Кардиопатия предсердий. Диагностика причин, лечение осложнений и хирургическая коррекция ремоделирования сердца

Julia  Fedotkina; Evgeny  Yevseyev; Andrey  Komarov; Maxim  Makeev; Julia  Frolova; Elizaveta  Panchenko; Mikhail  Fomin; Yashar  Aidamirov; Victoria Savina

Fedotkina Julia Alexandrovna Chazov National Medical Research Center of Cardiology https://orcid.org/0000-0002-4562-1471
Yevseyev Evgeny Petrovich Petrovsky National Research Center of Surgery https://orcid.org/0000-0002-3806-9658
Komarov Andrey Leonidovich Chazov National Medical Research Center of Cardiology https://orcid.org/0000-0001-9141-103X
Makeev Maxim Igorevich Chazov National Medical Research Center of Cardiology https://orcid.org/0000-0002-4779-5088
Frolova Julia Valeryevna Petrovsky National Research Center of Surgery https://orcid.org/0000-0002-8546-5952
Panchenko Elizaveta Pavlovna Chazov National Medical Research Center of Cardiology https://orcid.org/0000-0002-1174-2574
Fomin Mikhail Andreevich Petrovsky National Research Center of Surgery https://orcid.org/0000-0002-7555-3633
Aidamirov Yashar Amiddinovich Petrovsky National Research Center of Surgery https://orcid.org/0000-0003-3870-1040
Savina Victoria Yurievna Petrovsky National Research Center of Surgery https://orcid.org/0000-0003-3494-2867

Keywords: atrial cardiopathy, atriomegaly, thromboembolic complications, reconstruction of the mitral and tricuspid valves

Abstract

The relationship between atrial fibrillation and thromboembolic syndrome and, above all, ischemic stroke is well known. Atrial
cardiomyopathy is important for understanding the mechanisms of thrombogenicity. In this report, we consider diagnostic algorithm, surgical treatment of a patient with long-standing persistent atrial fibrillation, thromboembolic complications, severe mitral insufficiency and atriomegaly following myocarditis. Structural and functional cardiac remodeling with subsequent arrhythmias and heart failure is a serious problem in modern cardiology and cardiac surgery. Extensive cardiac surgery is extremely difficult and does not always lead to significant clinical improvement. However, quality of life is quite low without surgical treatment
in such patients and associated with high risk of adverse cardiovascular events.

Author Biographies

Fedotkina Julia Alexandrovna, Chazov National Medical Research Center of Cardiology

Researcher at the Department of Clinical Problems of Atherothrombosis, Candidate of Medical Sciences In 1997, she graduated from the Pirogov Russian State Medical University with a degree in medicine, and in 1999, she completed her residency in cardiology at the Russian Ministry of Health's RCNPC. In 2002, she defended her PhD thesis. Since 2002, he has been working as a researcher at the Department of Clinical Problems of Atherothrombosis. The main area of scientific activity is modern aspects of multicomponent antithrombotic therapy in various categories of patients, as well as the prevention of cancer-associated thrombosis. He is the author and co-author of 35 scientific papers, including 2 monographs, 1 manual, and recommendations of the Eurasian Society of Cardiology on the diagnosis, prevention, and treatment of cardiovascular complications in antitumor therapy. The Hirsch index in the RSCI is 7.

Yevseyev Evgeny Petrovich, Petrovsky National Research Center of Surgery

Head of the Department of Heart Defect Surgery at NCC No. 1 of the Russian National Research Center named after Academician B. V. Petrovsky, Candidate of Medical Sciences

Komarov Andrey Leonidovich, Chazov National Medical Research Center of Cardiology

Senior Researcher at the Department of Clinical Problems of Atherothrombosis, MD In 1993, he graduated with honors from the N.I. Pirogov Russian State Medical University. From 1993 to 1995, he studied in a clinical residency in cardiology at the Cardiology Research Center of the Russian Academy of Medical Sciences. In 2013, he defended his thesis for the degree of Doctor of Medical Sciences. Since 2014, he has been a leading researcher at the Department of Clinical Problems of Atherothrombosis. For many years, he has been responsible for the scientific topics of the Department. He has more than 120 publications in Russian and international journals. Member of the working group of the Society of Specialists in Emergency Cardiology, scientific editor of the journal Cardiological Bulletin. He is the Deputy Chairman of the Ethical Committee of Clinical Trials of the Federal State Budgetary Institution "NMICC named after Academician E.I. Chazov" of the Ministry of Health of the Russian Federation. The Hirsch index in RSCI is 16, in Web of Science and Scopus – 6.

