠΈΡΠΎΡΡΠ΄ΠΈΡΡΠΎΠ³ΠΎ Π²Π²Π΅Π΄Π΅Π½ΠΈΡ ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠΊΠΎΠ½ΡΡΠ°ΡΡΠ½ΡΡ
Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΡΠ΅Π΄ΡΡΠ²,Β Π² ΡΠ°ΡΡΠ½ΠΎΡΡΠΈ ΠΎΡΡΡΠΎΠ³ΠΎ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ ΠΏΠΎΡΠ΅ΠΊ (ΠΈΠ·Π²Π΅ΡΡΠ½ΠΎΠ³ΠΎΒ Π² Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ΅ ΠΊΠ°ΠΊ βΠΊΠΎΠ½ΡΡΠ°ΡΡ-ΠΈΠ½Π΄ΡΡΠΈΡΠΎΠ²Π°Π½Π½Π°Ρ Π½Π΅ΡΡΠΎΠΏΠ°ΡΠΈΡ β ΠΠΠβ). ΠΠΈΡΠ΅ΡΠ°ΡΡΡΠ½ΡΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΡΠ°ΡΡΠΎ ΠΏΡΠΎΡΠΈΠ²ΠΎΡΠ΅ΡΠΈΠ²Ρ. ΠΠ΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌ ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈΒ ΠΎ ΡΠ°ΡΡΠΎΡΠ΅ ΠΠΠ ΠΈ ΠΎΡΠ΅Π½ΠΊΠ΅ Π³ΡΡΠΏΠΏ ΡΠΈΡΠΊΠ° Π΅Π΅ ΡΠ°Π·Π²ΠΈΡΠΈΡ.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ: ΠΈΠ·ΡΡΠ΅Π½ΠΈΠ΅ ΡΠ°ΠΊΡΠΎΡΠΎΠ², Π²Π»ΠΈΡΡΡΠΈΡ
Π½Π° ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ ΠΠΠ, ΠΎΡΠΌΡΡΠ»Π΅Π½ΠΈΠ΅ Π΅Π΅ ΠΏΠ°ΡΠΎΡΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈΒ ΠΏΡΠΈ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΠΈ ΠΠ‘ΠΠ’ Ρ ΠΊΠΎΠ½ΡΡΠ°ΡΡΠ½ΡΠΌ ΡΡΠΈΠ»Π΅Π½ΠΈΠ΅ΠΌ ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΡ, Π² ΡΠΎΠΌ ΡΠΈΡΠ»Π΅ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΠ°Ρ
Π°ΡΠ½ΡΠΌ Π΄ΠΈΠ°Π±Π΅ΡΠΎΠΌ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Ρ 62 Π½Π°ΡΡΠ½ΡΠ΅ Π°Π½Π³Π»ΠΎΡΠ·ΡΡΠ½ΡΠ΅ ΠΏΡΠ±Π»ΠΈΠΊΠ°ΡΠΈΠΈ, ΠΏΠΎΠ»Π½ΡΠΉ ΡΠ΅ΠΊΡΡ ΠΊΠΎΡΠΎΡΡΡ
Β ΠΈ ΠΈΡ
Π±ΠΈΠ±Π»ΠΈΠΎΠ³ΡΠ°ΡΠΈΡ Π΄ΠΎΡΡΡΠΏΠ½Ρ Π² ΠΏΠΎΠΈΡΠΊΠΎΠ²ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΠ΅Β PubMed (2013β2016 Π³Π³.). Π€Π°ΠΊΡΠΎΡΡ ΠΏΠ°ΡΠΎΡΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΠΠΒ ΡΠ°Π·Π΄Π΅Π»Π΅Π½Ρ Π½Π° ΠΏΠΎΠ΄Π³ΡΡΠΏΠΏΡ ΠΈ ΠΏΠΎΠ΄Π²Π΅ΡΠ³Π½ΡΡΡ ΠΊΡΠΈΡΠΈΡΠ΅ΡΠΊΠΎΠΌΡΒ Π°Π½Π°Π»ΠΈΠ·Ρ Π΄Π»Ρ ΠΎΡΠΌΡΡΠ»Π΅Π½ΠΈΡ ΠΏΡΠΎΡΠΈΠ²ΠΎΠΏΠΎΠΊΠ°Π·Π°Π½ΠΈΠΉ ΠΊ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ ΠΠ‘ΠΠ’ Ρ ΠΊΠΎΠ½ΡΡΠ°ΡΡΠ½ΡΠΌ ΡΡΠΈΠ»Π΅Π½ΠΈΠ΅ΠΌ Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΏΡΠΎΡΠ΅ΡΡΠ΅.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠΎΠ·ΡΠ°ΡΡ ΡΡΠ°ΡΡΠ΅ 65 Π»Π΅Ρ, Π½ΠΈΠ·ΠΊΠΈΠΉ Π±Π°Π·ΠΎΠ²ΡΠΉ ΡΡΠΎΠ²Π΅Π½Ρ ΡΠ°ΡΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΊΠΎΡΠΎΡΡΠΈ ΠΊΠ»ΡΠ±ΠΎΡΠΊΠΎΠ²ΠΎΠΉ ΡΠΈΠ»ΡΡΡΠ°ΡΠΈΠΈ (ΡΠ‘ΠΠ€), ΡΠ°Ρ
Π°ΡΠ½ΡΠΉ Π΄ΠΈΠ°Π±Π΅Ρ, Π½ΠΈΠ·ΠΊΠΈΠΉ ΡΡΠΎΠ²Π΅Π½Ρ ΡΡΠ²ΠΎΡΠΎΡΠΎΡΠ½ΠΎΠ³ΠΎ Π°Π»ΡΠ±ΡΠΌΠΈΠ½Π°, Π³ΠΈΠΏΠ΅ΡΡΠΎΠ½ΠΈΡ ΠΏΡΠ΅Π΄ΡΠ°ΡΠΏΠΎΠ»Π°Π³Π°ΡΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΊ ΠΠΠ ΡΠ°ΡΠ΅, ΡΠ΅ΠΌ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½ΡΠΉ ΠΈΡΡ
ΠΎΠ΄Π½ΡΠΉ ΡΡΠΎΠ²Π΅Π½ΡΒ ΡΡΠ²ΠΎΡΠΎΡΠΎΡΠ½ΠΎΠ³ΠΎ ΠΊΡΠ΅Π°ΡΠΈΠ½ΠΈΠ½Π° (SCr). ΠΠ½ΡΡΡΠΈΠ²Π΅Π½Π½ΠΎΠ΅ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ Π½ΠΈΠ·ΠΊΠΎΠΎΡΠΌΠΎΠ»ΡΡΠ½ΡΡ
ΠΊΠΎΠ½ΡΡΠ°ΡΡΠ½ΡΡ
Π²Π΅ΡΠ΅ΡΡΠ² Π½Π΅ ΡΠ²Π»ΡΠ΅ΡΡΡΒ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ ΡΠΈΡΠΊΠ° Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΌ Ρ ΡΠ‘ΠΠ€ β₯45 ΠΌΠ»/ΠΊΠ³/1,73 ΠΌ2.Β Π£ΡΠΎΠ²Π΅Π½Ρ SCr ΠΌΠΎΠΆΠ΅Ρ ΠΊΠΎΠ»Π΅Π±Π°ΡΡΡΡ Π΄ΠΎ ΡΡΠΎΠ²Π½Π΅ΠΉ, Π±ΠΎΠ»ΡΡΠ΅ ΠΈΠ»ΠΈΒ ΠΌΠ΅Π½ΡΡΠ΅, ΡΠ΅ΠΌ 25% ΠΎΡ Π±Π°Π·ΠΎΠ²ΠΎΠ³ΠΎ ΡΡΠΎΠ²Π½Ρ Π΄Π°ΠΆΠ΅ Π±Π΅Π· Π²Π²Π΅Π΄Π΅Π½ΠΈΡΒ ΠΉΠΎΠ΄ΡΠΎΠ΄Π΅ΡΠΆΠ°ΡΠΈΡ
ΠΊΠΎΠ½ΡΡΠ°ΡΡΠ½ΡΡ
