References

emcardio

Неотложная кардиология и кардиоваскулярные риски

Emergency Cardiology and Cardiovascular Risks journal

2616-633X

Белорусский государственный медицинский университет

emcardio-239

Research Article

Мастер-класс

Master-class

Синдром WPW в детском возрасте: нерешенные проблемы

WPW syndrome in childhood: unsolved problems

Засим

Е. В.

Zasim

E. V.

Строгий

В. В.

Strogiy

V. V.

РНПЦ детской хирургииChildren’s Surgery National Research Hospital

Белорусский государственный медицинский университетBelarusian State Medical University

2019

12112025

462–473

2025

Засим Е.В., Строгий В.В.

Zasim E.V., Strogiy V.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://emcardio.bsmu.by/jour/article/view/239

Одной из причин, способствующих развитию нарушений ритма сердца у детей, а именно развитию пароксизмальной тахикардии, является синдром WPW. В данном обзоре представлены современные данные о причинах, патогенезе развития с позиции электрофизиологии проводящей системы сердца синдрома WPW, а также рассматриваются методы диагностики, лечения данного синдрома в детском возрасте. Особое внимание уделено роли анатомо-физиологических особенностей, развитию вегетативной нервной системы и формированию проводящей системы сердца у детей. Среди возможных причин синдрома WPW сегодня рассматривают роль соединительнотканной дисплазии, наличие воспалительного процесса в проводящей системе сердца. Дана сравнительная характеристика противоаритмической терапии у детей с целью профилактики приступов тахикардии, а также представлены некоторые показания к проведению радиочастотной аблации и ее эффективность при данной патологии у детей.

This review presents current data on the causes, pathogenesis of development from the standpoint of electrophysiology of the cardiac conduction system of the WPW syndrome, and also discusses the methods of diagnosis and treatment of this syndrome in childhood. Particular attention is paid to the role of anatomical and physiological features, the development of the autonomic nervous system and the formation of the cardiac conduction system in children. The role of connective tissue dysplasia and the presence of an inflammatory process in the cardiac system are considered among the possible causes of WPW syndrome today. A comparative characteristic of antiarrhythmic therapy in children for the prevention of tachycardia attacks is provided, and some indications for radiofrequency ablation and its effectiveness in children with this pathology are presented.

синдром WPWфеномен WPWдетирадиочастотная аблацияпароксизмальная тахикардия

WPW syndromeWPW phenomenonchildrenradiofrequency ablationparoxysmal tachycardia

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