Makeev Maxim Igorevich, Chazov National Medical Research Center of Cardiology

Ultrasound Diagnostics Doctor of the Ultrasound Research Methods Department In 2011, he graduated from the Faculty of Medicine and Biology of the Pirogov Russian State Medical University with a degree in biophysics. In 2013, he completed his clinical residency in ultrasound diagnostics at the Russian Ministry of Health. In July 2019, the Transcatheter Mitral Valve Repair Multidisciplinary Team Training took place (Brussels, Belgium). The main area of scientific and practical activity is the diagnosis of structural heart diseases using transthoracic and transesophageal echocardiography. He is proficient in modern echocardiographic technologies: three-dimensional mode, speckle-tracking echocardiography, noninvasive assessment of myocardial function, and others. Selects patients for transcatheter and cardiac surgery. Performs intraoperative support of various interventional interventions: transcatheter edge-to-edge plastic surgery of the mitral and tricuspid valves, transcatheter prosthetics of the aortic valve, closure of septal defects, prosthetic fistulas, and also conducts screening of patients for implantation of an artificial left ventricle. Provides proctorial support in various centers for edge-to-edge transcatheter mitral valve surgery. Work experience of more than 10 years. He regularly makes presentations at scientific and practical conferences. He is the author of two Patents and more than 30 publications. In 2015, he took 1st place in the echocardiography competition for young cardiologists under the auspices of the Society of Heart Failure Specialists and the Echocardiography Section of the Russian Society of Cardiology. In 2022, he was awarded a Certificate of Honor from the Federal State Budgetary Institution "NMITSK named after Academician E.I. Chazov" of the Ministry of Health of the Russian Federation.

Frolova Julia Valeryevna, Petrovsky National Research Center of Surgery

1994 Higher education. I.M.Sechenov Moscow Medical Academy, Doctor of Medicine qualification , 1996 Clinical Residency in Cardiology, Russian Cardiological Research and Production Complex of the Ministry of Health of the Russian Federation, Moscow From 1996 to 2009, she worked as a cardiologist in the Department of Cardiovascular Surgery at the A.L.Myasnikov Institute of Clinical Cardiology. 2009 – works as a leading researcher in the Department of Surgical treatment of heart defects 2000 - academic degree of Candidate of Medical Sciences 2009 – works as a leading researcher in the Department of Surgical treatment of heart defects 2015 - Doctor of Medical Sciences degree, dissertation “Non-coronary cardiomyopathies in a cardiac surgery clinic". Chief Scientific Officer | Cardiac Surgery Department III (Department of Heart Defect Surgery) | Scientific and Clinical Center No. 1 Professor

Panchenko Elizaveta Pavlovna, Chazov National Medical Research Center of Cardiology

Director Department of Clinical Problems of Atherothrombosis, Chief Researcher of the Department of Clinical Problems of Atherothrombosis, Professor, Doctor of Medical Sciences Panchenko's clinical and scientific interest is focused on the study of the pathogenesis, treatment and prevention of arterial and venous thrombosis, including acute coronary syndromes, atrial fibrillation, and pulmonary embolism. Under the supervision of E.P. Panchenko, 10 PhD and 2 doctoral dissertations were defended. He is the author of more than 400 publications on the problem of thrombosis diagnosis and antithrombotic therapy in Russian and foreign journals. He is the author of three monographs on the treatment of arterial and venous thrombosis, stroke prevention in patients with atrial fibrillation, as well as sections on antithrombotic therapy, including in the manual of angiology edited by Academician of the Russian Academy of Sciences A.V. Pokrovsky, in the manual of Cardiovascular Diseases edited by Academician of the Russian Academy of Sciences E.I. Chazov and others. Member of the author's team for the development of National recommendations for the diagnosis and treatment of acute coronary syndromes, atrial fibrillation, venous thromboembolic complications, stable manifestations of atherothrombosis, and chronic coronary heart disease. He is the head of the educational School for doctors on the problem of thrombosis and antithrombotic therapy, organized under the auspices of the National Society for Atherothrombosis and the Russian Society of Cardiology. E.P. Panchenko is the editor–in-chief of the specialized journal Atherothrombosis, which is on the list of publications recommended by the Higher Attestation Commission of the Russian Federation, Chairman of the Supervisory Board of the National Society for Atherothrombosis, Chairman of the Thrombosis Council of the Russian Society of Cardiology.

Fomin Mikhail Andreevich, Petrovsky National Research Center of Surgery

Basic Higher. 2018 - Graduated with honors from the Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University) 2020 - Completed his residency in Cardiovascular Surgery at the Vishnevsky National Medical Research Center for Surgery of the Ministry of Health of the Russian Federation Additionally 2018 - Professional retraining under the program "Translator in the field of professional communication" on the basis of the Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation 2023- Defended his PhD thesis on the topic: "Septal myectomy for aortic valve replacement in patients with severe aortic stenosis." The dissertation was performed at the Russian State Budgetary Budgetary Institution "Russian Scientific Center of Surgery named after Academician B.V. Petrovsky"

Aidamirov Yashar Amiddinovich, Petrovsky National Research Center of Surgery

Basic 2009 Higher education, Orenburg, State Educational Institution of Higher Professional Education "Orenburg State Medical Academy of the Federal Agency for Health and Social Development,"qualification doctor in the specialty "Medical business" 2011 Residency, "Cardiovascular surgery". An institution of the Russian Academy of Medical Sciences, the Russian Scientific Center of Surgery named after Academician B.V. Petrovsky , 2014. Postgraduate course, "Cardiovascular Surgery", Federal State Budgetary Institution "Russian Center of Surgery named after Academician B.V. Petrovsky In 2014 he defended his PhD thesis on the topic: "Surgical treatment of acquired heart defects in elderly patients from senile age".

Savina Victoria Yurievna, Petrovsky National Research Center of Surgery

Basic 2017 – graduated from the I.M. Sechenov First Moscow State Medical University. 2019 – completed her residency in Pathological Anatomy at the Russian National Research Center named after Academician B.V. Petrovsky.

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Atrial cardiopathy. Diagnosis of causes, treatment of complications and surgical correction of cardiac remodeling

Abstract

Author Biographies

References