Π²Π΅ΡΠ΅ΡΡΠ², ΠΈ Π½Π΅ ΠΌΠΎΠΆΠ΅Ρ ΡΡΠΈΡΠ°ΡΡΡΡ Π½Π°Π΄Π΅ΠΆΠ½ΡΠΌ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠΈΠΌ ΡΠ΅ΡΡΠΎΠΌ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ Π² ΠΏΡΠ°ΠΊΡΠΈΠΊΡ ΠΏΠΎΠ²ΡΠ΅Π΄Π½Π΅Π²Π½ΠΎΠΉΒ ΡΠ°Π±ΠΎΡΡ ΡΠΊΡΠΈΠ½ΠΈΠ½Π³Π°, ΠΎΡΠ½ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ Π½Π° ΠΈΠ·ΡΡΠ΅Π½ΠΈΠΈ ΡΠ‘ΠΠ€Β (ΡΡΠΈΡΠ°Ρ ΠΏΠΎΡΠΎΠ³ΠΎΠΌ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΠΠ ΡΡΠΎΠ²Π΅Π½Ρ Π½ΠΈΠΆΠ΅, ΡΠ΅ΠΌΒ 45 ΠΌΠ»/ΠΌΠΈΠ½/1,73 ΠΌ2) ΠΏΡΠΈΠ²Π΅Π΄Π΅Ρ ΠΊ ΡΠΎΠΊΡΠ°ΡΠ΅Π½ΠΈΡ Π½Π΅ΠΏΡΠ°Π²ΠΈΠ»ΡΠ½ΠΎΠΉ ΠΈΠ΄Π΅Π½ΡΠΈΡΠΈΠΊΠ°ΡΠΈΠΈ ΡΠΈΡΠΊΠ° ΠΠΠ Ρ Π±ΠΎΠ»ΡΡΠΎΠ³ΠΎ ΡΠΈΡΠ»Π° Π²Π·ΡΠΎΡΠ»ΡΡ
ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΡΡ
Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ ΠΏΠΎΡΠΎΠ³ΠΎΠ²ΡΠΌ ΡΡΠΎΠ²Π½Π΅ΠΌΒ SCr >1,5 ΠΌΠ³/Π΄Π»
ΠΠΊΠ°Π΄Π΅ΠΌΠΈΠΊ Π ΠΠΠ ΠΠΈΡ Π°ΠΈΠ» ΠΠ»ΡΠΈΡ ΠΡΠ·ΠΈΠ½ ΠΈ Π΅Π³ΠΎ Π΄Π΅ΡΡΠ΅Π»ΡΠ½ΠΎΡΡΡ Π²ΠΎ Π³Π»Π°Π²Π΅ ΠΠ½ΡΡΠΈΡΡΡΠ° Ρ ΠΈΡΡΡΠ³ΠΈΠΈ ΠΈΠΌ. Π.Π. ΠΠΈΡΠ½Π΅Π²ΡΠΊΠΎΠ³ΠΎ ΠΠΠ Π‘Π‘Π‘Π (ΠΊ 100-Π»Π΅ΡΠΈΡ ΡΠΎ Π΄Π½Ρ ΡΠΎΠΆΠ΄Π΅Π½ΠΈΡ)
The article is dedicated to RAMS Academician M. I. Kuzin (1916β2009) and to his work as the head of the A. V. Vishnevsky Institute of Surgery of the AMS of the USSR (1976β1988). It is shown that M. I. Kuzin, becoming the head of the main surgical Research Institute of the country, not only developed many surgery areas, which were initiated by his predecessor β the academician of the AMS of the USSR β A. A. Vishnevsky and some exponents of his school (particularly, these are cardiac, thoracic and abdominal surgery), he extended some of areas (for example, peptic ulcer surgery, vast burns and wounds surgery), but also he laid the basis for new areas (liver surgery, endoscopic surgery, and so on). In general, 12-year-activity of M. I. Kuzin as the head of the A. V. Vishnevsky Institute of Surgery of the AMS of the USSR (and then he delegated his directorship to the academician of the AMS of the USSR V. D. Fedorov) was very profitable for progressive advance of collective, and this helped the Institute to become the βCollective of high cultureβ in 1979 and βThe Exemplary Institution of Moscowβ in 1981.Π‘ΡΠ°ΡΡΡ ΠΏΠΎΡΠ²ΡΡΠ΅Π½Π° Π°ΠΊΠ°Π΄Π΅ΠΌΠΈΠΊΡ Π ΠΠΠ ΠΠΈΡ
Π°ΠΈΠ»Ρ ΠΠ»ΡΠΈΡΡ ΠΡΠ·ΠΈΠ½Ρ (1916β2009) ΠΈ Π΅Π³ΠΎ Π΄Π΅ΡΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ Π² ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ Π΄ΠΈΡΠ΅ΠΊΡΠΎΡΠ° ΠΠ½ΡΡΠΈΡΡΡΠ° Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ ΠΈΠΌ. Π. Π. ΠΠΈΡΠ½Π΅Π²ΡΠΊΠΎΠ³ΠΎ ΠΠΠ Π‘Π‘Π‘Π (1976β1988). ΠΡΡΠ°Π² Π²ΠΎ Π³Π»Π°Π²Π΅ Π²Π΅Π΄ΡΡΠ΅Π³ΠΎ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π½Π°ΡΡΠ½ΠΎ-ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°ΡΠ΅Π»ΡΡΠΊΠΎΠ³ΠΎ ΠΈΠ½ΡΡΠΈΡΡΡΠ° ΡΡΡΠ°Π½Ρ, Π. Π. ΠΡΠ·ΠΈΠ½ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ ΡΠ°Π·Π²ΠΈΠ» ΠΌΠ½ΠΎΠ³ΠΈΠ΅ Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ, Π½Π°ΡΠ°ΡΡΠ΅ Π΅Π³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΈΠΊΠΎΠΌ, Π°ΠΊΠ°Π΄Π΅ΠΌΠΈΠΊΠΎΠΌ ΠΠΠ Π‘Π‘Π‘Π Π. Π. ΠΠΈΡΠ½Π΅Π²ΡΠΊΠΈΠΌ, ΠΈ ΠΏΡΠ΅Π΄ΡΡΠ°Π²ΠΈΡΠ΅Π»ΡΠΌΠΈ Π΅Π³ΠΎ ΡΠΊΠΎΠ»Ρ (Π² ΡΠ°ΡΡΠ½ΠΎΡΡΠΈ, ΡΠ΅ΡΠ΄Π΅ΡΠ½ΡΡ, ΡΠΎΡΠ°ΠΊΠ°Π»ΡΠ½ΡΡ ΠΈ Π°Π±Π΄ΠΎΠΌΠΈΠ½Π°Π»ΡΠ½ΡΡ Ρ
