cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLCcardiovascular-990Research ArticleАРИТМИИСовременные принципы диагностики и лечения пароксизмальных наджелудочковых тахикардийParoxysmal supraventricular tachycardias: modern principles of diagnostics and treatmentВетлужскийА. В.VetluzhskyA. V.andrey.vetluzhskiy@gmail.comФоминаИ. Г.FominaI. G.andrey.vetluzhskiy@gmail.comМосковская медицинская академия им.И.М.Сеченова на базе ГКБ № 61, МоскваI.M. Sechenov Moscow Medical Academy, City Clinical Hospital No. 61, Moscow200520082005447078Copyright © Ветлужский А.В., Фомина И.Г., 20052005Ветлужский А.В., Фомина И.Г.Vetluzhsky A.V., Fomina I.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/990

Статья посвящена одной из наиболее актуальных проблем современной аритмологии – лечению пароксизмальных наджелудочковых тахикардий. В статье с современных позиций рассматриваются проблемы диагностики и лечения атрио-вентрикулярной узловой реципрокной тахикардии и атрио-вентрикулярной реципрокной тахикардии с участием дополнительных проводящих путей. Особое внимание уделено возможностям их купирования с использованием рефлекторных способов, приведены алгоритмы по дифференциальной диагностике и подбору антиаритмической терапии с учетом механизмов развития аритмии.

The article is devoted to one of the most actual problems in modern arrhythmology - treatment of paroxysmal supraventricular tachycardias. Modern views on diagnostics and treatment of atrio-ventricular (AV) nodal reciprocating tachycardia and AV reciprocating tachycardia with extra nodal accessory pathways’ involvement are presented. Vagal maneuvers for paroxysm termination are described in detail. Algorithms for differential diagnostics and antiarrhythmic therapy selection, according to arrhythmic mechanisms, are presented. 

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