The review of domestic and foreign literary sources and own experience of cryoballon ablation, the modern method of treatment of patients with AF is presented. The indications are detailed, the data on the effectiveness and safety of the technique are given. Particular attention is paid to comparing the cryoballoon and radiofrequency isolation of the pulmonary veins.
Atrial fibrillation is widespread in population. It determines extensive use of antiarrhythmic drugs such as amiodarone. Thyroid lesion is one of common side effects of this therapy. The article describes a clinical case of photosensitivity’s development in the application of amiodarone
One of the factors negatively affecting the cardiac prognosis of coronary heart disease (CHD) is affective disorders of the depressive spectrum. Symptoms of depression may increase the level of systemic inflammation and promote disorders of carbohydrate metabolism by altering the synthesis and secretion of adipokines: leptin, resistin, adiponectin. The aim of this study was to assess the adipokin status in patients with stable coronary artery disease in the conditions of conservative therapy and during percutaneous coronary interventions (PCI) with stenting, including patients with depressive symptoms. The presence of depressive symptoms was accompanied by an increase in the level of resistin in the blood plasma in patients with stable ischemic heart disease. PCI with coronary artery stenting resulted in an increase in the concentration of all the adipokines: adiponectin, leptin, resistin. Stenting of coronary arteries in people with depressive symptoms led to an increase in the level of resistin, adiponectin with a decrease in the concentration of leptin in the blood plasma on the third day after the operative intervention.
Analysing the example of unusual case of a successful direct constant His bundle pacing, we would like to draw specialist’s attention to details of procedure and some important electrophysiological particularities we have come across during operation. Long-term (7 years) results ( pacing options, ECG data, changes of left ventricle ejection fraction and patient’s quality of life) were considered too.
Percutaneous coronary intervention (PCI) with stenting in patients with stable ischemic heart disease (IHD) is not always accompanied by a significant improvement of clinical symptoms and quality of life (QOL), because of the presence of affective disorders. The aim of this study was to investigate the dynamics of QOL in patients with stable IHD after PCI and conservative treatment, depending on the presence of symptoms of anxiety and depression. In the group of patients with comorbid symptoms of anxiety-depressive disorders, the initial values of GH, VT, SF, RE, MH according to the SF-36 scale were low during PCI. After PCI, QOL of patients in this group improved, and the studied parameters became comparable to those in the group without affective symptoms. In the group of conservative treatment with concomitant symptoms of anxiety and depression, RP, GH, VT, SF and MH values were initially low. A significant dynamics of QOL in patients of this group was not observed after the conservative treatment. In patients without affective symptoms, there was an improvement in SF and RE after the conservative treatment at the 3 months follow-up.
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