ΠΈΡΡΡΠ³ΠΈΡ), ΠΈ ΡΠ³Π»ΡΠ±ΠΈΠ» Π½Π΅ΠΊΠΎΡΠΎΡΡΠ΅ ΠΈΠ· Π½ΠΈΡ
(Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, Ρ
ΠΈΡΡΡΠ³ΠΈΡ ΡΠ·Π²Π΅Π½Π½ΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΆΠ΅Π»ΡΠ΄ΠΊΠ° ΠΈ Π΄Π²Π΅Π½Π°Π΄ΡΠ°ΡΠΈΠΏΠ΅ΡΡΡΠ½ΠΎΠΉ ΠΊΠΈΡΠΊΠΈ, Ρ
ΠΈΡΡΡΠ³ΠΈΡ ΠΎΠ±ΡΠΈΡΠ½ΡΡ
ΡΠ°Π½ ΠΈ ΠΎΠΆΠΎΠ³ΠΎΠ²), Π½ΠΎ ΠΈ Π·Π°Π»ΠΎΠΆΠΈΠ» ΠΎΡΠ½ΠΎΠ²Ρ Π½ΠΎΠ²ΡΡ
Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΠΉ (Ρ
ΠΈΡΡΡΠ³ΠΈΡ ΠΏΠ΅ΡΠ΅Π½ΠΈ, ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ Ρ
ΠΈΡΡΡΠ³ΠΈΡ ΠΈ Π΄Ρ.). Π ΡΠ΅Π»ΠΎΠΌ 12-Π»Π΅ΡΠ½ΡΡ Π΄Π΅ΡΡΠ΅Π»ΡΠ½ΠΎΡΡΡ Π. Π. ΠΡΠ·ΠΈΠ½Π° Π½Π° ΠΏΠΎΡΡΡ Π΄ΠΈΡΠ΅ΠΊΡΠΎΡΠ° ΠΠ½ΡΡΠΈΡΡΡΠ° Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ ΠΈΠΌ. Π. Π. ΠΠΈΡΠ½Π΅Π²ΡΠΊΠΎΠ³ΠΎ ΠΠΠ Π‘Π‘Π‘Π , ΠΊΠΎΡΠΎΡΡΠΉ Π² 1988 Π³. ΠΎΠ½ ΠΏΠ΅ΡΠ΅Π΄Π°Π» Π°ΠΊΠ°Π΄Π΅ΠΌΠΈΠΊΡ ΠΠΠ Π‘Π‘Π‘Π Π. Π. Π€Π΅Π΄ΠΎΡΠΎΠ²Ρ, ΠΏΠ»ΠΎΠ΄ΠΎΡΠ²ΠΎΡΠ½ΠΎ ΡΠΊΠ°Π·Π°Π»Π°ΡΡ Π½Π° ΠΏΠΎΡΡΡΠΏΠ°ΡΠ΅Π»ΡΠ½ΠΎΠΌ Π΄Π²ΠΈΠΆΠ΅Π½ΠΈΠΈ ΠΊΠΎΠ»Π»Π΅ΠΊΡΠΈΠ²Π° Π²ΠΏΠ΅ΡΠ΅Π΄, ΡΡΠΎ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ ΠΠ½ΡΡΠΈΡΡΡΡ Π² 1979 Π³. ΡΡΠ°ΡΡ Β«ΠΠΎΠ»Π»Π΅ΠΊΡΠΈΠ²ΠΎΠΌ Π²ΡΡΠΎΠΊΠΎΠΉ ΠΊΡΠ»ΡΡΡΡΡΒ», Π° Π² 1981 Π³. β Β«ΠΠ±ΡΠ°Π·ΡΠΎΠ²ΡΠΌ ΡΡΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΠ΅ΠΌ Π³ΠΎΡΠΎΠ΄Π° ΠΠΎΡΠΊΠ²ΡΒ»
ΠΠ΅ΡΠ²ΡΠΉ ΠΎΠΏΡΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠ³ΠΎ ΠΊΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π² ΡΠ΅ΠΆΠΈΠΌΠ΅ ΡΠ΅Π°Π»ΡΠ½ΠΎΠ³ΠΎ Π²ΡΠ΅ΠΌΠ΅Π½ΠΈ Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ ΡΠ»Π΅ΠΊΡΡΠΎΡΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠΈΠΈ Π΄Π»Ρ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠΎΠ²ΠΎΠΉ Π°ΡΠΈΡΠΌΠΈΠΈ
Β A clinical case of treatment for ventricular arrhythmia from the right ventricular outflow tract using non-invasive real-time electrophysiological mapping and the βAstrocardβ navigation system (βMeditekβ, Russia) is presented. This clinical case demonstrates the accuracy of non-invasive real-time mapping for the diagnosis and treatment of ventricular arrhythmias.Β Β ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠΎΠ²ΠΎΠΉ Π°ΡΠΈΡΠΌΠΈΠΈ ΠΈΠ· Π²ΡΠ²ΠΎΠ΄Π½ΠΎΠ³ΠΎ ΠΎΡΠ΄Π΅Π»Π° ΠΏΡΠ°Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠ° Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠ³ΠΎ ΡΠ»Π΅ΠΊΡΡΠΎΡΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΊΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π² ΡΠ΅ΠΆΠΈΠΌΠ΅ ΡΠ΅Π°Π»ΡΠ½ΠΎΠ³ΠΎ Π²ΡΠ΅ΠΌΠ΅Π½ΠΈ ΠΈ ΠΎΡΠ΅ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠΉ Π½Π°Π²ΠΈΠ³Π°ΡΠΈΠΎΠ½Π½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ Β«ΠΡΡΡΠΎΠΊΠ°ΡΠ΄Β» (ΠΠ Β«ΠΠ΅Π΄ΠΈΡΠ΅ΠΊΒ», Π ΠΎΡΡΠΈΡ). ΠΠ°Π½Π½ΠΎΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΠ΅ Π΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΡΠ΅Ρ ΡΠΎΡΠ½ΠΎΡΡΡ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠ³ΠΎ ΠΊΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π² ΡΠ΅ΠΆΠΈΠΌΠ΅ ΡΠ΅Π°Π»ΡΠ½ΠΎΠ³ΠΎ Π²ΡΠ΅ΠΌΠ΅Π½ΠΈ Π΄Π»Ρ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠΎΠ²ΡΡ
Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ ΡΠΈΡΠΌΠ° ΡΠ΅ΡΠ΄ΡΠ°.
