On antiarrhythmic therapy in a patient with dilated cardiomyopathy: a clinical case

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The paper gives modern ideas about the problem of ventricular arrhythmias in patients with dilated cardiomyopathy. It considers a clinical case that shows the complexity of managing patients with this profile. The authors also show the combined use of pharmacological and surgical treatments for frequent ventricular premature beats and persistent paroxysmal ventricular tachycardia. They also analyze and summarize current studies and clinical guidelines for the management of patients with arrhythmias refractory to the main classes of drugs.

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作者简介

T. Sveklina

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia

编辑信件的主要联系方式.
Email: sveklinats@mail.ru

Candidate of Medical Sciences

俄罗斯联邦, Saint Petersburg

A. Kuchmin

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia

Email: sveklinats@mail.ru

MD

俄罗斯联邦, Saint Petersburg

E. Galova

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia

Email: sveklinats@mail.ru
俄罗斯联邦, Saint Petersburg

A. Kazachenko

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia

Email: sveklinats@mail.ru

Candidate of Medical Sciences

俄罗斯联邦, Saint Petersburg

M. Tyuryupov

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia

Email: sveklinats@mail.ru
俄罗斯联邦, Saint Petersburg

Ya. Reshetova

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia

Email: sveklinats@mail.ru
俄罗斯联邦, Saint Petersburg

参考

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2. Fig. 1. Echocardiography: a – apical two chamber view of the left ventricle (LV); б – parasternal long-axis view of the LV; a dilated LV cavity is visualized with an end-diastolic diameter of 7.8 cm

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3. Fig. 2. Holter ECG monitoring: one non-sustained and one sustained paroxysmal ventricular tachycardia from different foci

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4. Fig. 3. Coronary angiography: a – left coronary artery bed (LMA – left coronary artery trunk; LAD – anterior interventricular artery; DA – diagonal artery, LCx – left circumflex artery, MA – obtuse marginal branch); б – right coronary artery bed (RCA – right coronary artery; PDA – posterior interventricular artery)

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