Clinical Implementation of Cardiac Resynchronization Therapy-Regional Disparities across Selected ESC Member Countries.
BACKGROUND: The present analysis aimed to estimate the penetration of cardiac resynchronization therapy (CRT) on the basis of the prevalence and incidence of eligible patients in selected European countries and in Israel. METHODS AND RESULTS: The following countries were considered: Italy, Slovakia, Greece, Israel, Slovenia, Serbia, the Czech Republic, Poland, Romania, Hungary, Ukraine, and the Russian Federation. CRT penetration was defined as the number of patients treated with CRT (CRT patients) divided by the prevalence of patients eligible for CRT. The number of CRT patients was estimated as the sum of CRT implantations in the last 5 years, the European Heart Rhythm Association (EHRA) White Book being used as the source. The prevalence of CRT indications was derived from the literature by applying three epidemiologic models, a synthesis of which indicates that 10% of heart failure (HF) patients are candidates for CRT. HF prevalence was considered to range from 1% to 2% of the general population, resulting in an estimated range of prevalence of CRT indication between 1000 and 2000 patients per million inhabitants. Similarly, the annual incidence of CRT indication, representing the potential target population once CRT has fully penetrated, was estimated as between 100 and 200 individuals per million. The results showed the best CRT penetration in Italy (47-93%), while in some countries it was less than 5% (Romania, Russian Federation, and Ukraine). CONCLUSION: CRT penetration differs markedly among the countries analyzed. The main barriers are the lack of reimbursement for the procedure and insufficient awareness of guidelines by the referring physicians
Π€ΠΠΠ’ΠΠ Π« Π ΠΠ‘ΠΠ ΠΠΠΠΠ ΠΠ’Π ΠΠ ΠΠΠ‘ΠΠ ΠΠΠ«Π₯ Π’ΠΠ₯ΠΠΠ ΠΠ’ΠΠΠ Π£ ΠΠΠ¦ΠΠΠΠ’ΠΠ Π‘ ΠΠΠΠΠ ΠΠΠ‘ΠΠΠΠΠΠ¬ΠΠ«ΠΠ Π€ΠΠ ΠΠΠΠ Π€ΠΠΠ ΠΠΠΠ―Π¦ΠΠ ΠΠ ΠΠΠ‘ΠΠ ΠΠΠ ΠΠΠ‘ΠΠ Π’ΠΠ ΠΠΠΠ‘ΠΠΠΠΠ§ΠΠ‘ΠΠΠ ΠΠΠΠΠ¦ΠΠ BOX LESION SET
Highlights Identification of risk factors impacting the effectiveness of thoracoscopic ablation according to the box session set scheme will allow us to formulate criteria for the selection of patients with non-paroxysmal atrial fibrillation for epicardial ablation of the left atrium.Duration of atrial fibrillation for more than 7.5 years and the volume of the left atrium indexed to the body surface area of more than 47 mL/m2 statistically significantly reduce the effectiveness of thoracoscopic ablation of stable atrial fibrillation by 34.2 and 55.8% during the three-year follow-up period, respectively.The need to assess the function of left atrium using modern two-dimensional speckle-tracking echocardiography technology should be considered to determine the criteria for the successful ablation of non-paroxysmal atrial fibrillation.Β The aim. To study risk factors for atrial tachyarrhythmias recurrence after thoracoscopic ablation (TSA) of non-paroxysmal atrial fibrillation (AF) in the long-term follow-up period.Methods. Β The retrospective study included a series of 100 patients with non-paroxysmal AF undergoing βBox lesion setβ TSA with one-stage exclusion of the left atrial (LA) appendage. The efficacy of TSA in the long-term follow-up period was evaluated using 24-h HM ECG results. A retrospective analysis of risk factors for atrial tachyarrhythmias recurrence after TSA was performed. The analysis included the main clinical characteristics of patients in the preoperative period, as well as data of transthoracic echocardiography with inclusion of left atrial strain in the reservoir and conduit phases.Results. In the presented study, the main risk factors for atrial tachyarrhythmias recurrence after TSA were: duration of AF more than 7.5 years and LAVI more than 47 mL/m2. However, univariate analysis showed that for every 1-year increase in the duration of AF, the risk of arrhythmia recurrence after TSA increased 1.07-fold [95% CI: 1.01; 1.17, p = 0.0374], and for every 10 mL/m2 increase in LAVI, the risk of atrial tachyarrhythmia recurrence increased 1.95-fold [95% CI: 1.49; 2.56, p<0.001]. According to the data of two-dimensional speckle-tracking echocardiography there was a tendency towards the decrease of the parameters of left atrial strain in the reservoir phase mainly in patients with AF, which requires further more detailed study on a larger cohort of patients.Conclusion. It is necessary to consider not only the assessment of the anatomy of the left atrium, but its function with the use of modern methods of radial imaging at the preoperative stage in order to improve the effectiveness of TSA βBox lesion setβ for non-paroxysmal AF in the long-term follow-up period.ΠΡΠ½ΠΎΠ²Π½ΡΠ΅ ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΡΠΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ ΡΠ°ΠΊΡΠΎΡΠΎΠ² ΡΠΈΡΠΊΠ°, Π²Π»ΠΈΡΡΡΠΈΡ
Π½Π° ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°Π±Π»Π°ΡΠΈΠΈ ΠΏΠΎ ΡΡ
Π΅ΠΌΠ΅ box lesion set, ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΡ ΡΡΠΎΡΠΌΡΠ»ΠΈΡΠΎΠ²Π°ΡΡ ΠΊΡΠΈΡΠ΅ΡΠΈΠΈ ΠΎΡΠ±ΠΎΡΠ° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π½Π΅ΠΏΠ°ΡΠΎΠΊΡΠΈΠ·ΠΌΠ°Π»ΡΠ½ΠΎΠΉ ΡΠΈΠ±ΡΠΈΠ»Π»ΡΡΠΈΠ΅ΠΉ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΠΉ Π΄Π»Ρ ΡΠΏΠΈΠΊΠ°ΡΠ΄ΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π°Π±Π»Π°ΡΠΈΠΈ Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ.ΠΠ½Π°ΠΌΠ½Π΅Π· ΡΠΈΠ±ΡΠΈΠ»Π»ΡΡΠΈΠΈ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΠΉ Π±ΠΎΠ»Π΅Π΅ 7,5 Π³ΠΎΠ΄Π° ΠΈ ΠΎΠ±ΡΠ΅ΠΌ Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ, ΠΈΠ½Π΄Π΅ΠΊΡΠΈΡΡΠ΅ΠΌΡΠΉ ΠΊ ΠΏΠ»ΠΎΡΠ°Π΄ΠΈ ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠΈ ΡΠ΅Π»Π°, Π±ΠΎΠ»Π΅Π΅ 47 ΠΌΠ»/ΠΌ2 ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ Π·Π½Π°ΡΠΈΠΌΠΎ ΡΠ½ΠΈΠΆΠ°ΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°Π±Π»Π°ΡΠΈΠΈ ΡΡΡΠΎΠΉΡΠΈΠ²ΡΡ
ΡΠΎΡΠΌ ΡΠΈΠ±ΡΠΈΠ»Π»ΡΡΠΈΠΈ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΠΉ Π½Π° 34,2 ΠΈ 55,8% Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΡΡΠ΅Ρ
Π»Π΅ΡΠ½Π΅Π³ΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄Π° Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ, ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ.Π‘Π»Π΅Π΄ΡΠ΅Ρ ΡΠ°ΡΡΠΌΠΎΡΡΠ΅ΡΡ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠΎΡΡΠΎΡΠ½ΠΈΡ Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ Π΄Π²ΡΡ
ΠΌΠ΅ΡΠ½ΠΎΠΉ speckle-tracking ΡΡ
ΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΡΠΈΠΈ Π΄Π»Ρ ΠΏΠΎΠΈΡΠΊΠ° ΠΊΡΠΈΡΠ΅ΡΠΈΠ΅Π² ΡΡΠΏΠ΅Ρ
Π° Π°Π±Π»Π°ΡΠΈΠΈ Π½Π΅ΠΏΠ°ΡΠΎΠΊΡΠΈΠ·ΠΌΠ°Π»ΡΠ½ΠΎΠΉ ΡΠΈΠ±ΡΠΈΠ»Π»ΡΡΠΈΠΈ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΠΉ.Β Π¦Π΅Π»Ρ. Π Π΅ΡΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΡΠΉ ΠΏΠΎΠΈΡΠΊ ΡΠ°ΠΊΡΠΎΡΠΎΠ² ΡΠΈΡΠΊΠ° Π²ΠΎΠ·Π²ΡΠ°ΡΠ° ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄Π½ΡΡ
ΡΠ°Ρ
ΠΈΠ°ΡΠΈΡΠΌΠΈΠΉ ΠΏΠΎΡΠ»Π΅ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°Π±Π»Π°ΡΠΈΠΈ Π½Π΅ΠΏΠ°ΡΠΎΠΊΡΠΈΠ·ΠΌΠ°Π»ΡΠ½ΠΎΠΉ ΡΠΈΠ±ΡΠΈΠ»Π»ΡΡΠΈΠΈ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΠΉ (Π€Π) Π² ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π²ΠΊΠ»ΡΡΠΈΠ»ΠΈ 100 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π½Π΅ΠΏΠ°ΡΠΎΠΊΡΠΈΠ·ΠΌΠ°Π»ΡΠ½ΠΎΠΉ Π€Π, ΠΊΠΎΡΠΎΡΡΠΌ Π²ΡΠΏΠΎΠ»Π½ΠΈΠ»ΠΈ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΡΡ Π°Π±Π»Π°ΡΠΈΡ ΠΏΠΎ ΡΡ
Π΅ΠΌΠ΅ box lesion set Ρ ΠΎΠ΄Π½ΠΎΠΌΠΎΠΌΠ΅Π½ΡΠ½ΠΎΠΉ Π°ΠΌΠΏΡΡΠ°ΡΠΈΠ΅ΠΉ ΡΡΠΊΠ° Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ. ΠΡΠ΅Π½ΠΈΠ»ΠΈ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°Π±Π»Π°ΡΠΈΠΈ Π€Π Π² ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ ΠΏΠΎ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ°ΠΌ ΡΡΡΠΎΡΠ½ΠΎΠ³ΠΎ Ρ
ΠΎΠ»ΡΠ΅ΡΠΎΠ²ΡΠΊΠΎΠ³ΠΎ ΠΌΠΎΠ½ΠΈΡΠΎΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΡΠ»Π΅ΠΊΡΡΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΠΌΠΌΡ. ΠΡΠΎΠ²Π΅Π»ΠΈ ΡΠ΅ΡΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΡΠΉ Π°Π½Π°Π»ΠΈΠ· ΡΠ°ΠΊΡΠΎΡΠΎΠ² ΡΠΈΡΠΊΠ° Π²ΠΎΠ·Π²ΡΠ°ΡΠ° ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄Π½ΡΡ
ΡΠ°Ρ
ΠΈΠ°ΡΠΈΡΠΌΠΈΠΉ ΠΏΠΎΡΠ»Π΅ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°Π±Π»Π°ΡΠΈΠΈ. Π Π°Π½Π°Π»ΠΈΠ· Π²ΠΊΠ»ΡΡΠΈΠ»ΠΈ ΠΎΡΠ½ΠΎΠ²Π½ΡΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π² ΠΏΡΠ΅Π΄ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅, Π° ΡΠ°ΠΊΠΆΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΡΡΠ°Π½ΡΡΠΎΡΠ°ΠΊΠ°Π»ΡΠ½ΠΎΠΉ ΡΡ
ΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΡΠΈΠΈ Ρ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΠΌΠΈ Π΄Π΅ΡΠΎΡΠΌΠ°ΡΠΈΠΈ Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ Π² ΡΠ΅Π·Π΅ΡΠ²ΡΠ°ΡΠ½ΡΡ ΠΈ ΠΊΠΎΠ½Π΄ΡΠΈΡΠ½ΡΡ ΡΠ°Π·Ρ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΡΠ½ΠΎΠ²Π½ΡΠ΅ ΡΠ°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° Π²ΠΎΠ·Π²ΡΠ°ΡΠ° ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄Π½ΡΡ
ΡΠ°Ρ
ΠΈΠ°ΡΠΈΡΠΌΠΈΠΉ ΠΏΠΎΡΠ»Π΅ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°Π±Π»Π°ΡΠΈΠΈ Π€Π β Π°Π½Π°ΠΌΠ½Π΅Π· Π€Π Π±ΠΎΠ»Π΅Π΅ 7,5 Π³ΠΎΠ΄Π° ΠΈ ΠΎΠ±ΡΠ΅ΠΌ Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ, ΠΈΠ½Π΄Π΅ΠΊΡΠΈΡΡΠ΅ΠΌΡΠΉ ΠΊ ΠΏΠ»ΠΎΡΠ°Π΄ΠΈ ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠΈ ΡΠ΅Π»Π°, Π±ΠΎΠ»Π΅Π΅ 47 ΠΌΠ»/ΠΌ2. Π‘ΠΎΠ³Π»Π°ΡΠ½ΠΎ ΠΎΠ΄Π½ΠΎΡΠ°ΠΊΡΠΎΡΠ½ΠΎΠΌΡ Π°Π½Π°Π»ΠΈΠ·Ρ, ΠΏΡΠΈ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠΈ Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ Π°Π½Π°ΠΌΠ½Π΅Π·Π° Π€Π Π½Π° 1 Π³ΠΎΠ΄ ΡΠΈΡΠΊ ΡΠ΅ΡΠΈΠ΄ΠΈΠ²Π° Π°ΡΠΈΡΠΌΠΈΠΈ ΠΏΠΎΡΠ»Π΅ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°Π±Π»Π°ΡΠΈΠΈ ΠΏΠΎΠ²ΡΡΠ°Π΅ΡΡΡ Π² 1,07 ΡΠ°Π·Π° (95% Π΄ΠΎΠ²Π΅ΡΠΈΡΠ΅Π»ΡΠ½ΡΠΉ ΠΈΠ½ΡΠ΅ΡΠ²Π°Π» 1,01βΒ1,17, p = 0,0374), Π° ΠΏΡΠΈ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠΈ ΠΎΠ±ΡΠ΅ΠΌΠ° Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ, ΠΈΠ½Π΄Π΅ΠΊΡΠΈΡΡΠ΅ΠΌΠΎΠ³ΠΎ ΠΊ ΠΏΠ»ΠΎΡΠ°Π΄ΠΈ ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠΈ ΡΠ΅Π»Π°, Π½Π° 10 ΠΌΠ»/ΠΌ2 ΡΠΈΡΠΊ Π²ΠΎΠ·Π²ΡΠ°ΡΠ° ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄Π½ΠΎΠΉ ΡΠ°Ρ
ΠΈΠ°ΡΠΈΡΠΌΠΈΠΈ ΠΏΠΎΠ²ΡΡΠ°Π΅ΡΡΡ Π² 1,95 ΡΠ°Π·Π° (95% Π΄ΠΎΠ²Π΅ΡΠΈΡΠ΅Π»ΡΠ½ΡΠΉ ΠΈΠ½ΡΠ΅ΡΠ²Π°Π» 1,49β2,56, p < 0,001). Π‘ΠΎΠ³Π»Π°ΡΠ½ΠΎ Π΄Π°Π½Π½ΡΠΌ Π΄Π²ΡΡ
ΠΌΠ΅ΡΠ½ΠΎΠΉ speckle-tracking ΡΡ
ΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΡΠΈΠΈ, ΡΠ½ΠΈΠΆΠ°Π»ΠΈΡΡ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ Π΄Π΅ΡΠΎΡΠΌΠ°ΡΠΈΠΈ Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ Π² ΡΠ΅Π·Π΅ΡΠ²ΡΠ°ΡΠ½ΡΡ ΡΠ°Π·Ρ ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π€Π, ΡΡΠΎ ΡΡΠ΅Π±ΡΠ΅Ρ Π΄Π΅ΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΈΠ·ΡΡΠ΅Π½ΠΈΡ Π½Π° Π±ΠΎΠ»ΡΡΠ΅ΠΉ ΠΊΠΎΠ³ΠΎΡΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ².ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ° ΠΏΡΠ΅Π΄ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌ ΡΡΠ°ΠΏΠ΅ ΡΠ»Π΅Π΄ΡΠ΅Ρ ΠΎΡΠ΅Π½ΠΈΠ²Π°ΡΡ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ, Π½ΠΎ ΠΈ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠ΅ Ρ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² Π»ΡΡΠ΅Π²ΠΎΠΉ Π²ΠΈΠ·ΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ Ρ ΡΠ΅Π»ΡΡ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°Π±Π»Π°ΡΠΈΠΈ ΠΏΠΎ ΡΡ
Π΅ΠΌΠ΅ box lesion set Π½Π΅ΠΏΠ°ΡΠΎΠΊΡΠΈΠ·ΠΌΠ°Π»ΡΠ½ΠΎΠΉ Π€Π Π² ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ
Π‘ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π²Π·Π³Π»ΡΠ΄Ρ Π½Π° ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΡ ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΡ ΡΠΊΠ°Π», ΠΎΡΠ½ΠΎΠ²Π°Π½Π½ΡΡ Π½Π° Π΄Π°Π½Π½ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ SYNTAX, ΠΏΡΠΈ Π²ΡΠ±ΠΎΡΠ΅ ΡΡΡΠ°ΡΠ΅Π³ΠΈΠΈ ΡΠ΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΠΈ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π°
Treatment of patients with multivessel coronary artery disease is percutaneous coronary intervention or coronary artery bypass grafting according to current European and American guidelines. Depending on the anatomical complexity of the coronary artery lesion, one of the methods is chosen, with usage of a risk scale based on the SYNTAX study. However, Syntax score is actively discussed as not an optimal risk scale, because of unmatched with modern clinical possibilities This article presents current, different opinions on anatomical and clino-anatomical risk scores, which allows to choose the optimal method of revascularization for patients with three-vessel disease and/or left main coronary artery lesions.ΠΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΡΠ΅Ρ
ΡΠΎΡΡΠ΄ΠΈΡΡΡΠΌ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΠΊΠΎΡΠΎΠ½Π°ΡΠ½ΡΡ
Π°ΡΡΠ΅ΡΠΈΠΉ, ΡΠΎΠ³Π»Π°ΡΠ½ΠΎ Π΅Π²ΡΠΎΠΏΠ΅ΠΉΡΠΊΠΈΠΌ ΠΈ Π°ΠΌΠ΅ΡΠΈΠΊΠ°Π½ΡΠΊΠΈΠΌ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΡΠΌ, Π²ΠΊΠ»ΡΡΠ°Π΅Ρ ΡΡΠ΅ΡΠΊΠΎΠΆΠ½ΠΎΠ΅ ΠΊΠΎΡΠΎΠ½Π°ΡΠ½ΠΎΠ΅ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²ΠΎ ΠΈΠ»ΠΈ ΠΊΠΎΡΠΎΠ½Π°ΡΠ½ΠΎΠ΅ ΡΡΠ½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅. Π Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ»ΠΎΠΆΠ½ΠΎΡΡΠΈ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ ΠΊΠΎΡΠΎΠ½Π°ΡΠ½ΡΡ
Π°ΡΡΠ΅ΡΠΈΠΉ Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΡΠΊΠ°Π»Ρ SYNTAX score Π²ΡΠ±ΠΈΡΠ°ΡΡ ΠΎΠ΄Π½Ρ ΠΈΠ· ΡΡΡΠ°ΡΠ΅Π³ΠΈΠΉ Π»Π΅ΡΠ΅Π½ΠΈΡ. ΠΠ΄Π½Π°ΠΊΠΎ Π² ΠΏΠΎΡΠ»Π΅Π΄Π½ΠΈΠ΅ Π³ΠΎΠ΄Ρ Π² Π½Π°ΡΡΠ½ΠΎΠΉ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ΅ Π°ΠΊΡΠΈΠ²Π½ΠΎ ΠΎΠ±ΡΡΠΆΠ΄Π°ΡΡ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΊΠΈ ΡΠΊΠ°Π·Π°Π½Π½ΠΎΠΉ ΡΠΊΠ°Π»Ρ, ΠΊΠΎΡΠΎΡΠ°Ρ Π½Π΅ ΠΏΠΎΠ»Π½ΠΎΡΡΡΡ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΡΠ΅Ρ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡΠΌ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΡΠ°ΠΊΡΠΈΠΊΠΈ. Π ΠΎΠ±Π·ΠΎΡΠ΅ ΠΎΡΠ²Π΅ΡΠ΅Π½Ρ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π²Π·Π³Π»ΡΠ΄Ρ Π½Π° Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΊΠ°Π»Ρ, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡ Π²ΡΠ±ΡΠ°ΡΡ ΠΎΠΏΡΠΈΠΌΠ°Π»ΡΠ½ΡΠΉ ΠΌΠ΅ΡΠΎΠ΄ ΠΏΡΡΠΌΠΎΠΉ ΡΠ΅Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·Π°ΡΠΈΠΈ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ ΡΡΠ΅Ρ
ΡΠΎΡΡΠ΄ΠΈΡΡΡΠΌ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΠΈ/ΠΈΠ»ΠΈ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΡΡΠ²ΠΎΠ»Π° Π»Π΅Π²ΠΎΠΉ ΠΊΠΎΡΠΎΠ½Π°ΡΠ½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΈ
ΠΠ»ΠΈΡΠ½ΠΈΠ΅ ΠΈΠ½Π΄Π΅ΠΊΡΠΈΡΡΠ΅ΠΌΠΎΠ³ΠΎ ΠΎΠ±ΡΠ΅ΠΌΠ° Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ Π½Π° ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΠΈΠ±ΡΠΈΠ»Π»ΡΡΠΈΠΈ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΠΉ
Research objective: establish the impact of Left Atrium Volume Index (LAVI) on on effectiveness of Thoracoscopic Ablation (TSA) in the Treatment of Atrial Fibrillation (AF) and define the risk factors for manifestation of supraventricular arrhythmias in the long-term follow-up resultsMethods. Prospective cohort study of 121 patients with AF (from 2018 to 2021) who performed TSA. The patients were divided into two groups: patients with increased LAVI (group I), patients with normal LAVI less than 34 ml/m2 (group II).Results. According to echocardiography, the mean LAVI was 45.48 Β± 9.3 ml/m2 and 28.59 Β± 4.13 ml/m2 in groups I and II, respectively (p = 0.012). The mean value of left ventricular ejection fraction (LVEF) according to Teicholz in group I was 61.62 Β± 7.041%, in group II 63.57 Β± 6.16% (p = 0.8). Spearman's Ρorrelation analysis showed the relationship between LAVI and LVEF before surgery and in the long-term follow-up period, that is agreed with world literature data about contribution left atrial (LA) to left ventricular (LV) function. According to our study, only LAVI < 34 ml/m2 is a risk factor for arrhythmia after TSA. Effectiveness TSA in I group was 77.8%, that is lower than the II group β 88.9%. 3 months after TSA, 20 (17%) patients were required catheter ablations (CA), mainly in I group.Conclusions. Research results showed that an increase in LAVI significantly reduces the effectiveness of TSA in the long-term period by 11.1% compared with LAVI < 34 ml/m2. That are conform with other data of previously submitted works.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ: ΡΡΡΠ°Π½ΠΎΠ²ΠΈΡΡ Π²Π»ΠΈΡΠ½ΠΈΠ΅ ΠΈΠ½Π΄Π΅ΠΊΡΠΈΡΡΠ΅ΠΌΠΎΠ³ΠΎ ΠΎΠ±ΡΠ΅ΠΌΠ° Π»Π΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΡ (LAVI) Π½Π° ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π°Π±Π»Π°ΡΠΈΠΈ ΡΠΈΠ±ΡΠΈΠ»Π»ΡΡΠΈΠΈ ΠΏΡΠ΅Π΄ΡΠ΅ΡΠ΄ΠΈΠΉ (Π€Π) (Π’Π Π€Π) ΠΈ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈΡΡ ΡΠ°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ Π½Π°Π΄ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠΎΠ²ΡΡ
Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ ΡΠΈΡΠΌΠ° Π² ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΠΏΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ΅ ΠΊΠΎΠ³ΠΎΡΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ 121 Π±ΠΎΠ»ΡΠ½ΠΎΠ³ΠΎ Ρ Π€Π (Ρ 2018 ΠΏΠΎ 2021 Π³.), ΠΊΠΎΡΠΎΡΡΠΌ Π±ΡΠ»Π° Π²ΡΠΏΠΎΠ»Π½Π΅Π½Π° Π’Π Π€Π. ΠΠ°ΡΠΈΠ΅Π½ΡΡ Π±ΡΠ»ΠΈ ΡΠ°Π·Π΄Π΅Π»Π΅Π½Ρ Π½Π° Π΄Π²Π΅ Π³ΡΡΠΏΠΏΡ: Π² I Π³ΡΡΠΏΠΏΡ Π±ΡΠ»ΠΈ Π²ΠΊΠ»ΡΡΠ΅Π½Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ Ρ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½Π½ΡΠΌ LAVI, Π²ΠΎ II Π³ΡΡΠΏΠΏΡ β ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ Ρ Π½ΠΎΡΠΌΠ°Π»ΡΠ½ΡΠΌ LAVI ΠΌΠ΅Π½Π΅Π΅ 34 ΠΌΠ»/ΠΌ2.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. ΠΠΎ Π΄Π°Π½Π½ΡΠΌ ΡΡ
ΠΎΠΊΠ°ΡΠ΄ΠΈΠΎΠ³ΡΠ°ΡΠΈΠΈ ΡΡΠ΅Π΄Π½ΠΈΠΉ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ LAVI ΡΠΎΡΡΠ°Π²ΠΈΠ» 45,48 Β± 9,3 ΠΌΠ»/ΠΌ2 ΠΈ 28,59 Β± 4,13 ΠΌΠ»/ΠΌ2 Π² I ΠΈ II Π³ΡΡΠΏΠΏΠ°Ρ
ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ (p = 0,012). Π‘ΡΠ΅Π΄Π½Π΅Π΅ Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ Π€Π ΠΠ ΠΏΠΎ Π’Π΅ΠΉΡ
ΠΎΠ»ΡΡΡ Π² I Π³ΡΡΠΏΠΏΠ΅ Π±ΡΠ»ΠΎ 61,62 Β± 7,041%, Π²ΠΎ II Π³ΡΡΠΏΠΏΠ΅ 63,57 Β± 6,16% (p = 0,8). ΠΠΎΡΡΠ΅Π»ΡΡΠΈΠΎΠ½Π½ΡΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΏΠΎ Π‘ΠΏΠΈΡΠΌΠ΅Π½Ρ ΠΏΠΎΠΊΠ°Π·Π°Π» Π²Π·Π°ΠΈΠΌΠΎΡΠ²ΡΠ·Ρ ΠΌΠ΅ΠΆΠ΄Ρ LAVI ΠΈ Π€Π ΠΠ ΠΊΠ°ΠΊ Π΄ΠΎ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ, ΡΠ°ΠΊ ΠΈ Π² ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ, ΡΡΠΎ ΡΠΎΠ³Π»Π°ΡΡΠ΅ΡΡΡ Ρ Π΄Π°Π½Π½ΡΠΌΠΈ ΠΌΠΈΡΠΎΠ²ΠΎΠΉ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ ΠΎ Π²ΠΊΠ»Π°Π΄Π΅ ΠΠ Π² ΡΠ°Π±ΠΎΡΡ ΠΠ. Π‘ΠΎΠ³Π»Π°ΡΠ½ΠΎ Π½Π°ΡΠ΅ΠΌΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ, ΡΠΎΠ»ΡΠΊΠΎ LAVI >34 ΠΌΠ»/ΠΌ2 ΡΠ²Π»ΡΠ΅ΡΡΡ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ Π°ΡΠΈΡΠΌΠΈΠΈ ΠΏΠΎΡΠ»Π΅ Π’Π Π€Π. Π Π³ΡΡΠΏΠΏΠ΅ I ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π’Π Π€Π ΡΠΎΡΡΠ°Π²ΠΈΠ»Π° 77,8%, ΡΡΠΎ ΡΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ Π½ΠΈΠΆΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡ ΡΠΈΠ½ΡΡΠΎΠ²ΠΎΠ³ΠΎ ΡΠΈΡΠΌΠ° ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ ΡΠΎ II Π³ΡΡΠΏΠΏΠΎΠΉ β 88,9%. Π§Π΅ΡΠ΅Π· 3 ΠΌΠ΅Ρ ΠΏΠΎΡΠ»Π΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ ΠΏΠΎΡΡΠ΅Π±ΠΎΠ²Π°Π»ΠΎΡΡ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΠ΅ 20 (17%) Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡΠ΅Π»ΡΠ½ΡΡ
ΠΊΠ°ΡΠ΅ΡΠ΅ΡΠ½ΡΡ
Π°Π±Π»Π°ΡΠΈΠΉ, ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² I Π³ΡΡΠΏΠΏΡ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ°Π½Π½ΡΠ΅ Π½Π°ΡΠ΅Π³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΈ, ΡΡΠΎ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠ΅ LAVI Π΄ΠΎΡΡΠΎΠ²Π΅ΡΠ½ΠΎ ΡΠ½ΠΈΠΆΠ°Π΅Ρ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π’Π Π€Π Π² ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Π½Π° 11,1% ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ ΡΠΎ II Π³ΡΡΠΏΠΏΠΎΠΉ ΠΏΡΠΈ LAVI < 34 ΠΌΠ»/ΠΌ2. ΠΠΎΠ»ΡΡΠ΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠΎΠ³Π»Π°ΡΡΡΡΡΡ Ρ Π΄Π°Π½Π½ΡΠΌΠΈ ΡΠ°Π½Π΅Π΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Π½ΡΡ
ΡΠ°Π±ΠΎΡ
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